NUR 215 Exam Questions and Answers
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T/F. Opioids can increase bowel elimination. - Answer-FALSE. Opioids can contribute to
CONSTIPATION.
2. A client who has an indwelling catheter reports a need t urinate which of the following
actions should the nurse take?
a. Check to see whether the catherter is patent
b. Reassure the client that it is not possible for her to urinate
c. Recatheterize the bladder with a larger-gauge catheter.
d. Collect a urine specimen for analysis - Answer-
What are the two types of elimination? - Answer-bowel and urinary
What is bowel elimination? - Answer-passage of stool through the intestinal tract
What is urinary elimination? - Answer-passage of urine out of the urinary tract through
the urinary sphincter and urethra
Factors that affect bowel elimination. - Answer-age, diet, fluid intake, psychosocial
factors, personal habits, positioning, pain, pregnancy, surgery/anesthesia, medications
For toddlers, what age do they start to gain bowel control. - Answer-2-3 years old
What do breast feeding stools look like? - Answer-watery and yellow/brown
What do formula stools look like? - Answer-pasty and brown
Older adults bowel elimination is affected because of their age. Why is this? - Answer-
decreased peristalsis, relaxation of sphincters
How much fiber is required? - Answer-25-30 g/day
What is the amount of fluid required from both liquid and food sources? - Answer-2,000-
3,000 mL/day
How does physical activity impact bowel elimination? - Answer-stimulates intestinal
activity
What are the two psychosocial factors that affect bowel elimination? - Answer-emotional
distress & depression
, How does emotional distress & depression affect bowel elimination? - Answer-
emotional distress- increases peristalsis and exacerbating chronic conditions (colitis,
Crohn's ulcers, IBS)
depression- decreases peristalsis and can lead to constipation
What is the normal elimination position? - Answer-squatting
T/F. Straining increases the chance of hemorrhoids. - Answer-TRUE
T/F. Overuse of laxatives can cause the weakening of the bowel's expected response to
distention from feces resulting in chronic loose stools. - Answer-FALSE. Overuse of
laxatives can cause the weakening of the bowel's expected response to distention from
feces resulting in chronic CONSTIPATION.
What is fecal incontinence? - Answer-inability to control defecation, often caused by
diarrhea
What are nursing interventions for fecal incontinence? - Answer-apply moisture barrier
& provide perineal care after each stool
What can a PROVIDER do for fecal incontinence? - Answer-prescribe an anal bag or
other bowel management system to collect stool and prevent it coming in contact with
the skin
Flatulence is a result from ______. - Answer-distention of the bowel from gas
accumulation.
What should be encouraged to promote passage of flatulence? - Answer-ambulation
What are hemorrhoids? - Answer-dilated, engorged veins in the rectal wall from difficult,
defecation, pregnancy, liver disease, and heart failure
T/F. Hemorrhoids can be itchy, painful, and bloody after defecation. - Answer-TRUE
What are some ways to care for hemorrhoids? - Answer-moist wipes, apply
ointments/creams as prescribed, sitz bath, ice pack
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