NUR 211 Bowel Elimination Review Questions and Correct Answers
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Course
NUR 211
Institution
NUR 211
Constipation reduced peristalsis with decreased movement through that stomach and intestines
diarrhea excessive peristalsis with increased movement in large intestine resulting in loose stool
retention the persistent keeping in the body those materials normally secreted such as feces and urine
A...
NUR 211 Bowel Elimination Review
Questions and Correct Answers
Constipation ✅reduced peristalsis with decreased movement through that stomach
and intestines
diarrhea ✅excessive peristalsis with increased movement in large intestine resulting in
loose stool
retention ✅the persistent keeping in the body those materials normally secreted such
as feces and urine
A nurse is caring for a patient who has had diarrhea for the past week. Which additional
assessment finding would the nurse expect?
a. Increased energy levels
b. Distended abdomen
c. Decreased serum bicarbonate
d. Increased blood pressure ✅C
You are caring for a patient who has suffered a spinal cord injury. You are concerned
about the patients elimination status. As the nurse, your primary concern is to
a. speak with the patients family about food choices.
b. establish a bowel and bladder program for the patient.
c. speak with the patient about past elimination habits.
d. establish a bedtime ritual for the patient. ✅B
The process of digestion is important for every living organism for the purpose of
nourishment. Where does most digestion take place in the body?
a. Large intestine
b. Stomach
c. Small intestine
d. Pancreas ✅C
The nurse is listening for bowel sounds in a postoperative patient. The bowel sounds
are slow, as they are heard only every 3 to 4 minutes. The patient asks the nurse why
this is happening. The best response from the nurse would be which of the following?
A. Anesthesia during surgery and pain medication after surgery may slow peristalsis in
the bowel.
,b. Some people have a slower bowel than others, and this is nothing to be concerned
about.
c. The foods you eat contribute to peristalsis, so you should eat more fiber in your diet.
d. Bowel peristalsis is slow because you are not walking. Get more exercise during the
day. ✅A
A primary prevention tool used for colon cancer screening is
a. abdominal x-rays.
b. blood, urea, and nitrogen (BUN) testing.
c. serum electrolytes.
d. occult blood testing. ✅D
During an assessment, the patient states that his bowel movements cause discomfort
because the stool is hard and difficult to pass. As the nurse, you make which of the
following suggestions to assist the patient with improving the quality of his bowel
movement? (Select all that apply.)
a. Increase fiber intake.
b. Increase water consumption.
c. Decrease physical exercise.
d. Refrain from alcohol.
e. Refrain from smoking. ✅A,B
When conducting a health history assessment, the nurse would want to know what
important information about the patients elimination status? (Select all that apply.)
a. Recent changes in elimination patterns
b. Changes in color, consistency, or odor of stool or urine
c. Time of day patient defecates
d. Discomfort or pain with elimination
e. List of medications taken by patient
f. Patients preferences for toileting ✅A,B,D,E
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the clients
understanding. Which menu selection indicates that the client correctly understands the
dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk ✅B
A nurse assesses a client who is prescribed alosetron (Lotronex). Which assessment
question should the nurse ask this client?
, a. Have you been experiencing any constipation?
b. Are you eating a diet high in fiber and fluids?
c. Do you have a history of high blood pressure?
d. What vitamins and supplements are you taking? ✅A
After teaching a client who has a femoral hernia, the nurse assesses the clients
understanding. Which statement indicates the client needs additional teaching related to
the proper use of a truss?
a. I will put on the truss before I go to bed each night.
b. Ill put some powder under the truss to avoid skin irritation.
c. The truss will help my hernia because I cant have surgery.
d. If I have abdominal pain, I'll let my health care provider know right away. ✅A
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done
the day before. The nurse notes that the client has lower abdominal distention
accompanied by dullness to percussion over the distended area. Which action should
the nurse take?
a. Assess the clients heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus.
d. Auscultate all quadrants of the clients abdomen. ✅B
A nurse assesses clients at a community health center. Which client is at highest risk for
the development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently ✅D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds
and notes the presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. ✅C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states,
My doctor told me that the fecal occult blood test was negative for colon cancer. I don't
think I need the colonoscopy and would like to cancel it. How should the nurse
respond?
a. Your doctor should not have given you that information prior to the colonoscopy.
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