NURS 3105 FPCC - Ch 46 (Bowel
Elimination) Review Questions And
Answers With Verified Solutions Latest
Updated 2024
During the nursing assessment a patient reveals that he has diarrhea and
cramping every time he has ice cream. He attributes this to the cold nature of the
food. However, the nurse begins to suspect that these symptoms are associated
with:
A.) Food allergy.
B.) Irritable bowel.
C.) Lactose intolerance.
D.) Increased peristalsis. - ANSWER✔✔ C
REASON: This patient possibly lacks the enzyme needed to digest milk sugar
lactase and therefore is potentially lactose intolerant.
When assessing a 55-year-old patient who is in the clinic for a routine physical,
the nurse instructs the patient about the need to obtain a stool specimen for
guaiac fecal occult blood testing (gFOBT):
A.) If patient reports rectal bleeding.
B.) When there is a family history of polyps.
C.) As part of a routine examination for colon cancer.
D.) If a palpable mass is detected on digital examination. - ANSWER✔✔ C
REASON: This is used as a diagnostic screening tool for colon cancer as
recommended by the American Cancer Society.
, Which of the following medications listed in a patient's medication history
possibly causes gastrointestinal bleeding? (Select all that apply.)
A.) Aspirin
B.) Cathartics
C.) Antidiarrheal opiate agents
D.)Nonsteroidal antiinflammatory drugs (NSAIDs) - ANSWER✔✔ A, D
REASON: Side effects of aspirin and NSAIDs include rectal bleeding.
Nurses discourage patients from straining on defecation primarily because it
causes: (Select all that apply.)
A.) Pain.
B.) Impaction.
C.) Hemorrhoids.
D.) Dysrhythmias. - ANSWER✔✔ C, D
REASON: The Valsalva maneuver requires the patient to hold his or her breath
while straining to defecate. This maneuver increases venous pressure from
straining. Over time, hemorrhoids result. In addition, this maneuver increases the
risk for dysrhythmias, which are often life threatening.
A cleansing enema is ordered for a 55-year-old patient before intestinal surgery.
The nurse understands that the maximum amount of fluid given is:
A.) 150 to 200 mL.
B.) 200 to 400 mL.
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