Exam 30: Promoting Bowel Elimination

An elderly resident in a long-term care facility has experienced constant diarrhea for 3 days and is now exhibiting signs and symptoms of dehydration. The nurse initiates an intervention to offer small amounts of ________ frequently.

The nurse caring for a patient with lactose intolerance would anticipate the need to offer interventions for:

The nurse assesses a pale, light gray stool and recognizes that the cause of this abnormal color is due to an obstruction in the _________ duct.

The nurse reminds a group of older adults that a colonoscopy is recommended every _______ year(s) after the age of 50.

A nurse is assisting a patient with a new continent ileostomy to catheterize the internal reservoir to drain the ileostomy. When the catheter meets resistance from the internal valve, the nurse should:

A nurse is caring for a patient who had bowel surgery 3 days ago and is now beginning to have a well-functioning ostomy. The ostomy drainage bag should be emptied whenever it is:

A nurse is preparing a cleansing enema for an adult patient who is constipated and has not responded to laxative use. Before giving the enema, the nurse should:

The nurse points out that age-related changes in the intestinal tract are relatively insignificant. The changes include: (Select all that apply.)

A patient scheduled for bowel surgery has an order to receive enemas until clear. The nurse is aware that no more than three enemas should be given because:

The nurse has documented that a patient has had two episodes of steatorrhea, which means that the character of the stool is:

The nurse should plan interventions to combat constipation in a patient:

There is an order to administer a cleansing enema to an adult patient before bowel surgery. The nurse will fill the enema bag with how many milliliters of fluid for this procedure?

The patient asks the nurse how an ileostomy differs from a colostomy. The most informative response by the nurse would be that a(n):

A patient with a colostomy asks about foods that can be eaten that will reduce odor in the ostomy drainage bag. The most informative response by the nurse is to say that ostomy odor can be decreased with the intake of:

An elderly patient who routinely takes the bulk-forming laxative psyllium (Metamucil) is counseled by the home health nurse that in order to prevent constipation and possible fecal impaction, this patient should be sure to take:

A nurse is digitally removing a fecal impaction from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

The nurse has assessed that a patient's stool has changed from brown to dark black and sticky. The nurse suspects:

A patient who has started antibiotic therapy is having diarrhea as a side effect of the medication. The nurse should encourage the patient to eat:

The nurse instructs a patient with a new colostomy against eating food that may cause an obstruction. These foods include: (Select all that apply.)

A patient with a new colostomy should have the hole in the faceplate cut to allow _____ inch around the stoma.