Fundamentals of Nursing Ch. 49 Fecal Elimination questions with correct answers
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Course
DIAGNOSTIC IMAGING
Institution
DIAGNOSTIC IMAGING
A client asks the RN why it is more difficult to use a bedpan for defecating than sitting on the toilet. Which would be the nurses best response?
1. The sitting position decreases the contractions of the muscles of the pelvic floor.
2. The sitting position increases the downward pressure on the...
Fundamentals of Nursing Ch. 49 Fecal Elimination
questions with correct answers
A client asks the RN why it is more difficult to use a bedpan for
defecating than sitting on the toilet. Which would be the nurses best
response?
1. The sitting position decreases the contractions of the muscles of the
pelvic floor.
2. The sitting position increases the downward pressure on the rectum,
making it easier to pass stool.
3. The sitting position increases the pressure within the abdomen.
4. The sitting position inhibits the urge to urinate, allowing one to
defecate. Correct Answer-Correct Answer: 2
Rationale 1: Expulsion of the feces is assisted by contraction of the
abdominal muscles and the diaphragm, which increases abdominal
pressure, and by contraction of the muscles of the pelvic floor, which
moves the feces through the anal canal.
Rationale 2: Normal defecation is facilitated by thigh flexion, which
increases the pressure within the abdomen, and a sitting position, which
increases the downward pressure on the rectum.
Rationale 3: Thigh flexion increases the pressure within the abdomen.
Rationale 4: The sitting position increases the downward pressure on the
rectum.
A client asks the nurse why expelled flatus is foul-smelling. What
should the nurse respond?
1. The actions of microorganisms within the gastrointestinal tract are
responsible for the odor.
, 2. The clients emotions are causing the gas formation.
3. The sensory nerves in the rectum are being stimulated.
4. The client has swallowed too much air while eating Correct Answer-
Correct Answer: 1
Rationale 1: The actions of the microorganisms are responsible for the
odor produced and also the color of the feces.
Rationale 2: Extreme stimulation of the clients emotions would result in
large amounts of mucus being secreted. Rationale 3: The sensory nerves,
when stimulated, give one the desire to defecate, not form gas.
Rationale 4: Eating too fast or talking while eating does cause the
formation of gas but does not contribute to the odor
The home care nurse is reviewing a list of clients prior to making visits.
For which client should the nurse plan interventions to decrease the risk
of developing constipation?
1. An adult who is on bed rest
2. An infant who is breast-fed
3. A school-age child at recess
4. A toddler who is now walking Correct Answer-Correct Answer: 1
Rationale 1: Adults who are on bed rest are at greatest risk for
developing constipation.
Rationale 2: Infants who are breast-fed pass stools frequently, usually
after each feeding, because the intestine is immature and water is not
well absorbed.
Rationale 3: School-age children may delay defecation because of play,
but their activity still promotes regular bowel movements.
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