Exam 29: Bowel Elimination

A patient with cancer is started on morphine for excruciating pain. Which diagnosis should the nurse add to the patient's care plan?

The nurse is performing an abdominal assessment on a client with irritable bowel syndrome. The nurse has just finished inspection of the abdomen. Which action should the nurse take next?

A patient who has been immobile since sustaining injuries in a motor vehicle accident reports passing hard stools. The nurse encourages the patient to increase daily fluid intake. Which fluids should the patient avoid because of the diuretic effect? Select all that apply.

Considering normal developmental and physical maturation in children, for which age would a goal of "Achieves bowel control by the end of this month" be most realistic?

The enterostomal nurse is conducting a teaching session for patients with new colostomies. Today's topic is self-assessment and signs and symptoms that must be immediately reported to the surgeon. Which sign/symptom should the nurse include in this teaching?

The nurse instilled 60 mL of irrigant into an indwelling fecal drainage device. The client's output was 140 mL. What would the nurse chart as the client's output of stool?

The nurse is caring for a patient on the medical-surgical unit. The patient states, "I really don't like to talk about my bowel movements, but what is considered normal for bowel movements?" What is the best response by the nurse? Select all that apply.

Which populations are considered high risk for the development of hemorrhoids? Select all that apply.

A patient with severe hemorrhoids is incontinent of liquid stool. Which intervention is contraindicated?

A patient has a colostomy in the descending (sigmoid) colon and wants to control bowel evacuation and possibly stop wearing an ostomy pouch. To help achieve this goal, the nurse should teach the patient to:

The nurse is caring for a patient who has a continent ileostomy. Which intervention will the nurse add to the plan of care?

The nurse is seeing a patient at home with a new colostomy. In formulating the plan of care, what is the priority goal for this patient? The patient will:

A day after abdominal surgery, a postoperative patient on a surgical unit says to the nurse, "I'm having a problem with a lot of gas. Maybe it's the food I'm eating." What is the appropriate response by the nurse? Select all that apply.

The nursing instructor is teaching students how to use a fracture pan for patients. What are the most appropriate instructions for this procedure? Select all that apply.

The nurse must administer an enema to an adult patient with constipation. Which of the following would be a safe and effective distance for the nurse to insert the tubing into the patient's rectum? Select all that apply.