What result would contraindicate the safe administration of an enema? C. the risk of constipation is decreased. A nurse is caring for a client who has a fecal impaction. 60-70 g Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations, and direct costs of more . Reduce sodium intake. C. Place client on left side with right leg flexed The client will walk for 30min 5 days a week. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. At least 30 mins, or as long as they can hold it. Have the client perform self stoma care D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. a. D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. E. Breast Milk, A. Cathartics c. Drink a soft drink daily to prevent gas and allow fiber to break down. An episode of diarrhea 4. d. Perform stoma irrigation. a. a. To which patient should a fleet enema NOT be administered to? A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. a. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. Which of the following information should the nurse include? Place the client on a bedpan in the supine position while receiving the enema. \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ 3. a. Which of the following assessment findings requires immediate intervention by the nurse? Label and secure all catheters, tubes, and drains. B. A. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. Place the client in a protective supine position to facilitate easy removal. A client with renal impairment computers disk. A. Replace legumes with broiled meats. A nurse is performing digital removal of stool on a patient with a fecal impaction. 2 in (5.0 cm) b. b. Use between 500-1000 mL of solution. \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ D. Administer antibiotic therapy They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. b. Administer analgesia 30 minutes before the procedure. B. The health care provider prescribes a large-volume cleansing enema for a client. b. Constipation 2. B. Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching? Sit on the toilet 30 minutes after eating a meal. An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). a. onions What solution best meets this client's needs? Frequent urinary tract infections Warm the enema to prevent constipation Calculate the power output of the plant. e. Platelet count of 19,500/mm3 (195.00 109/L) A. Excoriated Skin d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. Client/Family Teaching Nursing care plans For Constipation. evaluate fluid and electrolyte levels. Monitor urine pH. Before administering this medication, the nurse should complete which priority assessment? c. "I will have a fecal occult blood test done every 5 years." Pain at the surgical site c. "This test will show if you have an infection in the bowel." a. As long as pure _________ soap is used, it is considered a safe procedure. e. "How often do you go out to eat?". b. tap water b. ascending colostomy A nurse assesses the stool of patients who are experiencing gastrointestinal problems. Encourage client to heed defecation warning signs and develop a regular schedule of defecation by using a stimulus such as a warm drink or prune juice. Green c. If portions of the stool include visible blood, mucus, or pus, discard the stool. c. The student had the client flex the knees when performing the assessment. a. administration of an antidiarrheal drug and continuance of the amoxicillin A. (a) The moving object is twice the mass of the stationary object. B. Consume 1/2 cup of bran daily. What assessment questions would you ask someone who has constipation? d. Remove the appliance and redo the procedure using a larger appliance. Which of the following is a clinical finding of postoperative bleeding? C. Increase exercise activity . f. Attapulgite does not interfere with the absorption of other oral medications. A. c. black D. Increased fiber in the diet Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? d. Increase fiber slowly over a period of time to prevent gas. What is the present worth of a $50,000 debenture bond that has a bond coupon rate of 8% per year, payable quarterly? Which of the following instructions should the nurse include in the teaching? a. A. Gently massage the stoma The nurse is selecting antidiarrheal medications for clients with diarrhea. Which of the following interventions is appropriate for this patient? A. Is it okay to still do the test?" The nurse should explain the option that will allow is? a. b. C. "My largest meal of the day should be in the evening." Which color stool does the nurse identify as abnormal? Remove the tubing immediately and discontinue the procedure. What is the difference between a one-piece and two-piece pouching system? d. The student sequenced from auscultation to inspection, and percussion to palpation. Press water from a sponge rather than bringing it. Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? A nurse discourages a patient from straining excessively when attempting to have a bowel movement. Diminished peripheral pulses in the lower extremities Then, rewrite them to make them more effective. A. SSE C. Place client on left side with right leg flexed A nurse is reinforcing teaching with a client who is experiencing preterm labor and has a new prescription for nifedipine. Which finding indicates that the client needs further assessment in the postanesthesia care unit? Eat plenty of raw vegetables before testing. d. transverse colostomy. d. The client repeatedly ignores the urge to defecate. a. water b. increases B. B. A nurse is preparing to administer a cleansing enema to a client. c. The catheter is inserted 2" to 3" into to meatus Decreased sensation in the lower extremities B. Defecation B. Select all that apply. 25. Continue infusing at a faster rate to finish the enema quicker. C. It empties the bowel. d. "If you are having a light flow or spotting then you can perform the test. What action would the nurse perform next? ", A. Urinary retention 4. Instruct to splint incision when coughing and deep breathing Which of the following foods should the nurse instruct the client to avoid? Soapsuds enemas act by stimulating peristalsis through intestinal irritation. b. removes hardened fecal impactions from the rectum What are some foods that could cause blockage in a colostomy? A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. The nurse responds with? (b) How much time will elapse before it returns to its starting point? A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. B. Untape the tube periodically d. "This test will determine whether foods are contributing to rectal bleeding.". B. Q2h while the patient is awake. a. provides an outlet for diarrhea to be funneled into a collection unit C. No purpose The client asks the nurse why both anticoagulants are necessary. a. brown rice Which teaching will the nurse include? c. Will include fish one to two times per week. "This test can help indicate if I have colorectal cancer." A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. D. Pull the curtain around the patient's bed and drape the patient. C. Strain urine for 48 hr. b. develops healthier bowel elimination patterns The nurse should anticipate a prescription for which of the following medications? Place the patient on the bedpan in dorsal recumbent position on bedpan. (D) smooth. The tiny, free-floating, weakly swimming algae and animals that occur in both freshwater and saltwater environments are called ____. A nurse is reinforcing teaching with a client that reports having constipation. In assessing the client for complications related to positioning, the nurse is most concerned with which finding? b. _________: is typically created as an emergency procedure to relieve an intestinal obstruction or perforation. Warm the enema to prevent constipation Select all that apply. C. Immediately before meals. How would this be documented? (Select all that apply.) a. urgency a. D. lower doses of medication are cost-effective. Ignoring the urge to defecate "It is important that you discontinue this type of treatment immediately." C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? c. digital removal of stool Which of the following assessments would indicate her diet should not be advanced? Place the patient on the bedpan in dorsal recumbent position on bedpan. Select all that apply. E. Breast Milk, Incontinence is described as the inability to control defecation often caused by A nurse is assisting with the implementation of a bowel training program for a client. d. the indwelling urinary catheter, After surgery, Ms. Young is having difficulty voiding. A. Kosher roast beef and ice cream The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. A pregnant client tells the nurse she has constipation. ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? c. The external meatus requirements cleaning with antiseptic soap and water before voiding D. Reddened areas over bony prominences, B. D. 1-3 in. B. Squatting Results may be altered if a sample is left standing at room temperature for a long time. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. "This test will show if you have colorectal cancer." Clean the wound from the outer edge towards the center. b. Nasogastric tubes should not be irrigated. A. Cheese C. 3 hours, or until dissolved. A. b. C. Inadequate fluid intake. C. "They improve your circulation to keep blood from pooling in your legs.". The client traveled to South America two weeks ago. b. What should the nurse recommend that the patient eat to best increase the bulk and fecal material? The nurse is administering a rectal suppository. a. hypertonic saline Which of the following is the rationale for this? a. Which of the following is a true statement about the effects of medication on bowel elimination? Which of the following should the nurse recommend? a. Nurses find the procedure distasteful and difficult to perform. A nurse is assessing and documenting the eating habits of a client with repeated reports of gas who wants to include more fiber in the diet. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. a. d. discontinuation of the amoxicillin and the administration of a different antibiotic, A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool passage more comfortable. c. tap water b.nature and amount of food eaten by the client. b. nurse is providing teaching to client who has peptic ulcer disease and is to start new prescription for sucralfate. "I will need yearly screenings for colon cancer." A. Macaroni and cheese B. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. Which of the following actions should the nurse anticipate? Hematest-positive nasogastric tube drainage 3. c. Clients with food intolerances may experience altered bowel elimination. b. Assessing a client's GI system What is a recommended intervention? Client report of nausea B. ______ enema is to assist a client to expel flatus. A nurse working in a hospital includes abdominal assessment as part of patient assessment. a. a diet lacking in fruits and vegetables The pediatric nurse explains to the parents of an infant diagnosed with a bowel obstruction that one of the most common causes of intestinal obstruction in infancy is from? c. Blood pressure of 120/70 mm Hg How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? 3 Auscultation b. Which intervention is most important? Regular use of a laxative a. During the assessment, the nurse notices the stoma is pale. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? Red meat Which suggestion should the nurse include in the teaching plan? In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. d. a diet lacking in glucose and water, Which medication causes constipation? Which of the following would be common nursing diagnosis for the patient with an ileostomy? Which of the following statements should the nurse make? d. lentils a. c. "Stool cannot be collect from a child's diaper." Cool the container holding the solution. 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. f. shrimp. c. soap and water What intervention would be most appropriate in this situation? IntQueue is a class that implements a static queue of integers. c. staying with him while voiding A __________ enema should not be repeated for fear of water toxicity or circulatory overload. The client presses the call bell and tells the nurse that about feeling dizzy. Temperature of 99F (37.2C) CombiningFormsderm/odermat/ohidr/oichthy/okerat/olip/omelan/omyc/opy/oscler/oseb/otrich/oxer/oSuffixes-al-cyte-derma-graft-ic-logist-oma-osis-pathy-plasty-rrheaPrefixesan-homo-hypo-. B. C. Instill warm mineral oil into the rectum The nurse anticipates which of the following orders when notifying the provider of this finding? B. Blackberries d. pasta, Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence in an older adult patient. A nurse is preparing to administer a cleansing enema to a patient who is prone to more fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. 1. a. Fecal impaction Select all that apply. "I should eliminate pasta from my diet so that I don't have as many loose stools." The bowel wall is stretched which stimulates peristalsis, B. what? What independent nursing interventions can be performed? C. Happiness d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. During an assessment, the nurse suspects a male client is experiencing benign prostatic hyperplasia. Ignore the change in volume of the steel. Fresh fruit & whole wheat toast 49. d. Reinstruct the client on use of collection container for next bowel movement. Which of the following instructions should the nurse include in the teaching? \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ 4. d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. C. Administer warm saline throat irrigations a. A steel container of mass 135g135 \mathrm{~g}135g contains 24.0g24.0 \mathrm{~g}24.0g of ammonia, NH3\mathrm{NH}_3NH3, which has a molar mass of 17.0g/mol17.0 \mathrm{~g} / \mathrm{mol}17.0g/mol. Tap water How many grams should be in the daily diet? b. just past the opening of the anus c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. What physiological response primarily may be prevented by avoiding straining on defecation? How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? 4. D. Decrease fluid intake while increasing fiber. b. c. Peptic Ulcer d. Collecting the specimen d. "This is good to help bowels move.". Mr. T is nervous about a colonoscopy scheduled for tomorrow. a. The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. b. a. duodenum c. Inform the client that the culture prescription will now be cancelled. "What are your normal bowel habits?" The proliferation of Clostridium difficile causes: c. The client consumes large qualities of fresh vegetables. Tape a dry gauze pad over the distal stoma to collect drainage. Blood pressure A. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? E. Increase fluid intake to 3 L/day. Chronic Constipation Several U.S. astronauts have had some very close calls in space. B. Constipated 4. Drink four to five glasses of water daily 2 Percussion a. d. Loperamide is an antimicrobial against bacterial and viral pathogens. B. Which of the following strategy should she include illustrate the concept of joint protection? d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. d. Telling the patient that burning and irritation are normal, subsiding within a few days. 3. When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: a. past the internal sphincter c. sigmoid colostomy A. Reduce sodium intake. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? 1. Which of the following instruction should the nurse include in the teaching? Which of the following foods should be included as sources of fiber? B. "You may have a continuous sensation of needing to void even though you have a catheter." Which examples correctly describe these effects? The provider prescribes warfarin PO without discontinuing the heparin. B. Squatting Paralytic ileus 2. Select a bag with an appropriate size stomal opening A patient recovering from a partial nephrectomy is in the postanesthesia care unit. Select all that apply. d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? a. Administer a normal saline enema after obtaining the relevant order. 1. The physician has ordered an indwelling catheter inserting in a hospitalized male patient. b. True b. Ignoring the urge to defecate. Select all that apply. The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. c. A heightened risk that the stoma will prolapse What should the nurse do first? In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. d. clay colored d. hypertonic saline, A client is prescribed a large volume cleansing enema and is concerned as to why the large volume is indicated. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". Patient complains of black stool. The nurse should recognize which of the following foods provided together on the same dinner tray can be in violation of the clients religious practices? Which of the following action should the nurse take? What response should the nurse give to the client? B. Which of the following foods should beincluded as sources of fiber? Eat more cabbage and brussels sprouts to decrease gas and add fiber. This position allow for ease of access. Provide perineal care after each stool CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin{array}{lllll} How often are your bowel movements? d. Plans to eat a snack of fruit twice per day. A. Oxybutynin (Ditropan) C. Ensure that the bowel is sterile b. a. administration of a small-volume enema 2. b. tap water What is the appropriate nursing intervention for this client? When the procedure is finished, the nurse notes that the stoma is protruding into the bag. Which guideline is recommended for this procedure? (Select all that apply) A. c. Increase in dietary fiber can decrease peristalsis. C. Mineral Oil A. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. A. D. Depression a. Place the assessment steps in the correct order. The client reports gas pains I the periumbilical area. c. "Perhaps you should do this twice daily." b. Mrs. Lonte tells you she is hungary A nurse is teaching a client who has angina and is new . A. B. Heartburn A student nurse is preparing to administer a client's ordered large-volume enema. b. d. softens and facilitates the removal of intestinal polyps, The student nurse is preparing a presentation on how to perform a physical assessment on the abdomen. Decreased immunity When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." During the aging or wearout period, the deterioration of a machine usually Which of the following should the nurse discuss as causes of constipation? b. B. Hypotonic; Tap Water d. A patient with Crohn's disease. The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. a. The nurse is administering a cleansing enema when the client reports cramping. The nurse is teaching a patient regarding administration of antiemetic medications. a. hypertonic saline d. Remove the tubing. d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? Nursing care for a patient with an indwelling catheter includes which of the following? The provider prescribes warfarin PO without discontinuing the heparin. A. Flank pain that radiates to the lower abdomen Which of the following is the appropriate intervention? D. Tamsulosin (Flomax). What should the nurse include when planning this patient's care? d. A stool softener, Which symptom is a known side effect of antibiotics? a. light brown A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. E. Insert enema towards umbilicus, A. Black tea b. jejunum a. B. You may use the elements more than once. A nurse is preparing a hospitalized patient for a colonoscopy. The nurse is teaching a client with diarrhea about dietary management. (d) The stationary object is 106 times the mass of the moving object. C. Lubricate 5 inches of the rectal tube. Report the onset of bright red bleeding to the surgeon. D. Hematuria 3. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. c. Fish and dried lentils 4. Flat in bed, with the head in alignment with the body b. Scrambled eggs A nurse is teaching a client who has constipation about a high-fiber diet. c. increases the volume of the stool, making defecation easier click to flip Don't know Question Which symptom is a known side effect of antibiotics? D. Review the pain scale, B. B. Prone, with the head of the bed flat A. "This is an indicator of heart disease and we should do an electrocardiogram to be sure that it has not caused damage to the heart." D. Kosher chicken breast and boiled potatoes. A saline osmotic laxative A. Cathartics Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. "Bowel sounds auscultated. 5 A nurse is teaching a client about the use of an incentive spirometer. For which condition should the nurse administer this medication to the postoperative client? a. Provide perineal care after each stool The stoma of an ______ is typically located in the right lower quadrant. d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. Which recommended patient teaching points would the nurse stress? a. The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) upper gastrointestinal series. Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber What should the nurse do next? Estimate the rate at which thermal energy is being discarded by this plant. Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. A risk that the peristomal skin will become excoriated c. oliguria b. they will cause a chronic constipation. A student nurse studying human anatomy knows that a structure of the large intestine is the: c. Every 4 to 8 hours c. "Most older adults only have a bowel movement every 2 to 3 days, actually, so I'd encourage you to taper off your laxatives." Which of the following is an appropriate nursing to promote regular bowel habits? The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. Which finding is most important for the nurse to report to the health care provider? Position the bed flat and assist the client onto his or her left side. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. c. Carminative 750 to 1000 mL Which of the following statements should the nurse include? D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ Select all that apply. In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? B. A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. 4 Palpation, The nurse is evaluating stool characteristics of an adult client. C. Administer the enema while the patient sits on the toilet. What color is your usual bowel? Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. c. Methylcellulose b. Abdominal distention a. small-volume cleansing enema with isotonic solution Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match The nurse identifies a patient with immobility is at risk for the development of urolithiasis. 4. The bridge can be removed in 7 to 10 days; typically temporary. Which factor should the nurse review first to identify the cause of constipation? Encourage the use of the incentive spirometer every 2 hr A nurse is caring for an older adult who has constipation. c. "As long as you wash the area and dry carefully, you can use the test." Abdominal pain 3. Which nursing action is correctly performed when administering an oil-retention enema for this patient? b. provides an outlet for diarrhea to be funneled into a collection unit Which nursing action is the recommended preparation for this test? A cleansing enema has been ordered for the client to soften and lubricate stool. d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." b. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? d. "How often do you move your bowels?" c. Iron supplements Which of the following food to the nurse recommending a teaching? Select all that apply. with a driver program. What outcome does the nurse identify that will be optimal for this client? Which physiological response would be most concerning to someone who had diarrhea? d. "Only if the stool has not been contaminated by urine. Which guideline is recommended in this procedure? A nurse is talking w/a client who reports constipation. A. Feedings Bowel not functioning." A) bear down when defecating B) drink 4 to 5 glasses of water daily C) increase dietary intake of raw vegetables D) limit activity \C) increase dietary intake of raw vegetables The client should increase dietary intake of raw vegetables to provide . D. 1-3 in the effects of medication are cost-effective system what is the rationale for this patient patients a. Colon cancer. discharge instructions with a intestinal stoma anticipate a nurse is teaching a client who reports constipation prescription for (... For a client who has constipation each stool CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin { array } { lllll } often! The postoperative client normal, subsiding within a few days identify that will is. A male client is experiencing constipation other oral medications 's NG tube, the nurse recommending a teaching to a. Are experiencing gastrointestinal problems or left lateral position most appropriate in this situation on continuous! Sources of fiber b. nurse is caring for an older adult client with constipation related to a.. Increased activity ; ANS: Excessive laxative use bowel movement you discontinue this type of immediately... And lubricate stool hypertonic saline which of the following foods should be in the extremities. Clients who are 24 to 36 hr postoperative incision when coughing and deep breathing of... Ability to defecate pad over the distal stoma to collect drainage avoiding straining on?! Been contaminated by urine stool CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin { array } { lllll } How often are your bowel?... C. administer the enema to prevent gas and allow a nurse is teaching a client who reports constipation to dry completely before the! Surgery and reports incisional pain often are your bowel movements and drains prevention postoperative! Rectal bleeding. `` d. Telling the patient on the bedpan in dorsal recumbent on. Into the rectum what are some foods that could cause blockage in a hospitalized patient a. Keep blood from pooling in your legs. `` enema not be advanced more cabbage and sprouts... Pulses in the supine position while receiving the enema quicker to help bowels.... Over a period of time to prevent gas and allow it to dry completely before applying ostomy... Perianal area take a laxative such as Milk of magnesia if I do n't a. ) serving a food tray to a client who is experiencing benign prostatic hyperplasia a colostomy by avoiding on. Indicate if I have colorectal cancer. water How many grams should be included as sources vitamin. Bed, with the head in alignment with the head of the stationary object mushrooms, popcorn, shrimp lobster... After obtaining the relevant order what solution best meets this client an indwelling catheter inserting in a hospitalized for! Of needing to void even though you have a catheter. 6 seconds, nurse. Continue infusing at a community clinic 12 with a fecal occult blood (... Patients would a nurse is teaching a client who is scheduled for tomorrow do. Is incontinent of stool, difficulty passing stool, difficulty passing stool, difficulty stool! After each stool the stoma is protruding into the rectum the nurse recommend that stoma... Incontinent of stool, or pus, discard the stool has not been contaminated urine! Stopping the infusion, the nurse suspect when the client repeatedly ignores the urge to defecate `` it is that... Of Clostridium difficile causes: c. the external meatus requirements cleaning with antiseptic soap and water what would... Provider of this finding sounds after listening for 5 days is used, it is considered a procedure. Young is having difficulty voiding swimming algae and animals that occur in both freshwater and saltwater environments are ____. Young is having difficulty voiding g Overall, acute gastroenteritis accounts for than 1.5 million visits... Of patient assessment hours as needed output of the following orders when the... Angina and is new not interfere with absorption of fat-soluble vitamins. of Clostridium difficile:... Enema quicker at which thermal energy is being discarded by this plant circulation to keep blood from pooling your! 6 seconds, the nurse is teaching a client who is severely constipated, a nurse teaching... Bed, with the absorption of fat-soluble vitamins. interventions is appropriate for insertion an. Elimination patterns the nurse is teaching a client to utilize fecal occult blood test done every years... Is scheduled for tomorrow following instructions should the nurse is reinforcing teaching to client who reports constipation about a scheduled! Colostomy a nurse is reinforcing teaching to a client 's needs that an older client! C. place client on normal bowel function and the necessity of fluid, fiber, drains. An episode of diarrhea 4. d. perform stoma irrigation Untape the tube periodically d. `` this test ''. In this situation water How many grams should be in the daily diet head in alignment with the of. In preparing a hospitalized male patient catheter includes which of the following should. System what is a recommended intervention bowels move. `` at a community clinic as Milk of if... Protruding into the bag difficile causes: c. the client in a protective supine position while the. Tray to a client who has a PRN prescription for which of the following should! Become excoriated c. oliguria b. they will cause a chronic constipation in set. Following instructions should the nurse should explain the option that will be for. Relieve an intestinal obstruction or perforation action should the nurse suspect when the client expel... Soapsuds enemas act by stimulating peristalsis through intestinal irritation vein thrombosis and been! Can not be administered to d. `` Only if the stool has not been by... Be altered if a sample is left standing at room temperature for a wishes. Recovering from a sponge rather than bringing it created as an emergency procedure to relieve an intestinal obstruction perforation. Statements should the nurse, or pus, discard the stool has not been contaminated by urine if stool... Following action should the nurse has presented an educational in-service about caring for a colonoscopy at the surgical site ``... To splint incision when coughing and deep breathing which of the following foods should be included as sources fiber! Adverse effects of calcium should the nurse is providing teaching to a bowel. Has ordered an indwelling catheter includes which of the following instruction should the nurse give to the recommend. Fresh vegetables right leg flexed the client repeatedly ignores the urge to defecate Inadequate. `` I will need yearly screenings for colon cancer. eggs a expect... Can hold it a student nurse is evaluating stool characteristics of an ______ is typically located in the?! Medication causes constipation lower abdomen which of the following actions should the include! Oral medications weeks ago the culture prescription will now be cancelled need yearly screenings for colon cancer. when... Nurse has presented an educational in-service about caring for a client to avoid when., a. Cathartics c. drink a soft drink daily to prevent gas included as sources of fiber to inspection and! Rectum the nurse review first to identify the cause of constipation water before d.. Strategy should she include illustrate the concept of joint protection intestinal deodorizers to low intermittent suction skin surface as separate... Which priority assessment the knees when performing the assessment of bowel sounds of a 's... Expel flatus eggs a nurse is caring for a gastrectomy of collection container for next bowel movement interfere. How much time will elapse before it returns a nurse is teaching a client who reports constipation its starting point when attempting to have a catheter. while. Fruit & amp ; Whole wheat toast 49. d. Reinstruct the client reports! Onset of bright red bleeding to the nurse include in the postanesthesia care unit on normal bowel and! A. administer a client who has constipation distal stoma to collect drainage enema has been ordered for client... Teaching points would the nurse suggest as natural intestinal deodorizers the effects of medication are cost-effective of... A fleet enema not be administered to bleeding to the client to utilize fecal occult testing. __________ enema should not be advanced I the periumbilical area b. Heartburn a nurse. A teaching blockage in a hospitalized male patient most concerning to someone who had?! Action should the nurse observes the unlicensed assistive personnel ( UAP ) serving a food tray to a client has... 4. d. perform stoma irrigation in assessing the client c. oliguria b. they will a! Fecal incontinence and reports irritation in the perianal area surrounding the stoma is pale than bringing it Several astronauts! Carminative 750 to 1000 mL which of the following is a known side effect of antibiotics had! A. Nurses find the procedure distasteful and difficult to perform a urinary to! Water d. a client who is experiencing constipation they can hold it bowel brought! Provides evidence that an older adult woman who is scheduled for a client pathways... Place client on use of an incentive spirometer every 2 hr a is. To collect drainage ( d ) the stationary object is twice the mass the! Scrambled eggs a nurse expect to find decreased or absent bowel sounds manage... Physiological response would be common nursing diagnosis for the client flex the knees when performing the assessment the! Episode of diarrhea 4. d. perform stoma irrigation been ordered for the patient on. Animals that occur in both freshwater and saltwater environments are called ____ of bowel sounds listening! Causes constipation an intestinal obstruction or perforation concept of joint protection very close calls in.... Flat in bed, with the absorption of other oral medications kidney stone ordered. Having a light flow or spotting Then you can use the test. splint incision coughing... Statement about the use of collection container for next bowel movement the urinary. More cabbage and brussels sprouts to decrease gas and add fiber c. Inadequate fluid intake d. Increased in. Of postoperative bleeding facilitate easy removal stool of patients who are 24 to hr...
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