Bowel Elimination Questions

What is the effect of physical activity on normal elimination of the bowels? 1. Increased physical activity can increase constipation. 2. Decreased physical activity can result in diarrhea. 3. Increased physical activity promotes normal defecation patterns. 4. Physical activity has no effect on defecation patterns.

3

A client has a tendency to develop frequent constipation. Which dietary consideration should the nurse recommend? 1. Increase iron intake. 2. Decrease fiber intake. 3. Increase intake of fats. 4. Increase fiber intake.

4

A client has not had a bowel movement today and asks the nurse for a laxative. What is the first information the nurse should obtain prior to administering the laxative 1. The amount of fiber in daily diet 2. The last dose of laxative received 3. If the client has had any flatus 4. The client's normal bowel elimination pattern

4

How long should the nurse auscultate each quadrant prior to documenting the absence of bowel sounds? 1. 30 seconds 2. 1 minute 3. 2 minutes 4. 3 minutes

4

The nurse is assessing a new ostomy. Which finding would require notification of the healthcare provider? 1. Pale pink 2. Brick red 3. Deep pink 4. Brown-black

4

Which instructions should the nurse provide a client to prepare for a colonoscopy? Select all that apply. 1. Take laxatives as prescribed for the bowel prep. 2. Do not eat or drink anything after midnight prior to the test. 3. Have someone drive you home from the test due to sedation used in the procedure. 4. Refrain from eating after the procedure until your gag reflex returns. 5. Gargle with saline mouthwashes after the procedure.

1, 2, 3

The nurse is educating a group of older adults about constipation. Which gerontological changes should the nurse include in the session? Select all that apply. 1. Diminished mobility 2. Lowered fluid intake 3. Decreased peristalsis 4. Changes in fiber intake 5. Increased sphincter control 6. Improved smooth muscle tone

1, 2, 3, 4

A client who had an ileostomy returns to the clinic and informs the nurse that there is an odor coming from the ostomy bag. Which foods should the nurse instruct the client to avoid in order to decrease smell? Select all that apply. 1. Beer 2. Asparagus 3. Chocolate 4. Cucumbers 5. Romaine lettuce

1, 2, 4

A client is having difficulty coping with the physical changes of an ostomy. Which interventions should the nurse incorporate? Select all that apply. 1. Show acceptance when working with the stoma. 2. Explain to the client that their sexual relations will not change. 3. Instruct the client that a dressing can be placed over the ostomy during sexual relations. 4. Provide information regarding support groups available for clients with ostomies. 5. Allow the client to ventilate feelings about having a new colostomy and how it changes their life. 6. Show the client how to take care of the ostomy, including changing the bag and wafer.

1, 2, 4, 5

Which are common disorders that impact bowel function? Select all that apply. 1. Food allergies 2. Diverticulosis 3. Pneumonia 4. Seasonal allergies 5. Food intolerance

1, 2, 5

Which medications would the nurse instruct the client with chronic constipation to avoid taking? Select all that apply. 1. Iron 2. Aspirin 3. Opioids 4. Laxatives 5. Antibiotics

1, 3

The nurse is educating a group of older adults about ways to decrease the risk of developing a fecal impaction. Which risk factors should the nurse include in the session? Select all that apply. 1. Laxative overuse 2. High-fiber content 3. Diminished fluid intake 4. Decreased ability to exercise 5. Inflammatory bowel disease

1, 3, 4

Which are ways the nurse can promote regular bowel movements? Select all that apply. 1. Provide privacy. 2. Remind the client that constipation could occur if they do not defecate regularly. 3. Take a matter-of-fact straightforward approach. 4. Control odors to prevent embarrassment. 5. Accompany the client and provide encouragement while they are attempting defecation.

1, 3, 4

In which ways can surgery or procedures contribute to slowing bowel elimination? Select all that apply. 1. Anesthesia 2. Increased IV fluids 3. Stress 4. Decreased mobility 5. Manipulation of the bowel

1, 3, 4, 5

Which should be included in client teaching to support normal bowel elimination? Select all that apply. 1. Increase fluid intake. 2. Limit fiber intake. 3. Increase caffeine intake. 4. Increase physical activity. 5. Do not ignore the urge to defecate.

1, 4, 5

The registered nurse is administering a soapsuds enema to a client. Which action made by the nurse requires correction? 1. Placing the client in the left side-lying position 2. Holding the container 45 to 60 cm above the hips 3. Lubricating the tip of the enema tubing generously 4. Inserting the tip of the enema tubing approximately 7 to 10 cm

2

Undigested food first enters the large intestine through which structure? 1. Duodenum 2. Cecum 3. Rectum 4. Sigmoid colon

2

Which assessment finding made by the nurse confirms a client has a biliary obstruction? 1. Red stool 2. White stool 3. Brown stool 4. Yellow stool

2

Which is the result of the passage of stool through the colon being slowed? 1. Diarrhea 2. Constipation 3. Distention 4. Ileus

2

Which are common gastrointestinal symptoms suggestive of food allergy? Select all that apply. 1. Nausea 2. Rash around the anus 3. Excessive gas 4. Intestinal bleeding 5. Severe vomiting

2, 3, 4

A client asks the nurse which foods would help to consume 25 to 30 grams of fiber per day. Which foods should the nurse instruct the client to include in the diet? Select all that apply. 1. Pasta 2. Popcorn 3. Dried beans 4. Applesauce 5. Raw vegetables 6. Whole-grain breads

2, 3, 5, 6

The nurse is caring for a client with diarrhea related to a virus. According to the BRAT diet, which foods should the nurse instruct the client to include in the diet? Select all that apply. 1. Tea 2. Rice 3. Toast 4. Raisins 5. Asparagus 6. Applesauce

2, 3, 6

A client presents to the emergency room passing bright red blood from the rectum. The healthcare provider determines the client has bleeding hemorrhoids. Which causative factors should the nurse ask the client about? Select all that apply. 1. Anorexia nervosa 2. Chronic constipation 3. End-stage renal disease 4. Prolonged sitting on the job 5. Upper gastrointestinal bleeding

2, 4

A client with irritable bowel syndrome reports excess gas after meals. Which foods should the nurse instruct the client to avoid in the diet to decrease gas production? Select all that apply. 1. Pasta 2. Beans 3. Yogurt 4. Onions 5. Broccoli

2, 4, 5

Which are functions of the colon? Select all that apply. 1. Lipid digestion 2. Water absorption 3. Protein absorption 4. Vitamin absorption 5. Facilitate stool passage

2, 4, 5

The nurse is preparing instructions for a client who is being discharged after undergoing a barium enema. What should be included in the teaching? Select all that apply. 1. No driving is permitted due to sedation used. 2. Take a mild laxative after the procedure. 3. Maintain a low-residue diet for 1 to 3 days. 4. Hold all medications for the rest of the day. 5. Increase oral fluid intake after the procedure. 6. Stools will be light colored for 2 to 3 days after the procedure.

2, 5, 6

A nurse is auscultating bowel sounds on a client who has had recent abdominal surgery. The sounds are approximately 1 to 2 per minute in each quadrant. Which condition should the nurse expect? 1. Infection 2. Diarrhea 3. Constipation 4. Ileus

3

Which procedure produces a surgical opening in the abdomen and bypasses the large intestine entirely? 1. Sigmoid colostomy 2. Kock pouch 3. Ileostomy 4. Loop colostomy

3

The nurse is caring for a client who is being discharged after sustaining a myocardial infarction. What is the most important instruction for the nurse to give the client? 1. Consume a bland diet. 2. Use a salt substitute on foods. 3. Avoid consuming grapefruit and its juice. 4. Take stool softeners to prevent straining.

4

The nurse is performing the digital removal of stool. Which complication should the nurse monitor for? 1. Bleeding 2. Decreased blood pressure 3. Hypertension 4. Decreased heart rate

4

The parents of a newborn voice concern regarding loose stools that the newborn is experiencing after each breastfeeding. What would be the nurse's best response? 1. "Let's obtain a stool sample and we can run tests." 2. "Have you recently switched formulas for the baby?" 3. "What is the color of the stools the newborn is passing?" 4. "This is normal because newborns have looser stools due to immature intestines."

4

Which type of bowel diversion allows for control over bowel elimination without the need to wear an appliance? 1. Ileostomy 2. Ascending colon colostomy 3. Transverse colon colostomy 4. Sigmoid colostomy

4

Which type of bowel diversion would result in a solid stool? 1. Ileostomy 2. Kock pouch 3. Ileoanal reservoir 4. Sigmoid colostomy

4