209 Exam 3 (Abdominal)

Chronic constipation

This is when a patient has hard and lumpy stools. Straining for more than 25% of bowel movements. Feeling of incomplete evacuation. Fewer than three bowels a week.

What does the patient have to increase their intake of if they lose their large intestine?

Water

Weakened _______ _________ in older patients and decreased activity level also contribute to constipation

pelvic muscles

If a patient has yellow clay colored stool, that means an excess of ______ in stool because ______ can't get to the bolus to emulsify the fats

If a patient has yellow clay colored stool, that means an excess of fats in stool because bile can't get to the balls to emulsify the facts

If you feel something solid and hear a dull sound in the top right quadrant, it could be an inflammation of the ________ due to either ____ or ____

If you feel something solid in here adult sound in the top right quadrant, it could be an inflammation of the liver due to either hepatitis or cirrhosis

Hypoactive bowel

>30 sec

What tool is used to collect stool during incontinence?

A DigniShield is used which is a drainable fecal collector

Normal poop characteristics

Soft and formed. Frequency is 1 to 2 times a day or once every 2 to 3 days. Color is brown. Shape is cylindrical. Amount is 100 to 300 g per day. Odor is pungent

A nurse is preparing to administer a cleansing enema to a patient who is prone to fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. Which of the following interventions is appropriate for this patient? Place the patient in the dorsal recumbent position on a bedpan. Administer the enema while the patient sits on the toilet. Administer an antidiarrheal medication 3 hr prior to the enema. Instill 200 mL of fluid at 15-min intervals times four.

Place the patient in the dorsal recumbent position on a bedpan. A patient who has poor sphincter control might not be able to retain the enema solution at all. Repositioning the patient over the bedpan in the dorsal recumbent position after insertion of the rectal tube will help contain the fluid likely to be expelled promptly and thus help maintain the patient's dignity.

The nurse in an outpatient provider's office is caring for a client with persistent flatus. Which client teaching will the nurse provide as to why some foods cause flatus? "Certain vegetables can cause flatus, as they are more difficult to digest." "Parasites in your stool can cause persistent flatus." "Drinking alcoholic beverages can cause flatus." "Flatus is a natural action and the cause is unknown."

"Certain vegetables can cause flatus, as they are more difficult to digest."

A parent brings a 2-year-old child in to the clinic for a wellness check-up and informs the nurse that toilet training is not going well. The parent states, "I thought it would be easy to toilet train for bowel movements, but my child is still having accidents." What is the best response by the nurse? "You are putting too much pressure on yourself and your child to toilet train." "Children vary in their readiness but daytime bowel control may be attained at 30 months." "There may be something wrong since your child should be toilet trained by 2 years-old." "There is nothing to worry about. Just keep the child in diapers until they stop having accidents."

"Children vary in their readiness but daytime bowel control may be attained at 30 months." Explanation: Successful bowel training also includes awareness by the toddler of the need to defecate, the ability to communicate this need, the wish to please the significant person involved in bowel training, and praise and reinforcement for the toddler's successful behavior. Daytime bowel control is normally attained by 30 months of age, but the age varies with each child. Informing the parent that pressure is too much for the child and parent may make the parent feel guilt and should be avoided. The nurse should never tell the parent that something is wrong if the child is not toilet trained since this may vary with all children. The nurse is being dismissive when telling the parent that there is nothing to worry about.

A nurse is teaching a patient how to apply an extended-wear skin barrier. Which of the following strategies should the nurse instruct the patient to use for maximal adherence? Use an oil-based lotion on the peristomal area. Apply the skin barrier while the skin is slightly moist. Leave the residue from the previous appliance on the skin. Press gently around the barrier for 1 to 2 minutes.

Press gently around the barrier for 1 to 2 minutes. The pressure-sensitive tackifiers and heat-sensitive polymers of the skin barrier require adequate pressure and warmth (from the fingers) to ensure adherence.

An older adult client tells the nurse, "I give myself a mineral oil enema every day." What is the appropriate nursing response? "This is good to help bowels move." "Perhaps you should do this twice daily." "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." "It is important that you discontinue this type of treatment immediately."

"Mineral oil enemas can interfere with absorption of fat-soluble vitamins."

The nurse has presented an educational in-service about caring for clients who have newly created ostomies. The nurse asks participants, "How will you know when a client begins to accept the altered body image?" Which responses by participants indicates a correct understanding of the material? Select all that apply. "The client is willing to look at the stoma." "The client makes neutral or positive statements about the ostomy." "The client expresses interest in learning self-care." "The client agrees to take prescribed antidepressants." "The client uses spray deodorant several times an hour to mask odor."

"The client is willing to look at the stoma." "The client makes neutral or positive statements about the ostomy." "The client expresses interest in learning self-care."

While a nurse is teaching a patient how to replace her ostomy pouching system, the patient reports that removing the skin barrier is sometimes painful. Which of the following should the nurse suggest? Lift up on both sides of the skin barrier simultaneously. Release one corner of the barrier and pull it quickly over the stoma. Push the skin away from the barrier while removing it. Gently roll the barrier end-over-end across the stoma.

Push the skin away from the barrier while removing it. Pushing the skin away from the barrier helps prevent skin stripping, which can be painful and make the skin sensitive to the adhesive. If the patient is having difficulty with the initial release of the barrier, it may help if she starts in one corner and gently pulls it across the stoma while pushing the skin away from the barrier.

The nurse is checking the placement of a nasogastric tube and aspirates for gastric contents. The nurse checks the pH of the aspirate and determines that the tube is in the stomach when she gets which pH measurement? 8 7 6 5

5

Normally bowel sounds should occur every ____ - ____ seconds

5-20 sec

A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. The nurse should insert the tip of the rectal tube 2.5 cm to 3.75 cm (1 to 1.5 in). 5 cm to 7.5 cm (2 to 3 in). 7.5 cm to 10 cm (3 to 4 in). 10 cm to 12.5 cm (4 to 5 in).

7.5 cm to 10 cm (3 to 4 in). This is the appropriate length of insertion for an adult patient.

Hyperactive bowel

< 5 sec

You shouldn't always worry if you see black tarry stool in older patients because....

A lot of older patients have iron deficiency and take iron so that will change the appearance of their stool

The nurse is caring for a client with a stoma that is pink in color and dry. Which action will the nurse take? Dry the stoma regularly. Observe the stoma to prevent moistening. Apply petroleum-based ointment. Cleanse with alcohol-based products.

Apply petroleum-based ointment.

Why is it important to ask the patient if they have taken opiates or just had surgery?

Because opiates and anesthesia can slow peristalsis

What are some ways to increase GI motility in older patients?

By increasing water and fiber intake.

Nasogastric tube placement needs to be checked prior to instilling fluids or administering medications. The best way of assuring tube location is: A.Aspirating gastric fluid from the tube. B.Instilling air via syringe and listening with a stethoscope for a "whoosh" sound. C.Portable chest x-ray reading. D.Inserting the tube end into water and checking for bubbles.

C.Portable chest x-ray reading.

A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. After removing the pouch, which of the following should the nurse do first? Measure the stoma. Cover the stoma with gauze. Remove the backing on the skin barrier. Cleanse the stoma and the peristomal skin.

Cleanse the stoma and the peristomal skin. To facilitate the nurse's assessment of the stoma and the peristomal skin, the nurse must remove any effluent adhering to the area.

The nurse has assessed the client, analyzed the data, and identified constipation as a client problem. Which assessment data would support constipation? Select all that apply. Client reports frequency of daily bowel movements as every 3 to 4 days. Client states straining when having a bowel movement. Stool is hard and has a consistency of small "marbles." Client reports urgency when needing to have a bowel movement. Bowel sounds are hyperactive in all four quadrants.

Client reports frequency of daily bowel movements as every 3 to 4 days. Client states straining when having a bowel movement. Stool is hard and has a consistency of small "marbles."

A nurse is obtaining health history from a young adult patient who has a colostomy. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. He reports that his concerns about leakage have limited his social activities. Which of the following should the nurse recommend? Consume foods that are low in fiber content. Take an ounce of mineral oil twice a day. Add buttermilk and cranberry juice to the diet. Increase water intake to 3 to 3.5 L per day.

Consume foods that are low in fiber content. Foods low in fiber help thicken the stool; examples include rice, noodles, white bread, cream cheese, lean meats, fish, and poultry.

The purpose of the gallbladder in common bile duct is to

Emulsify fats

Is the following sentence true or false? During physical assessment for bowel function, it is best to perform palpation of a suspected area of the abdomen prior to performing auscultation.

False. You should always start with auscultation then palpation, then percussion

Feces is ______% water and ___% solids

Feces is 10% water and 25% solids

Approximately how many bowel movements a week would a person have if they have chronic constipation?

Fewer than three bowel movements a week

A client tells the nurse that he takes laxatives every day but is still constipated. The nurse's response is based on which reasoning? Habitual laxative use is the most common cause of chronic constipation. If laxatives are not effective, the client should begin to use enemas. A laxative that works by a different method should be used. Chronic constipation is nothing to be concerned about.

Habitual laxative use is the most common cause of chronic constipation. Explanation: Occasional use of laxatives is not harmful for most people, but clients should not become dependent on them. Although many people do take laxatives because they believe they are constipated, most are unaware that habitual use of laxatives is the most common cause of chronic constipation.

Which is an expected outcome for a client undergoing a bowel training program? Have a soft, formed stool at regular intervals without a laxative. Continue to use laxatives, but use one less irritating to the rectum. Use oil-retention enemas on a regular basis for elimination. Have a formed stool at least twice a day for 2 weeks.

Have a soft, formed stool at regular intervals without a laxative. Explanation: Clients who have chronic constipation and impaction, and those who are incontinent of stool, may benefit from a bowel training program. The purpose of this program is to manipulate factors within the client's control (such as exercise or fluid intake) to produce the elimination of a soft, formed stool at regular intervals without a laxative. Laxatives disrupt normal bowel function, and when over used can lead to serious medical and physical problems. Usual stool patterns range from at least three times per week to one to three times per day.

A nurse is providing home care for a client with fecal incontinence. Which suggestions should the nurse give the client and family when managing fecal incontinence? Select all that apply. Have the client use moisture-proof undergarments. Encourage the client to limit fiber intake. Ask the client to monitor the pattern of incontinence. Eat nutritious foods regularly. Have the client pull the abdomen inward and exhale.

Have the client use moisture-proof undergarments. Ask the client to monitor the pattern of incontinence. Eat nutritious foods regularly.

What does a stool culture test for?

It tests for atypical intestinal organisms in the stool and also tests for ova and parasites

Common abdominal interventions

Laxatives Anti-diarrheal agents Anti-flatulence agents Fecal microbiota transplantation which is when people donate healthy poop to be inserted in someone's G.I. tract and this harvests healthy flora in the bowel

A nurse is preparing an older adult patient for an enema. The nurse should assist the patient to which of the following positions? Prone Dorsal recumbent Right lateral with both knees at chest Left lateral with the right leg flexed

Left lateral with the right leg flexed This position makes it easier for the enema solution to flow by gravity into the sigmoid and descending colon. The flexed leg promotes exposure of the anus for insertion of the rectal tube.

While a nurse is administering a cleansing enema, the patient reports abdominal cramping. Which of the following is the appropriate intervention? Measure the patient's vital signs. Notify the primary care provider. Lower the enema fluid container. Stop the enema instillation.

Lower the enema fluid container. Some abdominal cramping is to be expected during enema administration. To ease the patient's discomfort, the nurse should slow the rate of instillation by reducing the height of the enema fluid container.

Mucus stool is related to the ________ _______ which can mean an infection. It could also mean an obstruction because a patient can be impacted and only be able to expel liquid feces

Mucus stool is related to the inflammatory response which can mean an infection. It could also mean an obstruction because a patient can be impacted and only be able to expel liquid feces

NSAIDs irritate the gastric lining of the stomach so older adults that take NSAIDs [Advil, Motrin] for arthritis also experience ____ ____and this causes _____ _____ stool as well

NSAIDs irritate the gastric lining of the stomach so older adults that take NSAIDs [Advil, Motrin] for arthritis also experience gastric ulcers and this causes black tarry stool as well

Paralytic ileus

Not hearing any bowel sounds for 72 hours. In these patients you will see distention because this could mean they're not passing gas so you try to get them to walk or get moving

Absent bowel sounds

Not hearing anything for approximately 2 minutes

The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, ten 8-oz glasses (2,500 mL) of fluids. What would the nurse tell the client to change? Decrease high-fiber foods. Decrease amount of fluids. Omit fruits if eating vegetables. Nothing; this is a good diet.

Nothing; this is a good diet. Rationale: A high-fiber diet and a daily fluid intake of ten to twelve 8-oz glasses (2,500 to 3,000 mL) of fluids facilitate bowel elimination. Intake of the foods described makes the feces bulkier, so they move through the intestine more quickly. The stool is softer and the time to absorb toxins (believed to have a role in the development of colon cancer) is decreased.

Factors affecting bowel elimination

Nutrition: an increase in soluble and insoluble fiber conform more normal stool. Fluid intake: should drink 2 L per day. Activity and exercise: tightening abdominal muscles and relaxing them can help with peristalsis so you should always do kegel exercises. Body position: hard to empty bowel lying flat so they should sit up. Ignoring the urge to defecate. Lifestyle: it is difficult to poop if you're in the hospital. If you bend down while trying to push hard, you stimulate your vagus nerve and can lower your blood pressure so encourage cardiac patients to take stool softeners.

What are other possible reasons for hearing dullness when percussing the abdomen besides presence of full organs?

Other possibilities could be because there is a mass, adipose tissue, full bladder, or ascites

A patient who is postoperative is experiencing abdominal distention and is having difficulty expelling flatus. The nurse should anticipate receiving an order from the provider for which of the following types of enemas? Cleansing Return-flow Medicated Oil-retention

Return-flow Return-flow enemas are used to expel flatus, stimulate peristalsis, and relieve abdominal distention.

The nurse will place a client who is to receive a hypertonic enema solution into which position for ease of administration? Sims prone supine semi-Fowlers

Sims

A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. Which of the following instructions should the nurse include in the teaching? Irrigate both stomas periodically to promote drainage. Tape a dry gauze pad over the distal stoma to collect drainage. Change the proximal stoma's appliance every other day. Expect liquid stool to drain from both stomas.

Tape a dry gauze pad over the distal stoma to collect drainage. The distal stoma (also called a mucous fistula) secretes mucus; it does not drain feces. A dry gauze dressing is usually sufficient.

What does a colorectal screening test for?

Test for at risk G.I. bleed and early stage colon cancer. You should always take a specimen from an area with NO blood

What is the primary organ that absorbs water?

The large intestine

What can green stool mean?

This can mean that the food/bolus got moved thru the G.I. tract too quickly

(Types of enemas) Large volume enema

This cleanses the bowel. Especially before a colonoscopy. It can be divided into hypotonic solutions and hypertonic solutions. Soapsuds can be added to agitate the bowel even more to help evacuate. With hypotonic solutions, tap water enemas are used. These are only done once because if you do it too much, you can shift the fluid balance of the blood. The G.I. tract will absorb all that water and put it into the blood and dilute the blood too much With hypertonic solutions they can be done more than once and it's used to help with bowel movement because it pulls fluid from the interstitial space into the colon

Why shouldn't you palpate the abdomen if the patient is complaining of pain?

This is because if someone has appendicitis, you could release all that bacteria and cause peritonitis

Why should older patients be encouraged not to hold in their bowels?

This is because the more you hold it, the more water gets absorbed and the more constipated you get.

(Types of enemas) Small volume enema

This is used for evacuation if oral laxatives fail. They usually have oil in them and the patient has to hold it in for 30 minutes and then try to poop

(Types of enemas) Return flow enema

This is used to relieve accumulated flatulence. When you put the water in, then lower the bag to let it out, then continue this process. If a patient has a distended abdomen after surgery because of gas, you do return flow because you don't want the stitches to pop. For gas you can also use a rectal tube

What is an ileostomy and what should a patient with an ileostomy have a diet consisted of?

This is when a stoma is created right after the small intestine because the entire colon is removed. There will be all liquid poop because the large intestine is gone and the large intestine is where fluid is absorbed. Diet should be consisted of increased fluid intake and less caffeine because we don't want to increase peristalsis movement. Raw leafy veggies should be avoided because the skin of raisins or fruits can clog the stoma because it won't be further digested. Patient should also avoid eggs because of gas and gas can cause the bag to separate from the stoma

What is a sigmoid colostomy?

This is when the sigmoid colon is gone. They have more formed stools

What is a transverse [loop] colostomy?

This is when the transverse colon is cut in half so you will see mucus like stools. Eventually it will be reconnected via surgery

What is continent fecal diversion management?

This is when the whole large intestine is gone except for the rectum so it goes from the small intestine straight to the rectum. This is called a J pouch. These patients still have control over their bowel movements because their rectum is still intact. This is what makes it different from an ileostomy

Tell me what a barium swallow/barium enema is

This is when you either swallow or insert barium and then watch the barium as it goes through the system For barium enemas, patients have to have a cleansing enema beforehand and if they're having a barium swallow, they have to be NPO beforehand

Upon palpation of the abdomen, what does it mean if you feel rigidity?

This means that the abdomen is hard and is an indication of bleeding

The nurse is teaching a client with a new ostomy about skin care to preserve tissue integrity at the stomal site. Which teaching will the nurse provide regarding cleansing the stoma? Use water only. Use alcohol-based sanitizer. Use water and mild soap. Use mineral oil.

Use water and mild soap. Explanation: The nurse will teach the client to use water and mild soap to cleanse the stoma. Water only will not provide cleansing; an alcohol-based sanitizer will dry the stoma; mineral oil is not appropriate for cleansing.

A nurse is preparing to administer the first of two large-volume, cleansing enemas prescribed for a patient in preparation for a diagnostic procedure. Which of the following is an appropriate step in the procedure? Warm the enema solution prior to instillation. Prepare 1,500 mL of enema fluid. Use tap water as the enema fluid. Hang the enema container 24 inches above the anus.

Warm the enema solution prior to instillation. It is important to warm the enema solution because cold fluid can cause abdominal cramping. The solution should not be too hot, though, because hot fluid can injure the intestinal mucosa.

A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. The nurse should explain the option that will allow that is a Kock's pouch. an ileal conduit. a cutaneous ureterostomy. a nephrostomy.

a Kock's pouch. This is a continent ileal bladder conduit that does not require an external drainage collection device because the patient self-catheterizes every 2 to 4 hours to remove urine. This device will provide the control the patient desires.

Which client is most likely to require interventions in order to maintain regular bowel patterns? a client with hypertension who takes a diuretic and adrenergic blocker each morning a client whose neuropathic pain requires multiple doses of opioids each day a client who has a history of atrial fibrillation requiring daily anticoagulants a woman 59 years of age who has recently begun hormone replacement therapy

a client whose neuropathic pain requires multiple doses of opioids each day Explanation: Opioids have a very high potential to cause constipation. Anticoagulants, hormone replacements, diuretics, and adrenergic blockers are not among the medications commonly implicated in cases of constipation.

A nurse is caring for a client with constipation. The incidence of constipation tends to be high among clients who follow which diet? a diet lacking in fruits and vegetables a diet lacking in glucose and water a diet consisting of whole grains, seeds, and nuts a diet lacking in meat and poultry products

a diet lacking in fruits and vegetables Explanation: The incidence of constipation tends to be high among clients whose dietary habits lack sufficient raw fruits and vegetables, whole grains, seeds, and nuts, all of which contain adequate fiber.

What will the stool look like if you have a hemorrhoid in the anus/rectum?

a streak of blood in the stool

If you see the abdomen is one size one day then bigger the next, it could mean ____ _____

abdominal fluid retention

A nurse is providing preoperative teaching for a patient who has colon cancer. The surgeon informed the patient that his entire large intestine and rectum will be removed. The nurse should explain the type of ostomy he will have is a cecostomy. a loop colostomy. an ileostomy. a descending colostomy.

an ileostomy. After removing the entire large intestine and the rectum, the surgeon will create an ileostomy to divert feces from the small intestine to the abdominal surface and into an ostomy pouch.an ileostomy.

A nurse is preparing to administer an oil-retention enema to a patient who has constipation. The nurse explains that the patient should try to retain the instilled oil for as long as it takes to complete the procedure. about 10 to 15 min. until the next time he feels the urge to defecate. at least 30 min, but preferably as long as he can.

at least 30 min, but preferably as long as he can. The enema will be most effective in softening the stool and lubricating its passageway if the patient retains the oil for as long as he can - 1 to 3 hr if possible. It takes between 30 min and 3 hr for the oil to exert its therapeutic effect.

What color stool will you see when there's a G.I. bleed in the colon? This could also signify colon cancer

bright red (bloody)

A client scheduled for a colonoscopy is scheduled to receive a hypertonic enema prior to the procedure. A hypertonic enema is classified as which type of enema? retention enema cleansing enema return-flow enema carminative enema

cleansing enema Explanation: The most common types of solutions used for cleansing enemas are tap water, normal saline, soap solution, and hypertonic solution. Cleansing enemas are used to relieve constipation or fecal impaction, promote visualization of the intestinal tract by radiographic or instrument examination (colonoscopy), establish regular bowel function, and prevent the involuntary escape of fecal material during surgical procedures. Carminative enemas are classified as retention enemas and are used to expel flatus from the rectum and provide relief from gaseous distention. Return-flow enemas are also occasionally prescribed to expel flatus.

A fecal occult blood test is also known as a

colorectal screening

A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to apply hydrocortisone cream to the skin when changing the appliance. empty the pouch when it is no more than half full. wash the peristomal skin frequently with deodorizing soap and water. choose a time shortly after a meal for replacing the pouch.

empty the pouch when it is no more than half full. Waiting until the pouch is more than half full increases the risk of leakage. Ileostomy effluent is irritating to peristomal skin, so patients should replace the pouch when it is one-third to one-half full.

The nurse is scheduling tests for a client who is experiencing bowel alterations. What is the most logical sequence of tests to ensure an accurate diagnosis? barium studies, endoscopic examination, fecal occult blood test fecal occult blood test, barium studies, endoscopic examination barium studies, fecal occult blood test, endoscopic examination endoscopic examination, barium studies, fecal occult blood test

endoscopic examination, barium studies, fecal occult blood test

What are two essential techniques when collecting a stool specimen? hand hygiene and wearing gloves following policies and selecting containers wearing goggles and an isolation gown using a no-touch method and toilet paper

hand hygiene and wearing gloves

The nurse will gather which type of solution to administer a cleansing enema to a client who needs to have water drawn into the bowel? tap water mineral oil water, soap hypertonic saline

hypertonic saline Explanation: The nurse will gather a hypertonic solution to draw water into the bowel by irritating local tissues. Mineral oil is used for lubrication and softening of stool. Tap water is used to distend the rectum and moisten stool; soap and water are used to do the same plus irritate local tissue.

If a patient is complaining of pain and can't poop, pain will probably be from the _____ ______quadrant because that's where stool will try to pass and leave the body (this is where the sigmoid colon meets the rectum)

left lower

A client's last bowel movement was 4 days ago and oral laxatives and dietary changes have failed to prompt a bowel movement. How should the nurse position the client in anticipation of administering a cleansing enema? left side-lying prone right side-lying supine

left side-lying When administering a cleansing enema, the client is most often positioned in a left side-lying (Sims') position.

A nurse who is administering a return-flow enema to a patient should instill 100 mL of enema fluid and then instruct the patient to retain the fluid. lower the container to allow the solution to flow back out. help the patient to the toilet or bedside commode. wait 5 min and instill another 100 mL of fluid.

lower the container to allow the solution to flow back out. Return-flow enemas involve moving 100 to 200 mL of fluid into and out of the rectum. After instilling the solution, the nurse lowers the container to allow the solution to flow back into the container and then repeats the process five or six times.

A nurse is administering a prescribed solution of cottonseed oil to a client during an enema. What is the outcome of the use of cottonseed? distends rectum and moistens stool distends rectum and irritates local tissue irritates local tissue lubricates and softens stool

lubricates and softens stool Explanation: Cottonseed, olive oil, or mineral oil lubricates and softens the stool so that it can be expelled more easily during a retention enema.

The nurse is caring for an older adult client with diarrhea. Which assessment finding requires immediate nursing intervention? blood pressure 130/80 mm Hg temperature 99.9°F (37.9°C) skin turgor response 5 seconds heart rate 90 beats/min

skin turgor response 5 seconds Explanation: Skin turgor response that is greater than 3 seconds, especially in an older adult clients, requires nursing intervention. Older adults with diarrhea can more easily become dehydrated and develop fluid and electrolyte imbalances.

What kind of diet is used for patients who have gastrointestinal problems?

soft diet

A nurse is assessing the stools of a breast-fed baby. What is the appearance of normal stools for this baby? yellow, loose, odorless brown, paste-like, some odor brown, formed, strong odor black, semiformed, no odor

yellow, loose, odorless