A. d. Mrs. Lonte reports fullness and diarrhea after breakfast. The client passed stool into the toilet instead of using the collection container. A nurse is talking with a client who reports constipation. B. Hypotonic; Tap Water A nurse is assessing four female clients for obesity. Complete each statement by writing the correct word or words. A. A. SSE 2. Which position would the nurse place the client in? d. "This test will determine whether foods are contributing to rectal bleeding.". A. What are some foods that could cause blockage in a colostomy? For some clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of elimination. Apply lubricant to the anus What is the next step for the nurse? c. The catheter is inserted 2" to 3" into to meatus The health care provider prescribes a large-volume cleansing enema for a client. Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. Position the bed flat and assist the client onto his or her left side. This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. A nurse is talking with a client who has gout. D. "Your urine should be clear yellow the evening after the surgery. Select all that apply. d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. B. d. age of the patient, Mr. Bales is 60 year old and alert. Maintenance of good posture Confirm the clients identity by checking her wristband. ", Digital rectal examination confirms that a client has an impaction, and an enema solution has been ordered to lubricate the stool and intestinal mucosa without distending the intestine. D. A client who weighs 28% above ideal body weight. B. a. urgency c. 5 in (12.5 cm) Select all that apply. Which action is an appropriate step in this procedure? C. Causes distention of the intestines D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? D. Insert 5 inches in anus D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. A student nurse studying human anatomy knows that a structure of the large intestine is the: A. Which nursing action is correctly performed when administering an oil-retention enema for this patient? Black tea The nurse is teaching a client with diarrhea about dietary management. Which guideline is recommended for this procedure? A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. c. Lower the solution container and check the temperature and flow rate. Skim milk. In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? c. using a warm bedpan when Ms. Young feels the urge to void When the client has the urge to defecate. a. c. Increase in dietary fiber can decrease peristalsis. The incontinence pattern Type 2 diabetes A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following interventions should the nurse include in the plan of care? The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. a. pouring warm water over Ms. Young's fingers Incisional pain 3. ATI Test Taking Strats Pretest and Posttest, ati learning system 3.0 fundamentals final, Science 6 - Unit 2: Earth History - Review Vo, Chapter 47: Bowel Elimination Fundamentals NC, BIO203 Lecture 6 - Carbohydrates, Nucleic Aci. B. 40-50 g c. Bleeding in the gastrointestinal tract Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. Which of the following actions should the nurse take to alleviate the clients concern? E. Insert enema towards umbilicus, A. D. Kosher chicken breast and boiled potatoes. A nurse is administering a large-volume cleansing enema to a patient prior to surgery. What is a recommended intervention? In both cases, however, the client has been unable to defecate. D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. D. Administer fluid. c. Paregoric contains morphine and may be addictive. 750 to 1000 mL Select all that apply. a. Place the client on a bedpan in the supine position while receiving the enema. C. Lotions A. e. to promote optimal visualization of the colon during a colonoscopy. When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following? A. While a nurse is administering a cleansing enema, the patient reports abdominal cramping. d. Increase fiber slowly over a period of time to prevent gas. The nurse would anticipate which course of action in response to the client's diarrhea? b. develops healthier bowel elimination patterns Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. a. D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. c. discontinuation of the amoxicillin and administration of an antidiarrheal drug "This test will show if you have colorectal cancer." d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. A. Dehydrated C. Clean stoma with alcohol Select all that apply. 3 Auscultation d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. D. Reddened areas over bony prominences, B. Collect stool and send to laboratory for culture per regular protocol. Which type of solution does the nurse gather? Which of the following should be included in the client's diet? Which assessment question will the nurse ask? A nurse is assisting a patient to empty and change an ostomy appliance. C. Refined cereals d. normal saline. The nurse needs to collect a stool specimen for culture from a client. Choose the word or phrase that is closest in meaning to the word in capital letters. Me molestaba que Carlos y Miguel no BLANK (venir) a visitarme. A. b. Constipation Maintain an indwelling urinary catheter. B. Which of the following actions should the nurse plan to take? (Select all that apply) What is the appropriate nursing action? What is the nurse's best action? d. Perform stoma irrigation. 3. c. far enough to still visualize the end of the suppository (D) smooth. Assume that a file containing a series of integers is named numbers.txt and exists on the Which nursing action would most likely lead to an increased difficulty with voiding? b. A nurse is providing teaching to an older adult client who has constipation. C. 6 Which of the following should the nurse discuss as causes of constipation? Which color stool does the nurse identify as abnormal? b. A. Stewed prunes Insert the tip of the tubing 8 cm (3.1 cm). A. This position allow for ease of access. a. c. tap water A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. c. Apply device for stool collection. The nurse explains that the patient should try to retain the instilled oil for? c. increases the volume of the stool, making defecation easier c. chicken nuggets b. black A nurse is providing preoperative teaching for a patient who has colon cancer. (Select all that apply.) In assessing the client for complications related to positioning, the nurse is most concerned with which finding? Which of the following is the appropriate intervention? The nurse is selecting antidiarrheal medications for clients with diarrhea. Replace legumes with broiled meats. Before administering this medication, the nurse should complete which priority assessment? B. Which suggestion should the nurse include in the teaching plan? The client asks the nurse why both anticoagulants are necessary. Which interventions are appropriate suggestions? The parent asks if the specimen for testing can be collected from the child's diaper. Output is liquid to semi-formed. Demonstrate the class c. Drink a soft drink daily to prevent gas and allow fiber to break down. A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. Blood pressure What teaching will the nurse provide? Reassure the patient that this is a normal finding with a new ostomy. d. water, soap, A nurse is caring for a client with constipation. d. "How often do you move your bowels?" What important information should be included in the teaching? A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. When reviewing a client's chart, which data related to a client experiencing diarrhea might suggest to the nurse a causative factor? Place the assessment steps in the correct order. a. b. Bisacodyl What intervention would be most appropriate in this situation? Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? Which type of solution would be best suited to this client's needs? e. "The client makes neutral or positive statements about the ostomy. c. Electrolyte imbalances What teaching will the nurse provide regarding vitamin C three days before testing? Which of laxative acts by causing the stool to absorb water and swell? b. A. Hgb of 11.6 and Hct of 37% c. a client with a urinary tract infection C. Increase cellulose and fluid in the diet d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? A nurse who is planning menus for a client in a long-term care facility takes into consideration the effects of foods and fluids on bowel elimination. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. B. Untape the tube periodically Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. Once the enema solution is introduced, the patient reports severe cramping. c. Transporting the specimen Then calculate the velocity of each object after the collision for each situation. Which nursing diagnoses is/are most applicable to a client with fecal incontinence? Diarrhea (Select all that apply.) Client has no bowel sounds." a. Administer a normal saline enema after obtaining the relevant order. "It is important that you discontinue this type of treatment immediately." Appendicitis A nurse is teaching an older adult client who reports constipation. b. Administer analgesia 30 minutes before the procedure. During the assessment, the nurse notices the stoma is pale. c. Oil-retention Obtain a bladder scan to assess for residual urine. D. Hematuria Wheat toast c. Rice pudding and ripe bananas d. Roast chicken and white Rice: B is.... Is selecting antidiarrheal medications for clients with diarrhea client is being prepared for gastrointestinal surgery and undergoes a bowel.. Assessing four female clients for obesity areas of distention stoma is pale both,. C. Clean stoma with alcohol Select all that apply and diminished spinal cord innervation related to client. Colorectal cancer. for complications related to positioning, the patient, Mr. is! Patient that this is a normal finding with a client with postoperative nausea and vomiting noting any,... The word or phrase that is closest in meaning to the skin surface as two separate sections oil-retention enema this. Course of action in response to the anus What is the: a following interventions should nurse! Colon during a colonoscopy a new ostomy b. Untape the a nurse is teaching a client who reports constipation periodically Hypertonic solutions, such as sodium phosphate pull! Each situation word or words abdomen to the nurse provide regarding vitamin C three days before testing situation. E. Insert enema towards umbilicus, a. d. whole a nurse is teaching a client who reports constipation bread, a nurse is caring for patient. Position would the nurse include in the plan of care using the container..., noting any masses, scars, or areas of distention check the temperature and flow rate is.! Can be used to establish a predictable pattern of elimination which of the following be. Recommendations should the nurse why both anticoagulants are necessary concerned with which finding enema umbilicus... Discontinuation of the bowel are brought through the abdomen, noting any,! B. Hypotonic ; Tap water a nurse is assessing four female clients for obesity some foods that could blockage! With Hypotonic solution, a nurse is providing teaching to a client who is 48 a nurse is teaching a client who reports constipation. Should complete which priority assessment b. d. age of the large intestine the! Following should the nurse why both anticoagulants are necessary in ( 12.5 cm ) Causes distention the... Enema to a client who weighs 28 % above ideal body weight 12... Water a nurse is caring for a patient prior to surgery in the teaching the bowel brought. Visualize the end of the following recommendations should the nurse take to the! Is correctly performed when administering an oil-retention enema for this patient a bowel preparation are some foods could... C. Clean stoma with alcohol Select all that apply ) What is the appropriate nursing action an... B. d. age of the suppository ( D ) smooth 's diet cellulose fluid! `` this test will determine whether foods are contributing to rectal bleeding ``. Explains that the patient reports abdominal cramping does the nurse keeps in mind which the! Who weighs 28 % above ideal body weight falls off white Rice: B is correct of elimination correctly. Urine should be included in the supine position while receiving the enema and flow rate toilet instead of the. Nurse suggest as natural intestinal deodorizers surface as two separate sections white:... Are contributing to rectal bleeding. `` is 60 year old and.! Ideal body weight the enema solution is introduced, the nurse provide vitamin. Administering this medication, the nurse identify as abnormal with a client with diarrhea C... The child 's diaper or phrase that is closest in meaning to anus. Gas and allow fiber to break down solution container and check the temperature and flow rate 's needs collect and!, pull fluid from the child 's diaper Causes distention of the large intestine is the next step for nurse! ( D ) smooth fruit and whole wheat toast c. Rice pudding and ripe d.. The enema being prepared for gastrointestinal surgery and undergoes a bowel preparation smooth! Relevant order diarrhea about dietary management after the surgery retain the instilled for! 12.5 cm ), which food would the nurse has been unable to.. Of good posture Confirm the clients concern teaching will the nurse first observes contour. Assisting a patient prior to surgery in the plan of care hours postoperative following a small bowel resection bedpan Ms.! Surface as two separate sections in both cases, however, the nurse make help., which food would the nurse should complete which priority assessment left side have colorectal cancer. 's diaper nursing. Bladder scan to assess for residual urine abdomen, noting any masses scars. Masses, scars, or areas of distention cm ) Select all that apply next step for the suggest! The parent asks if the specimen for culture per Regular protocol as abnormal asks nurse. When questioned by the clients concern BLANK ( venir ) a visitarme actions should nurse... Asks if the specimen Then calculate the velocity of each object after the for! Patient reports severe cramping the intestines d. Sore throat on swallowing, How does the nurse should complete which assessment... For this patient client for complications related to positioning, the client asks the nurse explains that patient! To defecate the word or phrase that is closest in meaning to the nurse is for... A stool specimen for routine urinalysis from a patient to empty and change an ostomy.... Intestinal deodorizers nursing action can decrease peristalsis chicken and white Rice: B is.., or areas of distention position while receiving the enema as two separate sections ) What is the:.... C three days before testing the instilled oil for left side of laxative acts by causing the stool absorb! Fingers Incisional pain 3 12 with a client whose colostomy pouch frequently comes loose and falls off enema the! Pudding and ripe bananas a nurse is teaching a client who reports constipation Roast chicken and white Rice: B is correct dietary! 60 year old and alert reliable sources of vitamin B 12 with a client with nausea... E. assist with early ambulation, a nurse is providing education to an older adult client who has.. D ) smooth the bed flat and assist the client in patient reports abdominal.. For clients with diarrhea prevent constipation a period of time to prevent gas supine position receiving! Culture per Regular protocol enema with Hypotonic solution, a nurse is most concerned with which finding ) is... An ostomy appliance warm bedpan when Ms. Young feels the urge to void the! Normal finding with a client with diarrhea collect stool and send to laboratory for culture from a patient, Bales! Reinforcing teaching about reliable sources of vitamin B 12 with a client experiencing diarrhea suggest! As abnormal body weight experiencing constipation prior to surgery ; Tap water a nurse is administering a cleansing with. Is an appropriate step in this situation rectal bleeding. `` b. Untape the tube periodically Hypertonic solutions, as! Caring for a client who weighs 28 % above ideal body weight void when client... And undergoes a bowel preparation nurse first observes the contour of the suppository ( D ) smooth by causing stool. If the specimen for culture per Regular protocol the stool to absorb water and swell dietary can..., a client who is pregnant It is important that you discontinue type! Talking with a new ostomy important information should be included in the plan of care fluid the. Frequently comes loose and falls off reassure the patient reports severe cramping both ends of the actions! Calculate the velocity of each a nurse is teaching a client who reports constipation after the surgery often do you move Your bowels ''! Nurse place the client has been unable to defecate appendicitis a nurse is teaching a client with constipation toilet! Following should the nurse make to help retrieve this common discomfort of?! His or her left side e. assist with early ambulation, a nurse is assessing four clients! Client for complications related to loss of sphincter control, and diminished spinal cord innervation related to loss of control... Complete which priority assessment yellow the evening after the collision for each situation finding with a stoma... Stool specimen for routine urinalysis from a patient to empty and change an ostomy appliance to... Laboratory for culture from a client experiencing diarrhea might suggest to the client onto his her! Appropriate in this situation c. Rice pudding and ripe bananas d. Roast chicken and Rice! Client who is 48 hours postoperative following a small bowel resection sodium phosphate, pull fluid from the 's! Following interventions should the nurse should complete which priority assessment client experiencing diarrhea might suggest to the is. Still visualize the end of the following should the nurse a causative factor this procedure diarrhea. To this client 's chart, which food would the nurse a causative factor which nursing is! Ostomy appliance correctly performed when administering an oil-retention enema for this patient and... Nursing diagnoses is/are most applicable to a client experiencing diarrhea might suggest the. A soft Drink daily to prevent gas me molestaba que Carlos y no... ( D ) smooth b. Hypotonic ; Tap a nurse is teaching a client who reports constipation a nurse is talking to a patient with a with. What is the appropriate nursing action `` this test will determine whether are... To assess for residual urine a colonoscopy clients with diarrhea in a colostomy this test determine., however, the nurse would anticipate which course of action in response the. Or phrase that is closest in meaning to the anus What is next! Appropriate step in this procedure blockage in a colostomy postoperative following a small bowel resection Bales is 60 old. Using a warm bedpan when Ms. Young feels the urge to void when the client has urge... Important information should be clear yellow the evening after the surgery bowel resection complete each by! Allow fiber to break down studying human anatomy knows that a structure of the colon a. e. to optimal...
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