Bowel Elimination

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Nursing, Theory, and Professional Practice
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Diagnostic Testing
Medication Administration
Pain Management
Perioperative Nursing Care
Oxygenation and Tissue Perfusion
Fluid, Electrolytes, and Acid-Base Balance
Bowel Elimination
Urinary Elimination
Death and Loss

All Questions

Question 1

Free

Multiple Choice

The nurse is caring for a patient who periodically has small streaks of fresh red blood in his stool. The patient denies abdominal pain or loss of appetite. What is the most likely cause of this patient's bleeding?

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Hemorrhoids

Bleeding gastric ulcer

Colon polyps

Perforated colon

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Question 2

Free

Multiple Choice

The nurse is caring for a patient who has diarrhea. What is the priority nursing diagnosis for this patient?

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Readiness for enhanced knowledge related to prescribed diet modifications

Imbalanced nutrition: less than body requirements related to poor appetite

Deficient fluid volume related to excessive loss of fluid through stool

Anxiety related to incontinence with loose stools and need for clothing change

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Question 3

Free

Multiple Choice

The nurse is caring for a patient who is prescribed diphenoxylate-atropine (Lomotil). Which assessment finding by the nurse indicates a need to contact the prescriber and question the order?

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The patient has skin breakdown from loose stools

The patient is constipated with last BM 3 days ago

The patient is on a low-fiber, gluten-free diet

The patient has painful bleeding hemorrhoids

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Question 4

Free

Multiple Choice

The nurse is caring for an immobile patient who has abdominal pain and frequent small, liquid stools. The patient vomited his breakfast and is still nauseated. Which action by the nurse is the highest priority?

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Provide oral care after each episode of emesis.

Apply a skin barrier to the patient's perineal area.

Check the patient to see if he has a fecal impaction.

Administer antiemetic medication with a sip of water.

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Question 5

Free

Multiple Choice

The nurse is caring for a patient who is recovering from bowel surgery. Which assessment finding best indicates that the bowel is starting to resume function and the patient will be able to resume oral intake soon?

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The patient has bowel sounds x 4 quadrants and is passing gas.

The patient has no nausea, and abdominal pain is minimal.

The patient feels hungry for chicken soup and hot tea.

The patient's nasogastric tube was discontinued the previous day.

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Question 6

Multiple Choice

The nurse is caring for a patient who has an ileostomy. Which nursing diagnosis has the highest priority for the patient?

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Impaired skin integrity r/t localized skin irritation from liquid stool

Social isolation r/t potential leakage of stool from ostomy appliance

Knowledge deficit r/t care and maintenance of ostomy appliance

Disturbed body image r/t presence of stoma and altered elimination

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Question 7

Multiple Choice

The nurse is caring for a patient who is taking narcotic pain medication after surgery. Which breakfast choices will help prevent constipation and promote return to regular bowel function?

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Raisin bran with skim milk, fresh fruit, and wheat toast

Pancakes with maple syrup, bacon, and coffee with cream

Omelet with cheddar cheese, green pepper, and onions

Bagel with cream cheese, and strawberry non-fat yogurt

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Question 8

Multiple Choice

The nurse is caring for a patient who has not had a bowel movement for 2 days. Which is the priority nursing intervention for this patient?

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Obtain an order to administer a soap suds cleansing enema.

Teach the patient how to use the Valsalva maneuver.

Discontinue medications that can cause constipation.

Assess the patient's usual pattern of bowel movements.

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Question 9

Multiple Choice

The nurse is caring for a patient who will be undergoing upper GI series testing the next day. Which instruction will the nurse provide to the patient about the upcoming exam?

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"The back of your throat will be sprayed with numbing medicine."

"You will need to have a clear liquid diet and take a laxative tonight."

"You will be given a milky liquid to drink shortly before the test starts."

"You should not take your dose of warfarin (Coumadin) tonight."

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Question 10

Multiple Choice

The nurse is caring for a patient who will undergo colonoscopy testing. Which intervention will the nurse include in the patient's plan of care for the day before the test?

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Provide the patient with zinc oxide skin barrier cream for the perineal area.

Obtain an order for a gentle laxative to be given once the test is completed.

Carefully assess the patient's ability to swallow liquids through a straw.

Check the patient for allergies to shellfish and iodine-based contrast dyes.

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Question 11

Multiple Choice

The nurse is caring for a patient who is to have testing for fecal occult blood. What step will the nurse perform during this testing?

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Keep the patient on a clear liquid diet for 72 hours.

Send the samples to the laboratory while they are still warm.

Inform the patient that several stool samples will be needed.

Use a sterile container when collecting the stool samples.

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Question 12

Multiple Choice

The nurse is caring for a patient who is to have a cleansing enema. Which assessment finding by the nurse indicates a need to contact the prescriber and question the order?

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The patient is recovering from a traumatic brain injury.

The patient has not had a bowel movement for 3 days.

The patient is to have a lower GI series the following morning.

The patient had an upper GI series performed the previous day.

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Question 13

Multiple Choice

The nurse is caring for a postoperative patient who underwent bowel resection surgery that morning. The nurse assesses the patient's abdomen and notes that there are hypoactive bowel sounds. The patient is resting quietly without nausea or vomiting. What is the appropriate action of the nurse?

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Keep the patient NPO and document the findings in the chart.

Administer a laxative suppository to stimulate peristalsis.

Insert a Salem sump nasogastric tube to low continuous suction.

Notify the surgeon and prepare the patient to return to surgery.

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Question 14

Multiple Choice

The nurse is caring for a patient who is constipated and has not had a bowel movement for 3 days. The nurse performs a rectal examination and finds hard dry stool in the rectum. What is the best option to help the patient have a bowel movement?

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Glass of warmed prune juice

Loperamide (Imodium)

Oral fiber supplement

An oil retention enema

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Question 15

Multiple Choice

The nurse is caring for a patient who has just completed 2 weeks of IV antibiotics for a severe infection. The patient now has frequent loose watery stools and a low-grade temperature. What is the most likely cause of the patient's new symptoms?

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C. difficile infection

Paralytic ileus

Fecal impaction

Salmonella food poisoning

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Question 16

Multiple Choice

The nurse is caring for a patient who takes laxatives and enemas regularly to ensure that he has a large daily bowel movement. The patient states that he feels constipated if he does not defecate every day. Which nursing diagnosis is most appropriate for this patient?

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Health-seeking behaviors related to self-prescribed daily bowel regimen

Perceived constipation related to professed need for daily laxatives

Effective therapeutic regimen management related to defecation routine

Disturbed thought processes related to obsession with daily bowel movements

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Question 17

Multiple Choice

The nurse is caring for a patient who had a colonoscopy earlier that day. The patient states that he still feels very bloated after the procedure. What is the best action of the nurse?

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Assist the patient to ambulate in the hall.

Insert a rectal tube to remove retained flatus.

Administer an enema to stimulate peristalsis.

Encourage oral intake of fluids and high-fiber foods.

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Question 18

Multiple Choice

The nurse is caring for a patient with a history of dementia who is incontinent of stool because she cannot communicate the need to defecate. What is the priority action of the nurse?

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Administer a daily laxative and take the patient to the toilet afterward.

Digitally remove stool from the patient's rectum every other day.

Insert a rectal tube to facilitate drainage of soft or liquid stool.

Begin a prompted toileting program to facilitate bowel continence.

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Question 19

Multiple Choice

The nurse is caring for a patient who is recovering after hip surgery. The patient requires assistance to use the bathroom because no weight bearing is allowed on the right leg. Which goal is most important for the nurse to include for the diagnosis of toileting self-care deficit?

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The patient will demonstrate safe transfer technique between wheelchair and toilet.

The call light will be answered promptly when the patient needs to use the toilet.

Toileting will be scheduled for the early morning when the patient needs to defecate.

Toilet paper and hand-washing items will be kept within easy reach of the patient.

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Question 20

Multiple Choice

The nurse is caring for a patient who is recovering from gastroenteritis. The nurse teaches the patient about dietary recommendations as the digestive system recovers. Which menu selection by the patient indicates that additional teaching is needed?

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Applesauce

Orange Popsicle

White toast

Coffee with cream

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