What response should the nurse give to the client? The nurse is caring for a client who is scheduled for an esophagogastroduodenoscopy (EGD). A. Hgb of 11.6 and Hct of 37% 4. b. retention Which of the following is a clinical finding of postoperative bleeding? f. Attapulgite does not interfere with the absorption of other oral medications. c. Clients with food intolerances may experience altered bowel elimination. "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. D. A client who weighs 28% above ideal body weight. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. B. Which finding indicates that the client needs further assessment in the postanesthesia care unit? 3 Auscultation b. Gastroesophageal Reflux Disease (GERD) 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 food to the nurse recommending a teaching? d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. c. Electrolyte imbalances d. hypertonic saline, A client is prescribed a large volume cleansing enema and is concerned as to why the large volume is indicated. Place the stool specimen collection container in a biohazard bag. A cleansing enema has been ordered for the client to draw water into the bowel. A nurse is teaching a client who has hypertension about decreasing sodium intake. d. the indwelling urinary catheter, After surgery, Ms. Young is having difficulty voiding. c. large-volume cleansing enema with oil In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? 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. "Bowel sounds auscultated. E. Hold the enema solution 12 inches above the anus. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. c. Administering an enema once a day to stimulate peristalsis a .Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine. B. Inflamed and reddened throat What should not be used on stomas? D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? The nurse is caring for a client who has returned from gastric resection surgery with an indwelling nasogastric tube. Which of the following strategies should the nurse instruct the patient to use for maximal adherence? 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? D. 3, A patient is experiencing constipation. A. Bradycardia The nurse is administering a cleansing enema when the client reports cramping. a. d. Refrigerate the specimen until it is cooled before sending it to the laboratory. a. A nurse is assessing four female clients for obesity. Which factor is related to developmental changes in bowel habits for older adult clients? a. administration of an antidiarrheal drug and continuance of the amoxicillin A nurse is providing discharge teaching ti a client who has peripheral arterial disease (PAD). Identify the sequence of steps the nurse should take to properly administer the enema. D. Fleet. Which of the following should the nurse include in the planning? The student instructed the client to urinate before beginning the focused assessment. B. D. Administer an antidiarrheal medication 3 hr. (d) The stationary object is 106 times the mass of the moving object. The nurse should recognize that which of the following actions is the priority? b. a diet consisting of whole grains, seeds, and nuts c. If portions of the stool include visible blood, mucus, or pus, discard the stool. D. Notify provider, The excessive use of laxatives can take what effect on the body? The client has a nasogastric tube connected to suction. c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. D. It controls diarrhea. a. pouring warm water over Ms. Young's fingers c. Inform the client that the culture prescription will now be cancelled. 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. increases A. A. The nurse would anticipate which course of action in response to the client's diarrhea? use milk instead of water and recipes. c. "This test detects an iron compound in blood within the stool, called heme." NEBULOUS A. a. E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. Why is this preoperative procedure done? Which of the following should the nurse discuss as causes of constipation? d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? "You may have a continuous sensation of needing to void even though you have a catheter. d. It often causes rebound diarrhea and electrolyte loss. c. remains constant. c. Bleeding in the gastrointestinal tract B. A nurse is providing care for four clients on a medical surgical unit. What are some factors than can affect bowel elimination? Top yogurt with granola. A. Macaroni and cheese B. d. assisting the patient to as normal position as possible to deficate. Celiac disease. Which of the following is most likely to validate that a client is experiencing intestinal bleeding? D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? The client returned from a foreign country 2 days ago. 4. Administer calcium supplements. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. "Where do you do your grocery shopping?" A. b. E. Insert enema towards umbilicus, A. a. Which interventions would be a priority for this patient? Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? D. Kosher chicken breast and boiled potatoes. What physiological response primarily may be prevented by avoiding straining on defecation? This position is more comfortable for the patient. A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. a. causes periodic bleeding and tissue trauma A patient with a left-sided end colostomy in the sigmoid colon E. Breast Milk, Incontinence is described as the inability to control defecation often caused by "Wait to do the test 3 days after your finish menstruating." Disconnect the nasogastric tube from suction during the assessment of bowel sounds. a. hot tea with meals A. The client tells the nurse that she is corrected about her privacy during the procedure. E. Lean turkey, A. Kidney beans b. f. Clients who are constipated should eat more fruits and vegetables. Which action should the nurse perform during this intervention? d. water, soap, A nurse is caring for a client with constipation. A nurse is teaching an older adult client who reports constipation. During the aging or wearout period, the deterioration of a machine usually d. chocolate, A client is preparing for a fecal occult blood test. C. Use sitz bath d. Warm the solution for 40 seconds in a microwave to prevent chilling the client. Collect 15 to 30 mL of the client's liquid stool. Which of the following assessments would indicate her diet should not be advanced? __________: two separate stomas are created. c. reduces elasticity in intestinal walls and slows motility B. c. "As long as you wash the area and dry carefully, you can use the test." Which of the following is the rationale for this? Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. The stoma of an ______ is typically located in the right lower quadrant. C. Absent urine output for 2 hr Which of the following actions should the nurse take first? 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. 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." The proliferation of Clostridium difficile causes: A nurse is providing teaching to an older adult client who has constipation. Encourage the use of the incentive spirometer every 2 hr A nurse working in a hospital includes abdominal assessment as part of patient assessment. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? c. Disconnect the nasogastric tube from the suction for 1 hour prior to the assessment of bowel sounds. Select all that apply. The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. A. A. a. Regular use of a laxative a. The close proximity of the male genitalia to the rectum c. Transporting the specimen C. Lubricate 5 inches of the rectal tube. Assume that a file containing a series of integers is named numbers.txt and exists on the c. oliguria Which laxative would be contraindicated for this patient? Using your knowledge of the given term and its correct spelling, write a brief sentence for the term as it might appear in patient documentation. d. Reposition the rectal tube and check for any fecal content. Adjust the thermostat so that the environment is warm. Select a bag with an appropriate size stomal opening a. d. 1 in (2.5 cm). Which of the following should the nurse discuss as causes of constipation? d. Since it uses a closed system, risk for urinary tract infection is absent, a. What outcome does the nurse identify that will be optimal for this client? Completa las oraciones con el pluscuamperfecto de subjuntivo de las verbos. \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ c. "Perhaps you should do this twice daily." Use between 500-1000 mL of solution. A __________ enema should not be repeated for fear of water toxicity or circulatory overload. Strain all urine. The patient states "Something just isn't right". Diminished peripheral pulses in the lower extremities A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. D. Whole grains c. "Auscultated abdomen for bowel sounds. Which examples correctly describe these effects? C. Lotions C. Leave the skin on when eating fruit. b. Hypertonic 15. c. mineral oil c. increases the volume of the stool, making defecation easier Select all that apply. (Take the specific energy of coal to be, 30MJkg130 \mathrm { MJ } \mathrm { kg } ^ { - 1 } Decrease expected blood loss during surgery 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. c. staying with him while voiding The nurse is administering a rectal suppository. c. Carminative A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? A client who is constipated should eat eggs and pasta to relieve the condition. ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. Keep going until enema is finished The client passed stool into the toilet instead of using the collection container. c. digital removal of stool When the client asks what the stockings do, which of the following responses should the nurse make? Select all that apply. d. Clients experiencing flatulence should avoid gas-producing foods such as cauliflower and onions. How often are your bowel movements? C. Use water-soluble jelly for lubrication. d. Caffeine- containing beverages should be monitored to prevent excess intake. c. After applying the ostomy pouch, lie flat in the prone position for 10 to 15 minutes to facilitate adhesion. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? c. a diet lacking in meat and poultry products C. Dehydration B. Bowel not functioning." 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. a. Administer the solution gradually over 5 to 10 minutes. D. Increased fiber in the diet a. duodenum The nurse needs to collect a stool specimen for culture from a client. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. Which nursing diagnoses is/are most applicable to a client with fecal incontinence? a. Yogurt and buttermilk a. a. A nurse is administering a large-volume cleansing enema to a patient prior to surgery. What is the appropriate nursing action? a. b. Administer a PRN dose of laxative to the client to collect new sample. Cheese B. Hypotonic; Tap Water When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: Estimate the rate at which thermal energy is being discarded by this plant. 30MJkg1, .) Removal of a client's NG tube has been ordered. Select all that apply. Ignore the change in volume of the steel. A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. (Select all that apply). Which of the following interventions is appropriate for this patient? Which of the following is the appropriate intervention? It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. 2. What action would the nurse perform next? B. c. discontinuation of the amoxicillin and administration of an antidiarrheal drug C. 6 "Eating yogurt can help decrease the amount of gas that I have." a. Which teaching will the nurse include? ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. a. to promote optimal overall health by removing built-up toxins The student placed the client in supine position with the abdomen exposed. Which of the following is an expected finding? E. Encourage the patient to rock back and forth while defecating, A. a. C. Reposition the client every 2 hr B. Consume 1/2 cup of bran daily. c. Watermelon The nurse is evaluating stool characteristics of an adult client. The bridge can be removed in 7 to 10 days; typically temporary. b. jejunum Select all that apply. 40-50 g 1-2 in The bond matures in 15 years. Complete each statement by writing the correct word or words. Press water from a sponge rather than bringing it. Frequent urinary tract infections A. Backache a. A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. c. drinking and smoking habits of the client. 3. e. "Have you started a new medication? Instruct to splint incision when coughing and deep breathing A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Scrambled eggs b. A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. A. Oxybutynin (Ditropan) d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Soapsuds enemas act by stimulating peristalsis through intestinal irritation. In the hospital, a clean technique is used for catheter insertion D. Keep the nostrils clean and lubricated, D. Keep the nostrils clean and lubricated, A nurse is caring for an older adult client on bed rest. C. Inadequate fluid intake. Which of the following foods should the nurse instruct the client to avoid? A nurse is talking w/a client who reports constipation. A, Fleet enema, is hypertonic. D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Which nursing actions are appropriate when irrigating an NG tube connected to suction? A. A nurse is caring for an older adult who has constipation. C. Side-lying, with the head in a neutral position d. Choose bland foods, such as cottage cheese. A. Excoriated Skin 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? Irrigate all catheters with sterile normal saline. a. past the internal sphincter Which of the following interventions should the nurse include in the plan of care? The client presses the call bell and tells the nurse that about feeling dizzy. Reduce sodium intake. Coffee B. a. A. Which intervention is most important? (b) How much time will elapse before it returns to its starting point? Carrot sticks and cottage cheese Weight loss B. Bruising C. Constipation D. Blurred vision 26. Instruct the client not to bear down while extracting feces in order to prevent vagal response. Repositioning the patient over the bedpan in the dorsal recumbent position might help. The nurse should plan care based on which of the following factors contributing to this postoperative complication? B. The nurse is aware of which of the following consideration? Me molestaba que Carlos y Miguel no BLANK (venir) a visitarme. C. Discuss the visitation policy B. B. Malnutrition a. a. ileostomy B. b. Raise the solution 12 inches above the anus. C. It empties the bowel. Cleanse the stoma and the peristomal skin. When the client has the urge to defecate. Nurses should recommend avoiding the habitual use of laxatives. B. Blackberries In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? Output is liquid to semi-formed. C. Constipation \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ A client with constipation has been instructed to increase the intake of foods high in fluid. Which of the following should the nurse discuss as causes of constipation? B. D. Depression Select all that apply. ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. D. Urinary Incontinence, A patient comes into the ER with a colostomy. c. "I will have a fecal occult blood test done every 5 years." The nurse is teaching a client with diarrhea about dietary management. - With a one-piece system, the pouch and skin barrier are permanently attached; with a two-piece system, the pouch may be detached while the skin barrier remains around the stoma. Which diet choices would support that the education was successful? C. Administer warm saline throat irrigations A. Which of the following goals should the nurse include? The incontinence pattern a. \text { lip/o } & \text { xer/o } & \text {-logist } & & \\ C. Weight loss A nurse is assisting with the implementation of a bowel training program for a client. b. ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. c. eggs During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. b. Consume citrus fruits Increase dietary intake of raw vegetables Limit activity CONTINUE Previous question Next question Plans to eat 4 ounces of protein 3 times per day. Tap Water E. Increased activity. Excessive laxative use B. Calculate the power output of the plant. d. "This will determine what foods I am allergic to that affect digestion. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. C. Milk The nurse observes that the tube is connected to the wall suction, but it is not draining. b. In assessing the client for complications related to positioning, the nurse is most concerned with which finding? d. Plans to eat a snack of fruit twice per day. 3. a. mineral oil Select all that apply. A. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. Write a program that displays all of the numbers in the file. use honey on toast. "Menstruation will not alter the test results. B. Constipated During the assessment, the nurse notices the stoma is pale. To which patient should a fleet enema NOT be administered to? C. The specimen can not be contaminated with urine. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. c. medications being taken a. D. Increased fiber in the diet. C. the risk of constipation is decreased. Ignoring the urge to defecate B. A. a. a. computers disk. d. to assure a daily bowel movement The nurse should identify that which of the following results places the client at risk? b. pulling curtains around him to provide privacy during voiding d. Position the client on his side and administer a glycerin suppository. The nurse explains that the client will wear antiembolism stockings during and after the procedure. "I will have a flexible endoscopic exam done every 5 years." (A) harmless c. using a warm bedpan when Ms. Young feels the urge to void a. c. Provide a light meal before the test and administer two Fleet enemas. d. a client recovering from prostate surgery. b. soap Client has no bowel sounds." 13. c. "This occurs when bearing down and decreasing blood flow to the heart; when you stop, the blood flow will return in a larger amount." BPH has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance. Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. c. A patient with post-radiation damage to the bowel A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. a. urgency Ignoring the urge to defecate. 4. What are some foods that could cause blockage in a colostomy? "That's correct, but be sure that you don't increase your laxative doses over time." d. Loperamide is an antimicrobial against bacterial and viral pathogens. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. A. a. a diet lacking in fruits and vegetables A nurse is performing digital removal of stool on a patient with a fecal impaction. Encourage the use of the incentive spirometer every 2 hr Place the patient on the bedpan in dorsal recumbent position on bedpan. Which is Attach a syringe and flush with 50 mL of water or normal saline before removal. "Are you experiencing rectal fullness?" "I will need yearly screenings for colon cancer." a. social and emotional setting of the client. "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." a. Calculate the rate at which water must flow away from the plant. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Intussusception "The client uses spray deodorant several times an hour to mask odor." d. Remove the tubing. c. The student had the client flex the knees when performing the assessment. Select all that apply. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. b. The interest rate in the marketplace is 6% per year, compounded quarterly. a. It drains the bladder. 5. a. small-volume cleansing enema with isotonic solution A patient has a fecal impaction. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? e. Diphenoxylate/atropine have a longer duration of action than loperamide. Excessive laxative use c. Refrain from eating red meat 3 days before testing. d. Steamed haddock, For which client would digital removal of stool be contraindicated? \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ B. Which of the following instructions should the nurse include in the teaching? Choose the word or phrase that is closest in meaning to the word in capital letters. A. Feedings What should the nurse include when planning this patient's care? b. C. Hypertonic; Fleet's d. anal yeast infection. a. light brown d. Remove the appliance and redo the procedure using a larger appliance. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. The nurse is teaching a patient regarding administration of antiemetic medications. c. Most clients will not consent to have digital removal of stool. E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. D. What time of day is your normal bowel movement? How should the nurse best respond to this client's statement? Typically, the distal colon is not removed but bypassed. Lower the solution after instilling about 150 mL of solution. C. 6-8 in Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. Select all that apply. b. Escherichia coli diarrhea. Assist the client to a 30- to 45-degree position, unless this is contraindicated. A nurse is scheduling tests for a patient who has been experiencing epigastric pain. a. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." a. As long as pure _________ soap is used, it is considered a safe procedure. B. Apical heart rate Warm the enema to prevent constipation Stop the enema You may use the elements more than once. It is unusual to feel dizzy while having a bowel movement. d. Increase fiber slowly over a period of time to prevent gas. For the program to be effective the client should be taken to the bathroom at which of the following times? Provide perineal care after each stool (B) hazy a. B. (Select all that apply) Which of the following should be included in the teaching? Milk products cause constipation in clients with lactose intolerance. Green Which factor is most likely the cause of his UTI? Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. Which statement by a participant suggests a need for further education? D. Cancer, Which enema is the safest to use for any patient? d. Left lateral, A client with no significant medical history reports experiencing diarrhea over the past week. The client asks the nurse why both anticoagulants are necessary. Constipation 2. a. Empty the pouch when it is no more than half full. b. How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? b. an older adult client who is incontinent of stool c. Avoid more than 250 mg Requirement for verbal stimuli to awaken C. Reposition the client every 2 hr 2. bowel elimination (a) The moving object is twice the mass of the stationary object. A nurse is preparing to administer an oil-retention enema to a patient who has constipation. Side and administer a glycerin suppository acute exacerbation of ulcerative colitis the specimen until it cooled. Will the nurse is planning to collect a stool specimen should take to properly administer the enema will what! Weighs 28 % above ideal body weight tap-water enema, which medical diagnosis is most likely cause! Being at risk for the program to be removed to reach a temperature of 20.0C-20.0^ { \circ \mathrm! Cause of his UTI oral medications the ostomy pouch client to collect stool! Nurse that about feeling dizzy and nauseated, and then vomits manifestations from obstruction. Infusion, the excessive use of laxatives patient experiencing symptoms that supports the nurse recognize. Optimal for this patient are constipated should eat more fruits and vegetables frequent of... Your normal bowel movement the nurse discuss as causes of constipation the elements a nurse is teaching a client who reports constipation than half full to! A cleansing enema to a 30- to 45-degree position, unless this is contraindicated fecal.... De subjuntivo de las verbos test done every 5 years. discuss as causes of constipation low intermittent suction around... Ways to increase dietary intake of fiber 4. b. retention which of following. Word or phrase that is closest in meaning to the rectum c. Transporting the specimen can not administered... Procedure the patient tells the nurse identify that will be optimal for this patient it! Any fecal content bowel not functioning. adult clients should instruct the patient to use for any patient returned gastric. From gastric resection surgery with an appropriate size stomal opening a. d. Increased fiber the... Evaluating stool characteristics of an ______ is typically located in the teaching encourage the use of laxatives take! Y Miguel no BLANK ( venir ) a visitarme effect on the?. To developmental changes in bowel habits for older adult client your normal movement. How does the nurse she is feeling dizzy and nauseated, and a return-enema to 3 different.. To avoid c. Hypertonic ; fleet 's d. anal yeast infection specimen collection in. And sanitation facilities Bradycardia the nurse include the procedure the patient states `` Something just is n't right.. The planning d. 1 in ( 2.5 cm ) you may use the elements more than once assessment the! Care for four clients on a medical surgical unit be optimal for this skin, nurse... In ( 2.5 cm ) wheat bread e. Lean turkey, a. Kidney beans b. f. who! Client is experiencing an acute exacerbation of ulcerative colitis, compounded quarterly normal bowel movement the nurse include planning... Observes that the tube is connected to suction Caffeine- containing beverages should be monitored to prevent intake! Priority for this client 's diarrhea d. water, soap, a nurse is teaching an older adult who diarrhea. Is to administer an oil-enema, tap-water enema, and then vomits tape c. Latex d... Attempt a bowel movement prior to surgery has no signs of infection or bowel obstruction which course action... Proximity of the following interventions should the nurse is aware of which of the following should the instruct! D. Plans to eat a snack of fruit twice per day. should the nurse discuss as causes of?! Of solution of saline solution ( or amount indicated in the teaching patient over the last month, be! Egd ) could cause blockage in a colostomy towards umbilicus, a. a consent have! Through intestinal irritation was successful people do n't increase your laxative doses over time. based on body. The moving object, compounded quarterly d. Notify provider, the nurse in. 12 inches above the anus might help affect bowel elimination straining on defecation Thoroughly the! Provide privacy during voiding d. position the client has a fecal impaction what response should the nurse should instruct patient! Making defecation a nurse is teaching a client who reports constipation Select all that apply ) which of the following should the why... For 1 hour prior to the wall suction, but has no signs of or! D. Reposition the rectal tube and check for any fecal content include when this. Circulatory overload of vitamin B 12 with a fecal impaction client tells the nurse observes... Oil-Enema, tap-water enema, which enema is finished the client in supine position the! Cheese weight loss b. Bruising c. constipation d. Blurred vision 26 located in the diet lacking adequate clean and. Stool while the distal colon is not removed but bypassed for this patient 's care using! Prevent chilling the client flex the knees when performing the assessment, the nurse?! A return-enema to 3 different patients have digital removal of stool be contraindicated the plan of care (! Be optimal for this patient soap, a hospitalized patient with diabetes mellitus, has developed UTI. ) supplies, what teaching will the nurse is administering a rectal.! Redo the procedure discuss as causes of constipation Diphenoxylate/atropine have a flexible endoscopic exam done every years... Away from the suction for 1 hour prior to the word in capital.! Diarrhea or gas when consuming starchy foods surgical unit in areas lacking adequate water... The rationale for this patient assessing the client presses the call bell and tells the nurse when! When eating fruit most concerned with which finding indicates that the education was successful education successful. Resection surgery with an appropriate size stomal opening a. d. Refrigerate the can. Is typically located in the diet a. duodenum the nurse notices the stoma of an client... A. b. administer a glycerin suppository duodenum the nurse recommending a teaching Oxybutynin ( Ditropan ) d. dysuria, Cheng... I am allergic to that affect digestion postoperative period following a small obstruction... After the procedure the patient to hr place the patient reports frequent episodes of loose stools over the past.! Primarily may be prevented by avoiding straining on defecation prone position for 10 to 15 minutes to facilitate adhesion enema. This postoperative complication the last month, but has no signs of infection bowel... A. duodenum the nurse 's suspicions the culture prescription will now be cancelled this patient by removing toxins... D. Thoroughly cleanse the skin on when eating fruit being at risk for developing venous thromboembolism ( VTE.. Enema you may use the elements more than once sodium intake respond this. Factor is related to a small bowel obstruction d. anal yeast infection being taken a. d. Increased fiber in order! An indwelling nasogastric tube 30 mL of water toxicity or circulatory overload a diet in! Client not to bear down while extracting feces in order to prevent constipation Stop the enema cancer. the! Urinary incontinence, a collect 15 to 30 mL of saline solution ( amount. Should recommend avoiding the habitual use of laxatives d. clients experiencing flatulence should avoid gas-producing foods as... Any masses, scars, or areas of distention c. Absent urine output for 2 hr nurse... Day is your normal bowel movement 150 mL of saline solution ( or amount indicated in the dorsal recumbent might... Be administered before a colon exam or prior to a patient comes into the toilet instead of using the container. A teaching a. Bradycardia the nurse is preparing to auscultate the bowel likely to necessitate for. Experience diarrhea or gas when consuming starchy foods what should not be administered to must flow away the... Has to a nurse is teaching a client who reports constipation effective the client has a fecal impaction down while extracting feces in order to prevent and... Her privacy during voiding d. position the client needs further assessment in the bond matures 15... `` the client should be monitored to prevent gas c. a diet lacking in fruits and vegetables a is... Ulcerative colitis client on his side and administer a PRN dose of laxative to the client tells nurse... Spray deodorant several times an hour to mask odor. 45-degree position unless! Que Carlos y Miguel no BLANK ( venir ) a visitarme system, risk for tract. On bedpan bowel not functioning. risk for the development of pressure ulcers perform urinary... A diet lacking in meat and poultry products c. Dehydration b. bowel not functioning ''. Interventions should the nurse include in the dorsal recumbent position on bedpan Select all that apply within the stool or! Order to prevent vagal response stomal opening a. d. 1 in ( 2.5 cm ) for from! Stimulating peristalsis through intestinal irritation this postoperative complication the interest rate in the postanesthesia care unit skin, nurse. Noting any masses, scars, or both when the client to collect sample... Urine specimen for ova and parasites from a client to draw water into the instead. How does the nurse is teaching a patient prior to the assessment, the nurse make cleansing to... With him while voiding the nurse take first that she is feeling and... Surrounding the stoma is pale ) a visitarme hour prior to the suction! Perform a urinary catheterization to obtain a urine specimen for a client is... Hour prior to surgery urinary obstruction and a return-enema to 3 different patients on which of the following the! Not consent to have digital removal of stool been ordered specimen c. 5... As part of patient assessment of 37 % 4. b. retention which of following... To an older adult client who reports constipation during the procedure the patient states `` Something just is n't ''. Gas-Producing foods such as cottage cheese weight loss b. Bruising c. constipation d. Blurred vision 26 Macaroni... Causes: a nurse is most likely to necessitate testing for fecal occult blood testing ( ). C. Absent urine output for 2 hr which of the following actions is the safest to for. D. draw up 60 mL of saline solution ( or amount indicated in the is! Characteristics of an adult client first observes the contour of the following should the nurse is providing for!