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Bowel Elimination And Urinary Exam Questions With Already Rated Answers, Exams of Nursing

A.T. Still University of Health Sciences (ATSU)Nursing

Bowel Elimination And Urinary Exam Questions With Already Rated Answers

Typology: Exams

2024/2025

Available from 06/17/2025

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Bowel Elimination And Urinary Exam Questions With
Already Rated Answers
1. The nurse is preparing to auscultate the bowel sounds of a patient with a
nasogastric tube in place to low intermittent suction. How shall the nurse
approach the assessment of bowel sounds and manage the nasogastric tube?
Disconnect the nasogastric tube from suction during the assessment of
bowel sounds.
2. A nurse is administering a prescribed solution of cottonseed oil to a client
during an enema. What is the outcome of the use of cottonseed?
Lubricates and softens stool
3. A nurse is assessing and documenting the eating habits of a client with
repeated complaints of flatus. Which of the following food items
produces gas that could lead to flatus?
Cabbage
4. A patient's recent diagnosis of colorectal cancer has required a
hemicolectomy (removal of part of the bowel) and the creation of a
colostomy. The nurse would recognize that the patient's stoma is healthy
when it appears:
Dark pink and moist
5. A physician orders an enema to effect rapid colonic emptying in a patient
who is experiencing severe abdominal cramping due to constipation. What
type of solution would be best suited to this patient's needs?
Large volume cleansing enema with hypotonic solution
6. A patient who is postoperative day 1 has rung the call light twice during the
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Bowel Elimination And Urinary Exam Questions With

Already Rated Answers

  1. The nurse is preparing to auscultate the bowel sounds of a patient with a nasogastric tube in place to low intermittent suction. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube?  Disconnect the nasogastric tube from suction during the assessment of bowel sounds.
  2. A nurse is administering a prescribed solution of cottonseed oil to a client during an enema. What is the outcome of the use of cottonseed?  Lubricates and softens stool
  3. A nurse is assessing and documenting the eating habits of a client with repeated complaints of flatus. Which of the following food items produces gas that could lead to flatus?  Cabbage
  4. A patient's recent diagnosis of colorectal cancer has required a hemicolectomy (removal of part of the bowel) and the creation of a colostomy. The nurse would recognize that the patient's stoma is healthy when it appears:  Dark pink and moist
  5. A physician orders an enema to effect rapid colonic emptying in a patient who is experiencing severe abdominal cramping due to constipation. What type of solution would be best suited to this patient's needs?  Large volume cleansing enema with hypotonic solution
  6. A patient who is postoperative day 1 has rung the call light twice during the

nurse's shift in order to request assistance transferring to a bedside commode. In both cases, however, the patient has been unable to defecate. In light of the fact that the patient's last bowel movement was the morning of surgery, what action should the nurse first take?  Facilitate a more private setting, such as assisting the patient to a bathroom

  1. When educating a breast-feeding mother on the characteristic of the stool of her newborn, the nurse should inform her that the stool will be  Bright yellow
  2. Which of the following factors can affect bowel elimination? Select all that apply.  Mobility  Diet  Fluid intake  Medications
  3. When the nurse performs a Hemoccult test on a stool specimen, blood in the stool will change the color on the test paper to  Blue
  4. You are educating a new colostomy client on gas-producing foods. Which of the following are gas- producing foods the client may choose to avoid?  Brussel sprouts
  5. You are preparing to administer a large-volume enema to an adult patient. How far should you insert the tubing?  3 inches
  6. While caring for an infant who is breastfed, the nurse assesses the characteristics of the stools. What stool characteristics are expected in

 Increase in the patients BP

  1. A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool passage more comfortable  False
  2. A nurse is assessing the stoma of a client with an ostomy. Which of the following interventions should the nurse perform when providing peristomal care to the client to preserve skin integrity?  Wash it with soap and water
  3. A 50-year-old client comes to the clinic for an annual physical examination. Which of the following would the nurse expect the client to undergo as a screening test for colorectal cancer?  Fecal occult blood test
  4. A nurse assesses the abdomen of a patient before and after administering a small-volume cleansing enema. What condition would be an expected finding?  Increased bowel sounds
  5. A nurse is assessing a client with constipation and severe rectal pain. Which of the following actions should the nurse perform to determine the presence of fecal impaction?  Inserted a lubricated, gloved finger into the rectum
  6. A nurse is caring for a middle-aged client with fecal incontinence at her house. The client's friends have come to visit her, but the client avoids meeting them. Which of the following nursing diagnoses should the nurse identify?  Situational low self-esteem
  7. A patient admitted with cellulitis of the leg has been prescribed amoxicillin

clavulanate (Augmentin). After 3 days of antibiotic therapy, the patient develops severe diarrhea, and the nurse notifies the physician. The nurse would anticipate which course of action in response to the patient's diarrhea?  Discontinuation of the amoxicillin and the administration of a different antibiotic

URINARY ELIMINATION

  1. A nurse is caring for a client who is being treated for bladder infection. The client complains to the nurse that he has been having difficulty voiding and feels uncomfortable. How should the nurse document the client's condition?  Dysuria
  2. You are inserting a urinary catheter into a 63-year-old male patient and encounter resistance. Which of the following is the most likely cause of the resistance?  Pt. has an enlarged prostate
  3. The nurse is providing teaching to a patient who is being discharged to home with an indwelling urinary catheter in place. What information is important for the nurse to discuss with the patient?  The catheter can be connected to a smaller leg bag for ambulation.
  4. A patient has developed edema in her lower legs and feet, prompting her physician to prescribe furosemide (Lasix), a diuretic medication. After the patient has begun this new medication, what should the nurse anticipate?  Increased output of dilute urine
  5. A client has a cerebrovascular accident and is incontinent of bowel and bladder. Incontinence of urine in this client is related to a  Neurogenic bladder

 Blood

  1. Which of the following terms is most closely associated with an acute urinary tract infection?  Pyuria
  2. A nurse assessing the access site of a hemodialysis catheter cannot palpate a thrill or hear a bruit. What is the most likely cause of this emergency situation?  The access may be clotting off
  3. A woman complains of bladder urgency. It is most important to assess  Caffeine intake
  1. The physician orders an indwelling urinary catheter to be inserted into a woman who has had a total hip replacement and is on strict bedrest. When inserting the catheter, the nurse would place the client in which position?  Side-lying position
  2. Several of the patients on a geriatric subacute medicine unit are experiencing urinary incontinence from differing causes. Which of the following statements suggests that the patient requires further teaching?  "I make sure to limit how much I drink so that I don't have accidents."
  3. A client at a health care facility has been diagnosed with polyuria. How would the nurse describe the client's condition in the medical record?  Greater than normal urinary volume
  4. A nurse is using a bladder scanner to assess the bladder volume of a patient with urinary frequency. In which of the following positions would the nurse place the patient?  Supine
  5. Use of an indwelling urinary catheter leads to the loss of bladder tone.  True
  6. A patient with frequent urinary tract infections (UTIs) has returned to the ambulatory clinic with symptoms of another UTI. The nurse reviews measures to follow to promote health and decrease the risk of contracting a UTI. Which measure is appropriate for the patient to follow?  Drink 2 glasses of water before and after sex
  7. A nurse is caring for a client who is being treated for bladder infection. The client complains to the nurse that he has been having difficulty voiding and feels uncomfortable. How should the nurse document the client's condition?  Dysuria

has undergone surgery for an ileostomy will be  Liquid Consistency

  1. Which of the following factors is related to developmental changes in bowel habits for elderly clients?  Weakened pelvic muscles lead to constipation
  2. You are caring for a 68-year-old female patient who weighs 108 pounds. The patient has been worried about regularity of her bowel movements. You have just placed a regular bedpan under the patient and the patient states, "Please leave the bedpan in place until I have a bowel movement." Which of the following responses is most appropriate?  "I will check back in 10 minutes and remove the bedpan for a period of time even if you have not had a bowel movement."
  3. A nurse is providing care to a client who has undergone a colonoscopy. Which of the following would be most appropriate for the nurse to do after the procedure?  Monitor for rectal bleeding
  4. Which of the following patients is most likely to require interventions in order to maintain regular bowel patterns?  Pt. whose neuropathic pain requires multiple doses of opioids each day
  5. A young woman has just consumed a serving of ice cream pie and develops severe cramping and diarrhea. The school nurse suspects the woman is  Lactose intolerant
  6. An elderly woman who is incontinent of stool following a cerebrovascular accident will have the following nursing diagnosis  Bowel incontinence related to loss of sphincter control as evidenced by inability to delay the urge to defecate
  1. A nurse is assessing a client with diarrhea. During physical examination, the nurse inspects the abdomen. Which of the following would the nurse perform next?  Auscultation
  2. Which of the following statements best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful?  Digital removal of a stool may cause parasympathetic stimulation
  3. During a home visit, the nurse learns that the client ensures a daily bowel movement with the help of laxatives. The client feels that deviation from a bowel movement every day is unhealthy. Which nursing diagnosis would the nurse most likely identify?  Perceived constipation
  4. A client has had abdominal surgery and in 72 hours develops abdominal distention and absence of bowel sounds with pain. The nurse suspects the client has  Paralytic ileus
  5. A nurse is caring for a client with constipation. The incidence of constipation tends to be high among clients taking which of the following diets?  Diet lacking in fruits and veggies
  6. Which of the following medications causes constipation?  Iron supplements
  7. Which of the following symptoms are known side effects of antibiotics?  Diarrhea
  8. The nurse has presented an educational Inservice about caring for