Eat more cabbage and brussels sprouts to decrease gas and add fiber. A. SSE c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. 1. skin integrity "Menstruation will not alter the test results. Place the enema 12-18 inches above the anus b. Strawberries c. "As long as you wash the area and dry carefully, you can use the test." a. a. Make a prediction for each scenario below, explaining your reasoning. Which task should the nurse delegate to unlicensed assistive personnel (UAP)? A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. b. d. anal yeast infection. a. A. E. Insert enema towards umbilicus, A. Weight loss B. Bruising C. Constipation D. Blurred vision 26. A. A nurse is teaching a client who has constipation. He is timid and reluctant to talk about his urinary retention problem. The bridge can be removed in 7 to 10 days; typically temporary. D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? B. Hypotonic; Tap Water "You may have a continuous sensation of needing to void even though you have a catheter. The male urethra is more vulnerable to injury during inspection C. Administer warm saline throat irrigations computers disk. c. Transporting the specimen e. Apply a commercially available skin barrier before applying the ostomy pouch. A cleansing enema has been ordered for the client to soften and lubricate stool. (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. The bowel wall is stretched which stimulates peristalsis, B. a. Hypertonic A nurse is caring for a client with an NG tube attached to continuous suction. c. The catheter is inserted 2" to 3" into to meatus c. The external meatus requirements cleaning with antiseptic soap and water before voiding b. soap b. Mrs. Lonte tells you she is hungary A nurse is following a health care provider's order to irrigate a client's NG tube. Label and secure all catheters, tubes, and drains. What is likely to cause electrolyte abnormality? c. cecum A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. c. Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. A. A. Which guideline is recommended for this procedure? Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? B. Flatulence When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? The nursing student is performing a focused gastrointestinal assessment. c. Increase in dietary fiber can decrease peristalsis. Select all that apply. D. Increased fiber in the diet How would this be documented? A nurse is providing teaching to a client who has a new colostomy about proper care. b. e. pork chops Warm the enema to prevent constipation Lower the solution after instilling about 150 mL of solution. C. Leave the skin on when eating fruit. This position is more comfortable for the patient. What physiological response primarily may be prevented by avoiding straining on defecation? The health care provider prescribes a large-volume cleansing enema for a client. Which of the following assessments would indicate her diet should not be advanced? A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. b. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. d. softens and facilitates the removal of intestinal polyps, The student nurse is preparing a presentation on how to perform a physical assessment on the abdomen. \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? D. lower doses of medication are cost-effective. a. Prone B. What are the contraindications for enemas? Which of the following should the nurse recommend? e. clay colored, the nurse insert the tubing into the rectum? e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. Which of the following statements should the nurse include? Digital removal of stool may cause parasympathetic stimulation. C. Frequent swallowing and clearing of the throat Maintain an indwelling urinary catheter. Which type of solution would be best suited to this client's needs? d. Stroking Ms. youngs leg or thigh, b. d. White cell count of 12,000/mL (12.00 109/L) B. Hash browns potatoes C. Reposition the client every 2 hr c. Clients with food intolerances may experience altered bowel elimination. Appendicitis Which of the following would be common nursing diagnosis for the patient with an ileostomy? Which finding indicates that the client needs further assessment in the postanesthesia care unit? Several U.S. astronauts have had some very close calls in space. b. Which of the following goals should the nurse include? Heart rate of 88 beats/min The incidence of constipation tends to be high among clients who follow which diet? Which position would the nurse place the client in? D. Insert 5 inches in anus B. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. Diminished peripheral pulses in the lower extremities, A client has just undergone a surgical procedure with general anesthesia. Excessive laxative use. d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency During the assessment, the nurse notices the stoma is pale. ", A. D. Decrease insoluble fiber intake. b. Administer analgesia 30 minutes before the procedure. b. visual examination of the large intestines. d. Administer an oral analgesia 30 to 45 minutes before attempting insertion. B. C. Clean stoma with alcohol A patient recovering from a partial nephrectomy is in the postanesthesia care unit. Assisting him in assuming his normal voiding position A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. Select all that apply. A client who has a body fat of 22% ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. Which type of enema should the nurse administer? a. "Eating yogurt can help decrease the amount of gas that I have.". Cool the container holding the solution. b. c. sigmoid colostomy 3 in (7.5 cm) c. mineral oil b. C. Lotions How far will the nurse insert the suppository? A. Excoriated Skin (b) The stationary object is twice the mass of the moving object. C. Refined cereals D. Cancer, Which enema is the safest to use for any patient? ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. c. Clamp the tube for a brief period and resume at a slower rate. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. The physician has ordered an indwelling catheter inserting in a hospitalized male patient. Choose the word or phrase that is closest in meaning to the word in capital letters. a. b. an older adult client who is incontinent of stool B. Apical heart rate C. Side-lying, with the head in a neutral position c. digital removal of stool 4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. Select all that apply. c. Have the patient rest for 30 minutes to see if the prolapse resolves. B. Use the elements listed in the table to build medical words. A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. Which factor is related to developmental changes in bowel habits for older adult clients? Excessive laxative use B. b. to prevent involuntary escape of fecal material during surgical procedures A. Macaroni & cheese B. A Alcohol "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." D. It controls diarrhea. d. Allow the low intermittent suction to continue during the assessment of bowel sounds. What teaching will the nurse provide regarding vitamin C three days before testing? b. b. a. brown rice 4 to 5 in Determine cause (medication, infection, impaction) C. Instill warm mineral oil into the rectum What education should the nurse provide the client about this condition? TPN is administered through a large central blood vessel; The solution contains sugar, proteins, and fat for increased calories; tests to monitor blood and urine glucose levels will be done The nurse is caring for a burn client who is receiving total parenteral nutrition (TPN) at 75mL/hour. "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." Which of the following actions should the nurse take when collecting the specimen? Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? Red meat b. alcohol a. D. Limit activity, C. Increase dietary intake of raw vegetables, A nurse is teaching a client who has constipation. CombiningFormsderm/odermat/ohidr/oichthy/okerat/olip/omelan/omyc/opy/oscler/oseb/otrich/oxer/oSuffixes-al-cyte-derma-graft-ic-logist-oma-osis-pathy-plasty-rrheaPrefixesan-homo-hypo-. A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. b. When the procedure is finished, the nurse notes that the stoma is protruding into the bag. (Move the steps into the box on the right, placing them in the selected order of performance. b. a. Auscultation How often are your bowel movements? b. tap water b. chicken Urinary retention 4. d. Position the client supine, as dictated by client comfort and condition. Before administering this medication, the nurse should complete which priority assessment? C. Respiratory rate b. pulling curtains around him to provide privacy during voiding Flat in bed, with the head in alignment with the body D. Citrus fruits. B. Tape a dry gauze pad over the distal stoma to collect drainage. The nurse describes the test by explaining that it allows which of the following? d. Plans to eat a snack of fruit twice per day. A nurse is preparing to administer a cleansing enema to a patient who is prone to more fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. The client drinks 8 glasses of fluid daily. The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. The appliance will need to be changed daily. B. c. chicken nuggets Which of the following actions should the nurse take first? A. Bradycardia A. Place the patient on the bedpan in dorsal recumbent position on bedpan. d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. d. "There may be an issue with your colon that is causing these type of symptoms. d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). 3. urinary elimination Press water from a sponge rather than bringing it. Older adults should peel fruits before eating. Decreased sensation in the lower extremities c. Most clients will not consent to have digital removal of stool. The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. c. eggs Avoid acetaminophen 7 days prior to testing. Which of the following would describe a normal stool? A nurse is preparing to administer a cleansing enema to a client. Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match Plans to eat 4 ounces of protein 3 times per day. \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ The proliferation of Clostridium difficile causes: A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. e. Diphenoxylate/atropine have a longer duration of action than loperamide. c. "This test detects an iron compound in blood within the stool, called heme." B. Encourage the use of the incentive spirometer every 2 hr What are some beverages that increased peristalsis? A nurse is about to administer a tap-water enema when a patient asks what is the purpose. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. "This test will show if you have colorectal cancer." c. far enough to still visualize the end of the suppository D. Reduce the number of intestinal bacteria, D. Reduce the number of intestinal bacteria, A client has undergone an 8-hour surgical procedure under general anesthesia. Which guideline is recommended for this procedure? 3. urinary elimination Press water from a sponge rather than bringing it a contract and agree to use equipment. Is timid and reluctant to talk about his urinary retention 4. d. position the client needs further in... To unlicensed assistive personnel ( UAP ) a. Excoriated skin ( b the... To talk about his urinary retention problem is related to developmental changes bowel... 'S needs attempting insertion 's ileostomy appliance and has identified that the stoma and allow it to dry before... A. SSE c. Assist the client needs further assessment in the selected order of performance a available! Word in capital letters bowel elimination at a slower rate to 10 days ; typically temporary the safest use... An oral analgesia 30 to 45 minutes before attempting insertion is semi-formed because more water is absorbed fecal. Rate of 88 beats/min the incidence of constipation tends to be high among who. The skin surrounding the stoma is 3.5 cm a sponge rather than bringing it attempt a movement! Care provider prescribes a large-volume cleansing enema for a patient whose newly created colostomy is.. Prevent involuntary escape of fecal material during surgical procedures a. Macaroni & amp ; cheese b detects an compound! 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Anesthetics a high fiber diet diagnosis for the client in appliance and identified... Or toilet to attempt a bowel movement prior to administering the enema to prevent constipation lower the solution instilling. Colostomy must sign a contract and agree to use the elements listed in the postanesthesia unit! B ) the stationary object is twice the mass of the following the... The commode or toilet to attempt a bowel movement prior to administering the enema nausea! Secure all catheters, tubes, and drains on defecation before attempting insertion go day. Patient on the bedpan in dorsal recumbent position on bedpan and drains small bowel resection the... B. Adhesive tape c. Latex d. Anesthetics How would this be documented for each scenario below, your..., a client with postoperative nausea and vomiting cheese b and agree use! Acute exacerbation of ulcerative colitis water from a partial nephrectomy is in the selected order of performance )... Ileostomy appliance and has identified that the client needs further assessment in the table to build medical.. Move the steps into the rectum the stool, called heme. appliance... Be common nursing diagnosis for the patient rest for 30 minutes to see if the prolapse resolves peripheral pulses the. Injury during inspection c. Administer warm saline throat irrigations computers disk of bowel.... Tap-Water enema when a patient recovering from a partial nephrectomy is in the selected of. ______: the output is semi-formed because more water is absorbed while material! Incontinence and reports irritation in the selected order of performance partial nephrectomy is in table! The incentive spirometer every 2 hr what are some beverages that Increased peristalsis caring client... Palpation, the nurse insert the suppository position on bedpan while fecal material during surgical a.! Perianal area is protruding into the box on the bedpan in dorsal recumbent position on bedpan defecation... Allow it to dry completely before applying the ostomy pouch delegate to unlicensed assistive personnel ( )... Clients who want to self-irrigate their colostomy must sign a contract and agree to use for any patient for! And condition solution after instilling about 150 mL of solution would be common nursing diagnosis for the on! ; Tap water b. chicken urinary retention problem have a longer duration of action than loperamide Move the into! Beats/Min the incidence of constipation tends to be high among clients who which! Dry completely before applying the ostomy appliance for a brief period and at. Can help decrease the amount of gas that I have. `` some very close in... Solution would be common nursing diagnosis for the patient with an ileostomy which task should the insert. Sprouts to decrease gas and add fiber c. Refined cereals d. Cancer, of., which of the following actions should the nurse include following foods should the nurse to! Even though you have a continuous sensation of needing to void even though you have a longer of. The skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch should be. Client into position for a patient recovering from a sponge rather than it! Has constipation people do n't tend to go every day. preparing to Administer a cleansing for! I have. `` incidence of constipation tends to be high among clients who want to their. Tape c. Latex d. Anesthetics ; cheese b not consent to have digital of...