Health and Illness Concepts I-Quiz-Elimination: Bowel

The nurse is giving discharge instructions to a patient that was admitted with constipation. The nurses instructions for healthy bowel maintenance include all of the following: Select all that apply Adequate dietary fiber Regular exercise Regular use of laxatives Hydration

Adequate dietary fiber Regular exercise Hydration

In instituting a bowel training program for a patient with fecal incontinence, what should the nurse plan to do first? Teach the patient to use a perianal pouch. Insert a rectal suppository at the same time every morning. Place the patient on a bedpan 30 minutes before breakfast. Assist the patient to the bathroom at the time of the patient's normal defecation.

Assist the patient to the bathroom at the time of the patient's normal defecation. Potter & Perry Bo 47.13. The first intervention to establish bowel regularity includes promoting bowel evacuation at a regular time each day, preferably by placing the patient on the bedpan, using a bedside commode, or walking the patient to the bathroom. To take advantage of the gastrocolic reflex, an appropriate time is 30 minutes after the first meal of the day or at the patient's usual individual time. Perianal pouches are used to protect the skin only when regularity cannot be established, and evacuation suppositories are also used only if other techniques are not successful.

How would wrapping a blanket around a young child affect thermoregulation? (Select all that apply) Absorbs cold from the body surface Limits heat loss from convection Conserves heat through vasoconstriction Increases heat loss from conduction Decreases heat loss through radiation

Limits heat loss from convection Decreases heat loss through radiation CONVECTION: refers to the loss of heat as a result of air currents moving across the body surface, which causes warm air at the surface to be replaced by cooler air. RADIATION; refers to heat loss through electromagnetic waves that emit heat from skin surfaces to the air. The degree of heat loss from radiation is a function of both the difference between ambient air and skin temperature and the amount of skin exposure. Wrapping a blanket around a child limits skin exposure, thereby decreasing heat loss through radiation, and preventing cool air currents from moving across the body surface, thereby limiting heat loss through convection.

A patient is nervous about a colonoscopy scheduled for tomorrow. The nurse describes the test by explaining that it allows which of the following? Visual examination of the esophagus and stomach Visual examination of the large intestine Radiographic examination of the large intestine Fluoroscopic examination of the small intestine

Visual examination of the large intestine An esophagogastroduodenoscopy allows visual examination of the esophagus and stomach. The radiographic examination of the large intestine refers to a barium enema, and a fluoroscopic examination of the small intestines refers to an upper gastrointestinal series

A client had a colon resection and formation of a colostomy two days ago. Which color indicates to the nurse the stoma is viable? Blue Gray Brick red Dark purple

Brick red Article in module A brick red stoma indicates adequate vascular perfusion. A blue, gray, or dark purple color indicates inadequate perfusion of the stoma.

Which statement(s) about laxatives is (are) true? (Select all that apply) Can be bulk-forming agents. Can be bowel stimulants. Can be lubricants. Cannot be abused.

Can be bulk-forming agents. Can be bowel stimulants. Can be lubricants. Cannot be abused. Lewis table 42.7 page 931

Which information would the nurse include regarding appliance care and maintenance, when teaching a client with a new colostomy? Select all that apply. Change the ostomy pouch on a routine basis, usually every 2 - 3 days. Replace the ostomy wafer weekly or sooner as needed. Remove the ostomy pouch when showering. Empty the ostomy pouch when three-quarter full of stool or gas. Empty the ostomy pouch before exercise and at bedtime.

Change the ostomy pouch on a routine basis, usually every 2 - 3 days. Replace the ostomy wafer weekly or sooner as needed. Empty the ostomy pouch before exercise and at bedtime. Article and PP Tips for limiting stool leakage are important for the client with an ostomy, in regards to comfort and dignity. Changing the ostomy pouch on a routine basis will decrease the risk of leakage. Twice weekly changes are considered typical. It is also recommended that the skin barrier (wafer_ be changed at least once weekly and as needed if sooner, in order to protect the integrity of the skin beneath and around it. Emptying the pouch before activities and before bedtime will also help prevent leakage and overfill. It is recommended to shower or bathe with the pouch on, not off. This helps to maintain the integrity of the wafer and to prevent any stool from leaking onto the skin or into the shower while bathing. Clients should bae instructed to have a new pouch at the ready, to be exchanged with the old pouch, after showering. Waiting to empty the pouch until it is more than one-half full increases the likelihood of leakage. Emptying the pouch sooner will prevent overfill and leakage.

What clinical indicator will the nurse most likely identify when assessing a patient with pyrexia? Dyspnea Precordial pain Increased pulse rate Elevated blood pressure

Increased pulse rate

A client admitted with a myocardial infarction is prescribed docusate and morphine and takes digoxin and fluoxetine at home. Which drug should the nurse recognize as a risk factor for straining due to constipation? Digoxin. Morphine. Docusate. Fluoxetine.

Morphine. Morphine is an opioid. Opioids decrease intestinal peristalsis, which may precipitate constipation; straining at stool should be avoided to prevent the Valsalva maneuver, which increase demands on the heart. Digoxin is unrelated to intestinal peristalsis and the potential for constipation. Docusate sodium is a stool softener which would relieve, not cause, constipation. A side effect of fluoxetine is diarrhea, not constipation. Test-taking tip: Calm yourself by closing your eyes, putting down your pencil or mouse, and relaxing. Deep-breathe for a few minutes (or as needed, if you feel especially tense) to relax your body and to relieve tension.

Which factor is most basic to the reciprocal relationship between the concepts of thermoregulation and intracranial regulation? Release of epinephrine from the adrenal cortex Effect of thyroxine on the basal metabolic rate Negative feedback function of the hypothalamus Endocrine function of the anterior pituitary

Negative feedback function of the hypothalamus Hypothalamus balances heat lost and heat gained. It activates a series of responses to lower and raise body temperature based on information received by the thermoreceptors located through the body.

A client has a permanent colostomy. During the first 24 hours there is no drainage from the colostomy. How should the nurse interpret this finding? Edema after the surgery is causing this. Patient's are NPO (nothing by mouth) immediately post-op. There is an obstruction and the patient needs to return to surgery. Effective functioning of the nasogastric tube is causing this.

There is an obstruction and the patient needs to return to surgery.

The most appropriate therapy for a patient with acute diarrhea caused by a viral infection is to: increase fluid intake. administer an antibiotic. administer an antimotility drug. quarantine the patient to prevent spread of the virus.

increase fluid intake