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NUR 112-UNIT 4 Nutrition & Elimination Review Questions.
NUR 112-UNIT 4 Nutrition & Elimination Review Questions.
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NUR 112-UNIT 4 Nutrition & EliminationReview Questions
An older adult woman who is incontinent of stool following a cerebrovascular accident
will have which nursing diagnosis?
A) Bowel Incontinence related to loss of sphincter control, as evidenced by inability to
delay the urge to defecate.
B) Constipation related to physiologic condition involving the deficit in neurologic
innervation, as evidenced by fecal incontinence.
C) Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and
urgency.
D) Fecal Retention related to loss of sphincter control, and diminished spinal cord
innervation related to hemiparesis. - ANS-A
A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool
passage more comfortable.
True or False - ANS-False
A student nurse studying human anatomy knows that a structure of the large intestine is
the:
A) ileum
B) jejunum
C) cecum
D) duodenum - ANS-C
The nurse is inserting a rectal tube to administer a large-volume enema. Which nursing
action is performed correctly in this procedure?
A) Slowly and gently insert the enema tube 3 to 4 in (7.5 to 10 cm) for an adult.
B) Encourage the client to hold the solution for at least 20 minutes.
C) Introduce solution quickly over a period of 3 to 5 minutes.
D) Position the client on his back and drape properly. - ANS-A
, The nurse is caring for a client who is scheduled for an esophagogastroduodenoscopy
(EGD). What action would the nurse take to prepare the client for this procedure?
A) Inform client that a chalky-tasting barium contrast mixture will be given to drink
before the test.
B) Ensure that the client fasts 6 to 12 hours before the test as per policy.
C) Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol
electrolyte solution, in a short period of time.
D) Provide a light meal before the test and administer two Fleet enemas. - ANS-B
A client with no significant medical history reports experiencing diarrhea over the past
week. Which assessment question will the nurse ask? Select all that apply.
A) "Are you experiencing rectal fullness?"
B) "Do you use laxatives?"
C) "Is the stool difficult to pass?"
D) "What are your normal bowel habits?"
E) "Have you started a new medication?" - ANS-B, D, E
A cleansing enema has been ordered for the client to draw water into the bowel. Which
type of solution does the nurse gather?
A) tap water
B) mineral oil
C) hypertonic saline
D) soap and water - ANS-C
The risk for developing colorectal cancer during one's lifetime is 1 in 19. Nurses play an
integral role in the promotion of colorectal cancer screening. What are risk factors for
colorectal cancer? Select all that apply.
A) age 50 and older
B) a history of inflammatory bowel disease
C) a positive family history
D) a diet high in fruits, vegetables, and whole grains. - ANS-A, B, C
A nurse is testing a client's stool specimen for occult blood. Which are responsibilities of
the nurse for this testing? Select all that apply.
A) Planning medical treatment based on test results
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