RNRS 117- Bowel Elimination Sherpath (Exam II)

Which statement by a patient with an ileostomy indicates the need for additional teaching? "I'll change the pouch before it begins to leak." "I can eat dairy products after I recover from my surgery." "I won't drink too much so the amount of stool is less." "I won't need to buy new clothing that better accommodates the pouch."

"I won't drink too much so the amount of stool is less."

A parent tells the nurse, "My infant who is breastfed passes stools an average of 5 times per day." How does the nurse respond? "It would benefit the child to increase the maternal intake of dietary fiber." "You should supplement breastfeeding with bottle-feeding." "Administer a dose of antidiarrheal medication each day to your child." "This is a normal finding for the infant."

"This is a normal finding for the infant."

What is the daily recommended volume of fluid intake for a woman?

2.7 L

What is the daily recommended volume of fluid intake for a man?

3.7 L

A cleansing enema is prescribed for an adult patient before intestinal surgery. What is the maximum amount of fluid the nurse should give? 150-200 mL 200-400 mL 400-750 mL 750-1000 mL

750-1000 mL

The nurse identifies that the use of a fracture pan for a bowel movement would be beneficial for which patient? A patient who is obese A patient experiencing confusion A patient on bed rest A patient recovering from a total hip replacement

A patient recovering from a total hip replacement

Which complications may result from a patient who regularly ingests castor oil to relieve constipation? Select all that apply. Abdominal cramping Constipation Fluid and electrolyte imbalance Damage to the intestinal mucosa Toxic buildup of magnesium

Abdominal cramping Fluid and electrolyte imbalance

Which intervention does the nurse include in the bowel-training program for a patient with chronic constipation secondary to cognitive impairment? Using a diet that is low in bulk Allowing ample time for evacuation Decreasing fluid intake to 1000 mL/day Administering an enema once a day to stimulate peristalsis

Allowing ample time for evacuation

After reviewing a patient's laboratory reports, the nurse suspects the patient has pancreatitis based on increased levels of which component? Bilirubin Amylase Alkaline phosphatase Carcinoembryonic antigen

Amylase

Which event may occur because of vagus nerve stimulation during removal of a fecal impaction? Atelectasis Bradycardia Hypertension Cardiac tamponade

Bradycardia

Which type of laxative acts by causing the stool to absorb water and swell? Emollient Stimulant Lubricant Bulk-forming

Bulk-forming

An elderly African American patient reports a change in bowel habits with rectal bleeding and a sense of incomplete bowel evacuation. Which disorder would the nurse suspect in this patient? Infection Colorectal cancer Irritable bowel syndrome Inflammatory bowel disease

Colorectal cancer

The nurse reviews the types of radiological tests performed to assess the abdomen. The nurse identifies that the preparation for which procedure requires a dietary restriction? Select all that apply. Computed tomography scan without contrast Colonoscopy A plain film of the abdomen Ultrasound imaging Barium swallow

Computed tomography scan without contrast Colonoscopy Barium swallow

Which bowel elimination problem is most likely the result of improper diet, reduced fluid intake, and lack of exercise? Diarrhea Flatulence Constipation Incontinence

Constipation

The nurse suspects that a patient has a bowel obstruction based on which assessment finding? Clay-colored stool; noxious change in the odor of the stool Low-pitched and hypoactive bowel sounds Cramping; absence of bowel movements Abdomen that is dull to percussion

Cramping; absence of bowel movements

A patient presents with a 5-day history of diarrhea. The patient states "I initially experienced nausea and vomiting that lasted 24 hours." For which additional symptom does the nurse assess to determine the plan of care? Select all that apply. Bradycardia Dizziness Dry skin Peripheral edema Dark-colored urine

Dizziness Dry skin Dark-colored urine

The nurse analyzes the characteristics of a patient's feces and identifies that which substance indicates and abnormality? Select all that apply. Excess fat Blood Mucus Bile pigment Dead bacteria

Excess fat Blood Mucus

During a home health visit after a patient's recent surgery, the nurse assesses that a patient is experiencing acute pain related to constipation. The nurse reviews the potential causes of the pain and recognizes that the patient is at risk of intestinal obstruction if which condition is unresolved? Incisional pain Fecal impaction Use of opioid medication Impaired physical mobility related to surgery

Fecal impaction

The nurse observes the presence of a tympanic note when percussing the abdomen of a patient and suspects which cause? Gas Fluid Tumor Thick pus

Gas

Which sign manifests in infants and young children who are dehydrated? Select all that apply. Dizziness High fever Sunken eyes Light-headedness Dry eyes when crying Listlessness or irritability

High fever Sunken eyes Dry eyes when crying Listlessness or irritability

A patient presents with abdominal discomfort, and the nurse auscultates 40 bowel sounds in 1 minute. Which pattern of bowel sounds does the nurse document? Normal Hypoactive Hyperactive Tympanic note

Hyperactive

The nurse assesses a 55-year-old patient as part of a routine physical. The nurse instructs the patient to obtain a stool specimen for guaiac fecal occult blood testing (gFOBT) based on which criterion? If patient reports rectal bleeding If there is a family history of polyps If the patient is experiencing no bowel elimination problems If a palpable mass is detected on digital examination

If the patient is experiencing no bowel elimination problems

A patient with alcoholism develops chronic pancreatitis. Which laboratory parameter is helpful in diagnosing pancreatitis? Increased bilirubin Increased serum amylase Elevated carcinoembryonic antigen Elevated alkaline phosphatase levels

Increase serum amylase

When collecting a guaiac fecal occult blood test (gFOBT), the nurse should take which action? Interpret the color of the guaiac paper after 30-60 seconds. Open the flat of the slide and, using a cotton applicator, thinly smear stool in the first box of the guaiac paper. After waiting 10-15 minutes, open the cardboard flap and apply two drops of developing solution on each box of guaiac paper. Recognize that a green color indicates it is positive for guaiac or presence of fecal occult blood.

Interpret the color of the guaiac paper after 30-60 seconds.

When mucus is noted in a patient's feces, the nurse suspects which cause? Constipation Intestinal infection Increased peristalsis Malabsorption of fat

Intestinal infection

When a patient reports passing black and tarry stools, the nurse identifies that a patient should be evaluated for which condition? Select all that apply. Iron ingestion Ingestion of beeds Gastrointestinal (GI) bleeding Spastic constipation Malabsorption of fat

Iron ingestion Gastrointestinal (GI) bleeding

The nurse cares for a patient with a nasogastric tube for gastric decompression in place. Which action does the nurse include in the plan of care to prevent adverse effects related to the tube? Select all that apply. Irrigate the tube with saline Administer frequent oral hygiene Measure the length of the exposed tube Measure the pH of the aspirated tube contents Frequently lubricate the nares to minimize discomfort

Irrigate the tube with saline Administer frequent oral hygiene Measure the length of the exposed tube Measure the pH of the aspirated tube contents Frequently lubricate the nares to minimize discomfort

A patient is admitted to the emergency department after the ingestion of a poison. The nurse anticipates a prescription for which type of cathartic? Bisacodyl Castor oil Docusate calcium Magnesium citrate

Magnesium citrate

Which substance may cause complications for a patient who has kidney dysfunction? Castor oil Mineral oil Docusate sodium Magnesium hydroxide

Magnesium hydroxide

A patient is scheduled for a plain film x-ray of the kidney, ureter, and bladder. Which preparation will be included on the patient's treatment plan? No preparation required Magnesium citrate bowel preparation Administration of a light sedative the night before the procedure Fasting after midnight

No preparation required

A patient reports passing narrow, pencil-shaped stools over the past few days. The nurse suspects which cause for the assessment finding? Select all that apply. Pancreatitis Obstruction Malabsorption Absence of bile Increased peristalsis

Obstruction Increased peristalsis

The nurse is caring for a patient with malabsorption syndrome. Which change in bowel elimination is the patient likely to report? Select all that apply. Pale stools Black, tarry stools Clay-colored stools Increased flatulence Oily stools

Pale stools Oily stools

The nurse is caring for a patient who has a colostomy. When assessing the stoma, which color indicates that the stoma is healthy? Select all that apply. Pink Red Blue Brown Black

Pink Red

A patient experiences chronic constipation but has no other symptoms. The nurse anticipates the health care provider will prescribe which medication to provide relief for the condition? Castor oil Mineral oil Polycarbophil Docusate sodium

Polycarbophil

Which tube is appropriate as an intervention for bleeding esophageal varices? Ewald Dobhoff Miller-Abbott Sengstaken-Blakemore

Sengstaken-Blakemore

Which result can occur from excess manipulation when performing a digital rectal examination to determine the presence of fecal impaction? Slowing heart rate Severe cramping Fluid and electrolyte imbalance Toxic buildup of magnesium

Slowing heart rate

Upon auscultating the abdomen of a patient with a stethoscope, the nurse hears high-pitched and hyperactive bowel sounds. The nurse identifies that the assessment findings correspond with which condition? Small intestine obstruction Normal bowel activity Fluid or gas within the abdomen Effects of abdominal surgery

Small intestine obstruction

A patient needs a bowel preparation before a procedure. The nurse anticipates that which type of agent will be prescribed? Psyllium Polycarbophil Methyl cellulose Sodium phosphate

Sodium phosphate

While administering an enema to a patient, the nurse notes blood in the return fluid and rectal bleeding. Which action does the nurse take? Administer pain medication Slow down the rate of instillation Tell the patient to breathe slowly and relax Stop the instillation and obtain vital signs

Stop the instillation and obtain vital signs

When caring for patients of varying ages with disorders of bowel elimination, which information does the nurse consider? Adolescents have a decreased metabolic rate. The ability to control defecation is absent until 2 to 3 years of age. Peristalsis is enhanced and esophageal emptying is accelerated in older adults. Infants have little secretion of digestive enzymes and slow intestinal peristalsis.

The ability to control defecation is absent until 2 to 3 years of age.

A patient with abdominal pain is scheduled for a barium enema with air contrast. Which information does the nurse give to the patient before the procedure? Select all that apply. The procedure will help in the examination of the lower gastrointestinal (GI) tract The patient will need to take laxatives the day before the procedure No metallic objects should be worn during the procedure Light sedation is required The patient needs to lie very still

The procedure will help in the examination of the lower gastrointestinal (GI) tract The patient will need to take laxatives the day before the procedure

A patient who is taking opioids to control cancer-related pain develops constipation. On assessment, the nurse finds that the patient has abdominal distention and hypoactive bowel sounds. The nurse anticipates that the treatment plan will include which intervention? Select all that apply. Using laxatives Promoting water intake Withholding the opioids Encouraging high-fiber diet Training for relaxation techniques

Using laxatives Promoting water intake Encouraging high-fiber diet