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Bowel Elimination

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Question 1
Free
Multiple Choice

The nurse is teaching a health class about the gastrointestinal tract. The nurse will explain that which portion of the digestive tract absorbs most of the nutrients?

Choose correct answer/s
A

Ileum

B

Cecum

C

Stomach

D

Duodenum

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Question 2
Free
Multiple Choice

The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present?

Choose correct answer/s
A

Sigmoid

B

Transverse

C

Ascending

D

Descending

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Question 3
Free
Multiple Choice

A nurse is teaching a patient about the large intestine in elimination. In which order will the nurse list the structures, starting with the first portion?

Choose correct answer/s
A

Cecum, ascending, transverse, descending, sigmoid, and rectum

B

Ascending, transverse, descending, sigmoid, rectum, and cecum

C

Cecum, sigmoid, ascending, transverse, descending, and rectum

D

Ascending, transverse, descending, rectum, sigmoid, and cecum

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Question 4
Free
Multiple Choice

The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (NAP)?

Choose correct answer/s
A

Performing the first postoperative pouch change

B

Maintaining a nasogastric tube

C

Administering an enema

D

Digitally removing stool

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Question 5
Free
Multiple Choice

A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend?

Choose correct answer/s
A

Broccoli and cheese soup with potato bread

B

Turkey and mashed potatoes with brown gravy

C

Grape and walnut chicken salad sandwich on whole wheat bread

D

Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing

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Question 6
Multiple Choice

A patient is using laxatives three times daily to lose weight. After stopping laxative use, the patient has difficulty with constipation and wonders if laxatives should be taken again. Which information will the nurse share with the patient?

Choose correct answer/s
A
Long-term laxative use causes the bowel to become less responsive to stimuli, and constipation may occur.
B
Laxatives can cause trauma to the intestinal lining and scarring may result, leading to decreased peristalsis.
C
Long-term use of emollient laxatives is effective for treatment of chronic constipation and may be useful in certain situations.
D
Laxatives cause the body to become malnourished, so when the patient begins eating again, the body absorbs all of the food, and no waste products are produced.
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Question 7
Multiple Choice

A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

Choose correct answer/s
A
Preparing to administer a barium enema
B
Withholding narcotic pain medication
C
Administering laxatives to the patient
D
Raising the head of the bed
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Question 8
Multiple Choice

Which patient is most at risk for increased peristalsis?

Choose correct answer/s
A
A 5-year-old child who ignores the urge to defecate owing to embarrassment
B
A 21-year-old female with three final examinations on the same day
C
A 40-year-old female with major depressive disorder
D
An 80-year-old male in an assisted-living environment
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Question 9
Multiple Choice

A patient expresses concerns over having black stool. The fecal occult test is negative. Which response by the nurse is most appropriate?

Choose correct answer/s
A
"This is probably a false negative; we should rerun the test."
B
"You should schedule a colonoscopy as soon as possible."
C
"Are you under a lot of stress?"
D
"Do you take iron supplements?"
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Question 10
Multiple Choice

Which patient will the nurse assess most closely for an ileus?

Choose correct answer/s
A
A patient with a fecal impaction
B
A patient with chronic cathartic abuse
C
A patient with surgery for bowel disease and anesthesia
D
A patient with suppression of hydrochloric acid from medication
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Question 11
Multiple Choice

A patient has a fecal impaction. Which portion of the colon will the nurse assess?

Choose correct answer/s
A
Descending
B
Transverse
C
Ascending
D
Rectum
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Question 12
Multiple Choice

The nurse is managing bowel training for a patient. To which patient is the nurse most likely providing care?

Choose correct answer/s
A
A 25-year-old patient with diarrhea
B
A 30-year-old patient with Clostridium difficile
C
A 40-year-old patient with an ileostomy
D
A 70-year-old patient with stool incontinence
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Question 13
Multiple Choice

Which nursing intervention is most effective in promoting normal defecation for a patient who has muscle weakness in the legs?

Choose correct answer/s
A
Administer a soapsuds enema every 2 hours.
B
Use a mobility device to place the patient on a bedside commode.
C
Give the patient a pillow to brace against the abdomen while bearing down.
D
Elevate the head of the bed 20 degrees 60 minutes after breakfast while on bedpan.
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Question 14
Multiple Choice

The nurse is devising a plan of care for a patient with the nursing diagnosis of Constipation related to opioid use. Which outcome will the nurse evaluate as successful for the patient to establish normal defecation?

Choose correct answer/s
A
The patient reports eliminating a soft, formed stool.
B
The patient has quit taking opioid pain medication.
C
The patient's lower left quadrant is tender to the touch.
D
The nurse hears bowel sounds in all four quadrants.
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Question 15
Multiple Choice

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding will the nurse report immediately?

Choose correct answer/s
A
Liquid consistency of stool
B
Presence of blood in the stool
C
Malodorous stool
D
Continuous output from the stoma
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Question 16
Multiple Choice

The nurse will anticipate which diagnostic examination for a patient with black tarry stools?

Choose correct answer/s
A
Ultrasound
B
Barium enema
C
Endoscopy
D
Anorectal manometry
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Question 17
Multiple Choice

The nurse has attempted to administer a tap water enema for a patient with fecal impaction with no success. The fecal mass is too large for the patient to pass voluntarily. Which is the next priority nursing action?

Choose correct answer/s
A
Preparing the patient for a second tap water enema
B
Obtaining an order for digital removal of stool
C
Positioning the patient on the left side
D
Inserting a rectal tube
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Question 18
Multiple Choice

A nurse is checking orders. Which order should the nurse question?

Choose correct answer/s
A
A normal saline enema to be repeated every 4 hours until stool is produced
B
A hypertonic solution enema for a patient with fluid volume excess
C
A Kayexalate enema for a patient with severe hypokalemia
D
An oil retention enema for a patient with constipation
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Question 19
Multiple Choice

The nurse is performing a fecal occult blood test. Which action should the nurse take?

Choose correct answer/s
A
Test the quality control section before testing the stool specimens.
B
Apply liberal amounts of stool to the guaiac paper.
C
Report a positive finding to the provider.
D
Don sterile disposable gloves.
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Question 20
Multiple Choice

A nurse is preparing a patient for a magnetic resonance imaging (MRI) scan. Which nursing action is most important?

Choose correct answer/s
A
Ensuring that the patient does not eat or drink 2 hours before the examination.
B
Administering a colon cleansing product 6 hours before the examination.
C
Obtaining an order for a pain medication before the test is performed.
D
Removing all of the patient's metallic jewelry.
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