Chapter 44, 45,46,47 Bowel Elimination Potter et al: Canadian Fundamentals of Nursing, 6th, Exams of Nursing

Download Chapter 44, 45,46,47 Bowel Elimination Potter et al: Canadian Fundamentals of Nursing, 6th and more Exams Nursing in PDF only on Docsity! Chapter 44, 45,46,47 Bowel Elimination Potter et al: Canadian Fundamentals of Nursing, 6th Edition ,Bowel Elimination Potter: Fundamentals of Nursing, 11th Edition The nurse knows that most nutrients are absorbed in which portion of the digestive tract? - - Correct Answer Duodenum The nurse would expect the least formed stool to be present in which portion of the digestive tract? - - Correct AnswerAscending colon. 3. Which of the following is not a function of the large intestine? - - Correct AnswerAbsorbing nutrients. The nurse is caring for a patient who is bedridden. The nurse asks the patient whether he needs to have a bowel movement 30 minutes after eating a meal, for what reason? - - Correct AnswerIngestion of food triggers the digestive system to begin peristalsis. A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend? - - Correct AnswerGrape and walnut chicken salad sandwich on whole wheat bread. A patient informs the nurse that she was using laxatives three times daily to lose weight. After stopping use of the laxative, the patient had difficulty with constipation and wonders if she needs to take laxatives again. With which statement does the nurse educate the patient? - - Correct Answer"Long-term laxative use causes the bowel to become less responsive to stimuli, and constipation may occur." A patient with a hip fracture is having difficulty defecating into a bed pan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement? - - Correct AnswerAdministering laxatives to the patient. 8. Which patient is most at risk for increased peristalsis? - - Correct AnswerA 21- year-old patient with three final examinations on the same day. A patient expresses concerns over having black stool. The fecal occult test is negative. Which response by the nurse is most appropriate? - - Correct Answer"Do you take iron supplements?" Which physiological change can cause a paralytic ileus? - - Correct AnswerSurgery with anaesthesia for Crohn's disease. Fecal impactions occur in which portion of the colon? - - Correct AnswerRectum. 12. The nurse knows that a bowel elimination schedule would be most beneficial in the plan of care for which patient? - - Correct AnswerA 70-year-old patient with stool incontinence. 13. Which nursing intervention is most effective in promoting normal defecation for a patient who has muscle weakness in the legs that prevents ambulation? - - Correct AnswerElevating the head of the bed 45 degrees 60 minutes after breakfast. 14. The nurse is devising a plan of care for a patient with the nursing diagnosis of Constipation related to opioid use. Which of the following outcomes would the nurse evaluate as successful for the patient to establish normal defecation? - - Correct AnswerThe patient reports eliminating a soft, formed stool. 15. The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately? - - Correct AnswerPresence of blood in the stool. 16. The nurse would anticipate which diagnostic examination for a patient with black tarry stools? - - Correct AnswerUpper endoscopy. 17. The nurse has attempted to administer a tap water enema for a patient with fecal impaction with no success. What is the next priority nursing action? - - Correct AnswerDonning gloves for digital removal of the stool. 18. The nurse should question which order? - - Correct AnswerA sodium polystyrene sulfonate (Kayexalate) enema for a patient with hypokalemia. 19. The nurse is preparing to perform a fecal occult blood test. The nurse plans to properly perform the examination by doing which of the following? - - Correct AnswerReporting any abnormal findings to the care provider. 20. A nurse is preparing a patient for magnetic resonance imaging (MRI). Which nursing action is most important? - - Correct AnswerRemoving all of the patient's metallic jewellery. 21. After a patient returns from a barium swallow study, what is the nurse's priority? - - Correct AnswerEncourage the patient to increase fluids to flush out the barium. 22. A nurse is educating a patient on how to irrigate an ostomy bag. Which statement by the patient indicates the need for further instruction? - - Correct Answer"I can use a Fleet enema to save money because it contains the same irrigation solution." 23. A patient had an ileostomy surgically placed 2 days ago. Which diet would the nurse recommend to the patient to ease the transition to use of the new ostomy? - - Correct AnswerTurkey meatloaf with white rice and apple juice.