Exam 47: Bowel Elimination

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

A guaiac test is ordered for a patient. Which type of blood is the nurse checking for in this patient's stool?

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?

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?

The nurse is caring for a patient who had a colostomy placed yesterday. The nurse should report which assessment finding $\bold{immediately}$ ?

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 $\bold{next}$ priority nursing action?

Which nutritional instruction is a $\bold{priority}$ for the nurse to advise a patient about with an ileostomy?

A nurse is teaching a health class about colorectal cancer. Which information should the nurse include in the teaching session? (Select all that apply.)

Which patient is $\bold{most}$ at risk for increased peristalsis?

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

A nurse is providing discharge teaching for a patient who is going home with a guaiac test. Which statement by the patient indicates the need for further education?

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

Before administering a cleansing enema to an 80-year-old patient, the patient says "I don't think I will be able to hold the enema." Which is the next priority nursing action?

Which action will the nurse take to reduce the risk of excoriation to the mucosal lining of the patient's nose from a nasogastric tube?

A patient is diagnosed with a bowel obstruction. Which type of tube is the best for the nurse to obtain for gastric decompression?

The nurse will irrigate a patient's nasogastric (NG) tube. Which action should the nurse take?

A nurse is pouching an ostomy on a patient with an ileostomy. Which action by the nurse is $\bold{most}$ appropriate?

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

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?

The nurse is caring for a patient with Clostridium difficile. Which nursing actions will have the $\bold{greatest}$ impact in preventing the spread of the bacteria?