ATI: Urinary & Bowel Elimination, Fundamentals of Nursing chapter 38, funds chap 38, Bowel sound P.U., Ch 38 Bowel Elimination, Chapter 38: Bowel Elimination, Ch 38 Bowel Elimination taylor NCLEX, PrepU Ch38 Bowel Elimination (Solution) Verified 100%

ATI: Urinary & Bowel Elimination, Fundamentals of Nursing chapter 38, funds chap 38, Bowel sound P.U., Ch 38 Bowel Elimination, Chapter 38: Bowel Elimination, Ch 38 Bowel Elimination taylor NCLEX, PrepU Ch38 Bowel Elimination (Solution) Verified 100% A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client? A. Eating more protein is optimal prior to testing. B. One stool specimen is sufficient for testing. C. A red color change indicates a positive test. D. The specimen cannot be contaminated with urine. D. The specimen cannot be contaminated with urine. For fecal occult blood testing, the nurse should warn the client not to contaminate the stool specimens with water or urine. If the patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? A) Chinese B) Alcohol C) Eggs D) Pasta B) Alcohol All the foods listed as such alcohol have a constipating effect If a patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? Alcohol. When the nurse performs a Hemoccult test on a stool specimen, blood in the stool will change the color on the test paper to a) Brown b) Red c) Green d) Blue Blue anus opening at the end of the anal canal. Large Intestine: Primary Organ for Elimination - extends from ileocecal valve to anus FUNCTIONS: absorb water manufacture vitamins form feces expulsion of feces The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? Correct response: Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Explanation: If the client has a nasogastric tube in place, disconnect it from the suction during this assessment to allow for accurate interpretation of sounds. Allowing the low intermittent to continue during the assessment will interfere with the auscultation of the sounds. Disconnect of the tube can occur immediately and not for 1 hour prior to the assessment. Reference: Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia, Wolters Kluwer, 2019, Chapter 38: Bowel Elimination, p. 1426. variables influencing bowel elimination -developmental considerations -daily patterns -food and fluid -activity and muscle tone -lifestyle and psychological variables -pathologic conditions -medications -diagnostic studies -surgery and anesthesia A nurse is talking with a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? A. Mac & cheese B. Fresh fruit and whole wheat toast C. Bread pudding and yogurt D. Roast chicken and white rice B. Fresh fruit and whole wheat toast A high-fiber diet promotes normal bowel elimination. The nurse should recommend the client consume fresh fruits vegetables with whole-grain carbs to provide the highest fiber option. bowel incontinence the inability of the anal sphincter to control the discharge of fecal and gaseous material. 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? Correct response: "All four abdominal quadrants auscultated. Inaudible bowel sounds." Explanation: In the correct response, the nurse has documented what was done during the assessment and has noted that bowel sounds are inaudible. "Auscultated abdomen for bowel sounds. Bowel not functioning" is not appropriate as the nurse has diagnosed that the bowel is not functioning which is a medical diagnosis. The documentation lacks the assessment. "Bowel sounds auscultated. Client has no bowel sounds" is not appropriate does not indicate where bowel sounds were auscultated. "Client may have bowel sounds, but they can't be heard" is a subjective statement and does not document the assessment. Reference: Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia, Wolters Kluwer, 2019, Chapter 38: Bowel Elimination, p. 1452. infants characteristics of stool and frequency depend on formula or breast milk Peristalsis controlled by nervous system every 3-12 minutes mass sweeps 1-4 times per 24 hour period 1/3 to 1/2 of food waste excreted in stool within 24 hours Which of the following is a true statement about the effects of medication on bowel illumination? A) Diarrhea commonly occurs with amoxicillin clavulanate use B) Anticoagulants cause a white discoloration of the stool C) Narcotic analgesics increased Gastrointestinal mobility D) Iron salts in pair digestion and cause a green store A) Diarrhea commonly occurs with amoxicillin clavulanate use Anticoagulants may result in the store having a pink to red to black appearance, whereas iron salts also cause a black stool. Narcotic analgesics decrease gastric mobility. The type of stool that will be expelled into the ostomy bag by a client who has undergone surgery for an ileostomy will be a) Soft semi-formed b) Bloody c) Liquid consistency d) Mucus filled Liquid consistency Which of the following is a true statement about the effects of medication on bowel elimination? Diarrhea commonly occurs with ammoxicillin clavulanate use. Mr. Jay has a fecal impaction. The nurse correctly administers an oil-retention Enema by doing which of the following? A) Administering a large volume solution 500 to 1000 ml B) Mixing milk and molasses and equal parts for an enema C) Instructing the patient to retain the enema for at least 30 seconds D) Administering the enema while the patient is sitting on a toilet C) Instructing the patient to retain the enema for at least 30 seconds The usual amount of solution administered with a retention Enema is 150 to 200 mL for an adult. The milk and molasses mixture is a carminative enema That helps to expel flats, As does the Harrison flush procedure Mr. J has a fecal impaction. The nurse correctly administers an oil-retention enema by doing which of the following? Instructing the patient to retain the enema for at least 30 minutes. During the physical examination of a client, the nurse oercusses the abdomen. In which abdominal quadrant should the nurse expect to hear tympany? a) Right lower quadrant b) Right upper quadrant c) Left upper quadrant d) Left lower quadrant LUQ Variables affecting Bowel Elimination -developmental considerations -daily patterns -food and fluid - activity and muscle tone - lifestyle, psychological variables - pathologic conditions - meds - diagnostic studies - surgery and anesthesia toddler physiologic maturity is first priority for bowel training A nurse is caring for a client with constipation. The incidence of constipation tends to be high among clients who follow which diet? Correct response: a diet lacking in fruits and vegetables Explanation: The incidence of constipation tends to be high among clients whose dietary habits lack sufficient raw fruits and vegetables, whole grains, seeds, and nuts, all of which contain adequate fiber. Dietary fiber, which becomes undigested cellulose, is important because it attracts water within the bowel, resulting in bulkier stool that is more quickly and easily eliminated. A diet lacking in glucose and water will cause dehydration first and then constipation, depending on other constituents of the diet. Diets consisting of whole grains, seeds, and nuts provide fiber, which helps in bowel movement. A diet lacking in meat and poultry products need not necessarily lead to constipation. Reference: Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia, Wolters Kluwer, 2019, Chapter 38: Bowel Elimination, p. 1423. bowel training program program that manipulates factors within a person's control to produce a regular pattern of comfortable defecation without medication or enemas. A nurse is caring for a client who has had diarrhea for 4 days. When assessing the client, the nurse should expect which of the following findings (select all that apply.) A. Bradycardia B. Hypotension C. Elevated temperature D. Poor skin turgor E. Peripheral edema B, C, D Prolonged diarrhea leads to dehydration, the nurse should expect client to have: -decreased BP -increased temp. -poor skin turgor *While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following actions should the nurse take? A. Have the client hold his breath briefly and bear down B. Discontinue the fluid instillation C. Remind the client that cramping is common at this time D. Lower the enema fluid container D. Lower the enema fluid container To relieve the client's discomfort, the nurse should slow the rate of instillation by reducing the height of the enema solution container. cathartic medication that strongly increases gastrointestinal motility and promotes defecation. Which factor is related to developmental changes in bowel habits for older adult clients? Correct response: Weakened pelvic muscles lead to constipation. Explanation: Weakened pelvic muscles and decreased activity levels contribute to constipation in older adults. Increasing dietary fiber does not decrease peristalsis. Lactose intolerance is not a developmental change in older adults. Peeling fruit does not impact bowel habits in the older adults. Reference: Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia, Wolters Kluwer, 2019, Chapter 38: Bowel Elimination, p. 1421. child,adolescent, adult defecation patterns vary in quantity and frequency and rhythmicity Stool and Developmental Considerations Child: depend on formula or breat feedings Toddler: physiologic maturity is first priority for bowel training Child/adolescent/adult: defecation patterns vary in quantity, frequency, and rhythmicity Older Adult: constipation is chronic problem; diarrhea andn fecal incontinence may result from physiologic or lifestyle changes As the nurse prepares to assist Mrs. P with her newly created Ileostomy, She is aware of which of the following? A) An appliance will not be required on the continual basis B) The size of the stoma stabilizes within two weeks C) Irrigation is necessary for regulation D) Fecal drainage will be liquid D) Fecal drainage will be liquid And appliance is usually required on a continual basis because the fecal drainage is liquid. Stomas size usually stabilizes within 4 to 6 weeks, and Ileostomy Irrigation is not necessary because fecal matter is liquid A patient scheduled for a colonoscopy is scheduled to receive a hypertonic enema prior to the procedure. A hypertonic enema is classified as which type of enema? a) Cleansing enema b) Retention enema c) Carminative enema d) Return-flow enema Cleansing As the nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? Fecal drainage will be liquid. What is a good food to help with constipation? Fruits and vegetables! Cheese and eggs = constipating effect Cabbage = produces gas Which class of laxative acts by causing the stool to absorb water and swell? Bulk-forming. Which class of laxative acts by causing the stool to absorb water and swell? A)Bulk-forming B)Emollient C)Lubricant D)Stimulant