RNRS 117- Bowel Incontinence, Constipation & Impaction Pearson Exam
The nurse is caring for a patient in a long-term care facility who has not had a bowel movement in 5 days. The unlicensed assistive personnel reports that the patient is passing a very small amount of liquid stool.
Which shou...
The nurse is caring for a patient in a long-term care facility who has not had a bowel movement in 5
days. The unlicensed assistive personnel reports that the patient is passing a very small amount of liquid
stool.
Which should be the nurse's first action?
Check the patient for an impaction.
Advise the healthcare provider of the situation.
Document the findings.
Administer a prescribed laxative. - ANSWERSCheck the patient for an impaction.
A 60-year-old patient presents with multiple episodes of fecal incontinence over the past week.
Which condition should the nurse consider related to decreased muscle tone and rectal sensation?
Excessive eating
Limited mobility
Dehydration
Constipation - ANSWERSConstipation
Which condition should the nurse recognize as a cause of fecal incontinence?
, A patient has been having multiple episodes of fecal incontinence.
Which disagnostic test should the nurse anticipate to evaluate anal spincter function?
Colonoscopy
Anorectal manometry
Barium enema
Upper GI - ANSWERSAnorectal manometry
Which collaborative therapy should the nurse expect to be utilized in the management of a fecal
impaction?
Digital removal of the impaction
Saline enemas
Intake of high-residue foods with decreased fluids
Intake of cold drinks, especially before the usual time of defecation - ANSWERSDigital removal of the
impaction
A patient states to the nurse, "I am worried about having this fecal impaction. What is it?"
Which response by the nurse is most accurate?
"I understand your concern, but it is really nothing to worry about."
"I can see why you are worried; it is a painful condition."
"This condition is a loss of voluntary control of defecation."
"It is a collection of hardened feces in the rectum or colon." - ANSWERS"It is a collection of hardened
feces in the rectum or colon."
Which nonpharmacologic information should the nurse include when preparing a teaching session for a
patient with a history of constipation?
"Take a bulk-forming laxative each morning."
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