NUR 231 Ch. 38 - Bowel Elimination (PrepU) Review Questions and Correct Answers
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Course
NUR 231
Institution
NUR 231
A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. How would this be documented? All four abdominal quadrants auscultated. Inaudible bowel sounds."
A nurse is caring for a client who is to undergo a rectal examination. What should the nurs...
NUR 231 Ch. 38 - Bowel Elimination
(PrepU) Review Questions and Correct
Answers
A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not
heard any bowel sounds. How would this be documented? ✅All four abdominal
quadrants auscultated. Inaudible bowel sounds."
A nurse is caring for a client who is to undergo a rectal examination. What should the
nurse administer to cleanse the bowel in preparation? ✅tap water and normal saline
solution
Which factor is related to developmental changes in bowel habits for older adult clients?
✅weakened pelvic muscles lead to constipation.
Which statement best explains why digital removal of stool is considered a last resort
after other methods of bowel evacuation have been unsuccessful? ✅Digital removal of
stool may cause parasympathetic stimulation.
When reviewing a client's chart, which data related to a client experiencing diarrhea
might suggest to the nurse a causative factor? ✅the client returned from a foreign
country 2 days ago.
While administering a cleansing enema, the client displays lightheadedness, nausea,
and has clammy skin. The nurse would implement which priority action? ✅Stop the
procedure, monitor heart rate and blood pressure.
A nurse is caring for a client whose primary care provider has written an order for
"enemas until clear." Which explanation to the client about this procedure is correct?
✅"I will administer enemas until the enema return is without stool."
The nurse is preparing to remove stool digitally for a client who is constipated. Which
steps are included in this process? Select all that apply. ✅Insert gloved finger gently
into anal canal, pointing toward the umbilicus.
Generously lubricate index finger of dominant hand with water-soluble lubricant.
Instruct client to bear down, if possible, while extracting feces to ease in removal.
Gently work the finger around and into the hardened mass to break it up and then
remove pieces of it.
A client asks, "Why do some foods, like corn, come out undigested in my feces?" Which
is the nurse's best response? ✅Corn is high in cellulose, which is an insoluble fiber
that the body cannot digest.
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