Exam (elaborations)
NUR 380 FINAL: MODS 10 EXAM
- Course
- Institution
NUR 380 FINAL: MODS 10 EXAM NUR 380 FINAL: MODS 10 EXAM NUR 380 FINAL: MODS 10 EXAM
[Show more]
Content preview
NUR 380 FINAL: MODS 10 EXAMA 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. - ANS The sitting
position increases the downward pressure on the rectum, making it easier to pass stool.
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. - ANS The actions of microorganisms within
the gastrointestinal tract are responsible for the odor
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 - ANS An adult who is on bed rest
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.
Rationale 4: A toddler who is now walking has some control of defecation, and the nervous and
muscular systems are sufficiently well developed to permit bowel control.
The nurse is taking care of a client who states that he ignores the urge to defecate when he is at
work. Which response should the nurse make to explain why this practice should be changed?
1. If you continue to ignore the urge to defecate, the urge is ultimately lost.
2. It is best to suppress the urge rather than suffer embarrassment at work.
3. This is a common practice, and it will strengthen the reflex later.
4. You will get the urge later; dont worry. - ANS If you continue to ignore the urge to defecate, the
urge is ultimately lost.
Rationale 1: When the normal defecation reflexes are inhibited, these conditioned reflexes tend to
be progressively weakened. When the urge to defecate is ignored, water continues to be
reabsorbed, making the feces hard and difficult to expel. Ignoring the urge repeatedly will eventually
cause the urge to be lost.
Rationale 2: This response does not explain why the client should change the practice.
Rationale 3: Ignoring the urge will not strengthen the reflex later. Eventually the urge will be lost.
Rationale 4: The urge can be lost.
The nurse is preparing to assess a clients fecal elimination status. Which activity will the nurse
complete during this assessment?
,1. Obtain a nursing history.
2. Interpret results of diagnostic tests.
3. Perform a physical examination.
4. Set goals with the client. - ANS Obtain a nursing history.
Rationale 1: Assessment of fecal elimination includes a nursing history and also a review of any data
from the clients records.
Rationale 2: Interpretation of diagnostic test results would demonstrate evaluation of the nursing
process. Rationale 3: Performing a physical examination would demonstrate implementation of the
nursing process. Rationale 4: Setting goals for the client demonstrates the planning step of the
nursing process.
The nurse determines that an adult clients feces are normal. What did the nurse assess to come to
this conclusion?
1. Black in color
2. Cylindrical in shape
3. Pungent in odor
4. Yellow in color - ANS Cylindrical in shape
Rationale 1: Black is abnormal.
Rationale 2: Cylindrical in contour is a normal characteristic of feces because it takes the shape of
the rectum.
Rationale 3: Pungent is abnormal, but aromatic odor is normal.
Rationale 4: Yellow is the color of an infants feces, not an adults.
The nurse is caring for a client who experiences frequent bouts of diarrhea. What should the nurse
instruct the client to do?
1. Change the daily routine.
2. Decrease fluid consumption.
3. Increase fiber in the diet.
4. Note the precipitating event. - ANS Note the precipitating event.
Rationale 1: Changing ones daily routine can cause or contribute to diarrhea.
, Rationale 2: Decreasing fluid consumption may cause constipation. If a client has diarrhea and still
decreases fluid intake, this can contribute to dehydration.
Rationale 3: Increasing fiber in the diet when one already has diarrhea would just make matters
worse.
Rationale 4: Psychological stress such as anxiety, medications, food allergies, and certain diseases
can cause
diarrhea. Noting the event can help identify and stop the cause.
The nurse is caring for a client who is experiencing constipation. Which client behavior indicates that
teaching was effective?
1. The client continues to ask for his pain medication.
2. The client decreases his fluid consumption.
3. The client refuses to eat the bran flakes on his tray.
4. The client walks around the unit several times a day. - ANS The client walks around the unit
several times a day.
Rationale 1: Pain medication contributes to constipation, especially those that are opiates.
Rationale 2: Decreasing fluid intake further contributes to constipation.
Rationale 3: Refusing to eat bran flakes would also promote constipation.
Rationale 4: Increased activity such as walking promotes gastric motility, which increases bowel
function.
A client has a bowel movement of hard, dry, but formed stool. The nurse associates these
characteristics with
1. bowel incontinence.
2. constipation.
3. diarrhea.
4. fecal impaction. - ANS constipation
Rationale 1: Bowel incontinence is the loss of voluntary ability to control feces.
Rationale 2: Hard, dry, formed stool is characteristic of constipation.
Rationale 3: Diarrhea is the passage of liquid feces.
Rationale 4: Fecal impaction is a mass of hardened feces in the folds of the rectum.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79976 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now