NURS 1503 Questions with Correct Answers
Normal defecation Correct Answer-painless, resulting in passage of soft,
formed stool.
Valsalva manoeuvre Correct Answer-occurs when an individual
attempts to exhale while the mouth, nose and glottis (part of the larynx)
are closed.
- should be avoided by people with heart disease sinceit can cause
cardiac arrest
factors affecting normal bowel elimination Correct Answer-- Diet
- Fluid intake ( decreased fluid intake can cause hard stool)
- Physical activity( immobility can cause decreased peristalisis)
- Personal bowel elimination habits
- Privacy
assessment for bowel elimination Correct Answer-- obtain diet and
medication history
-identify signs and symptoms associated with altered elimination
patterns.
- determine the impact of underlying illness, activity patterns, and
disgnostic test on bowel elimination patterns
,what does an assessment for bowel elimination patterns and
abnormalities include? Correct Answer--A nursing health history
- a physical assessment of the abdomen
-inspection of fecal characteristics
- a review of relevant test results.
- Nurses also need to determine:
- the patient's perception of the problem and goals for treatment
-medical history
-pattern and types of fluid and food intake, chewing ability, medications,
and recent illnesses and stressors
Nursing health history assessment for bowel elimination Correct
Answer-The nurse can determine the patient's problems by first
identifying the normal and abnormal patterns and habits and then
understanding the patient's perception of what is normal and abnormal
regarding bowel elimination
-Determination of the patient's usual bowel elimination pattern Correct
Answer-The frequency and time of day of the patient's bowel
eliminations should be noted
The patient's description of the usual stool characteristics Correct
Answer-The patient's description should indicate whether the stool is
normally watery or formed, soft or hard; the typical colour; whether the
stool floats or sinks; and whether blood is present
, -Bristol Stool Chart is a handy figure to show patients to determine the
nature of their usual stools
Identification of routines followed to promote normal bowel elimination
Correct Answer--drinking hot liquids,
-eating specific foods,
-or taking time to defecate at a certain time of the day
Assessment of the use of laxatives, suppositories, or enemas Correct
Answer--assess whether the patient uses enemas, laxatives,
suppositories, or bulk-forming food additives in order to have a bowel
movement.
- ASK how often such aid is used
Assessment of cognitive abilities Correct Answer--The nurse must
determine the patient's ability to understand the questions posed.
-The nurse may need to conduct a brief mental status examination.
- In situations of concern, obtaining a corroborating history is critical.
Assessment of Changes in appetite Correct Answer--Note any changes
in the patient's normal eating patterns and any change in weight (i.e., the
amount lost or gained).
-If a change of weight has occurred, ask whether the weight change was
planned, such as weight loss as a result of a low-calorie diet.
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