Question 1

Which actions could the nurse safely assign to the assistive personnel (AP)? Select all that apply.

Accepted Answer

A)  Assist the client to use the bedpan for bowel elimination. 
B)  Change the ostomy appliance for the new ostomy. 
C)  Administer a cleansing enema. 
D)  Remove a fecal impaction. 
E)  Determine effectiveness of cleansing enema. 
A)  Assist the client to use the bedpan for bowel elimination. 
B)  Change the ostomy appliance for the new ostomy. 
C)  Administer a cleansing enema. 
D)  Remove a fecal impaction. 
E)  Determine effectiveness of cleansing enema. A, C

Question 2

The nurse is working with assistive personnel (AP) in a long-term care facility. Which tasks can the nurse delegate to the AP? Select all that apply.

Accepted Answer

A)  Administering an enema to a stable client 
B)  Removing a fecal impaction for an unstable client 
C)  Assisting a client to perform ostomy care after hand surgery 
D)  Helping a client onto a bedpan 
E)  Assessing skin during an ostomy appliance change 
A)  Administering an enema to a stable client 
B)  Removing a fecal impaction for an unstable client 
C)  Assisting a client to perform ostomy care after hand surgery 
D)  Helping a client onto a bedpan 
E)  Assessing skin during an ostomy appliance change A, C, D

Question 3

A client is using a high-back bedpan. In which way should the nurse care for this bedpan after being used?

Accepted Answer

A)  Place the bedpan on a chair to be emptied at a later time 
B)  Carry the bedpan with both hands to the bathroom for cleansing before storing 
C)  Place the bedpan on the floor until assistive personnel are available to empty it 
D)  Carry the bedpan by the handle to the bathroom and cleanse it with soapy water 
A)  Place the bedpan on a chair to be emptied at a later time 
B)  Carry the bedpan with both hands to the bathroom for cleansing before storing 
C)  Place the bedpan on the floor until assistive personnel are available to empty it 
D)  Carry the bedpan by the handle to the bathroom and cleanse it with soapy water B

Question 4

The parent of a 1-year-old client is frustrated because the child will not use the toilet for bowel movements. Which response by the nurse is the most appropriate?

Accepted Answer

A)  "I would suggest you consult the pediatrician for further testing." 
B)  "I would suggest you consult a pediatric psychologist." 
C)  "The child won't be able to control defecation until age 2½." 
D)  "Try using a reward when using the toilet." 
A)  "I would suggest you consult the pediatrician for further testing." 
B)  "I would suggest you consult a pediatric psychologist." 
C)  "The child won't be able to control defecation until age 2½." 
D)  "Try using a reward when using the toilet."

Question 5

An older adult client with an ileostomy and hemiplegia has ulcerated and edematous skin under the barrier because the pouch is not emptied until it is completely full. Which action should the nurse make a priority?

Accepted Answer

A)  Apply a two-piece ostomy appliance. 
B)  Treat the damaged skin and replace the one-piece pouch. 
C)  Keep the skin open to air to allow time for healing and replace the ostomy appliance in a few days. 
D)  Call the health care provider to report the damaged skin. 
A)  Apply a two-piece ostomy appliance. 
B)  Treat the damaged skin and replace the one-piece pouch. 
C)  Keep the skin open to air to allow time for healing and replace the ostomy appliance in a few days. 
D)  Call the health care provider to report the damaged skin.

Which actions could the nurse safely assign to the assistive personnel (AP)? Select all that apply.

The nurse is working with assistive personnel (AP) in a long-term care facility. Which tasks can the nurse delegate to the AP? Select all that apply.

A client is using a high-back bedpan. In which way should the nurse care for this bedpan after being used?

The parent of a 1-year-old client is frustrated because the child will not use the toilet for bowel movements. Which response by the nurse is the most appropriate?

An older adult client with an ileostomy and hemiplegia has ulcerated and edematous skin under the barrier because the pouch is not emptied until it is completely full. Which action should the nurse make a priority?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters

Exam 21: Assisting With Fecal Elimination

Which actions could the nurse safely assign to the assistive personnel (AP)? Select all that apply.

The nurse is working with assistive personnel (AP) in a long-term care facility. Which tasks can the nurse delegate to the AP? Select all that apply.

A client is using a high-back bedpan. In which way should the nurse care for this bedpan after being used?

The parent of a 1-year-old client is frustrated because the child will not use the toilet for bowel movements. Which response by the nurse is the most appropriate?

An older adult client with an ileostomy and hemiplegia has ulcerated and edematous skin under the barrier because the pouch is not emptied until it is completely full. Which action should the nurse make a priority?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters