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CH 49 Fecal elimination NCLEX Questions with correct answers.
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CH 49 Fecal elimination NCLEX Questions with correct answers.
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CH 49 Fecal elimination NCLEX Questions withcorrect answers
The nurse is presenting information at the community health fair about
normal defecation patterns across the lifespan. Which of the following
factors would not be part of the discussion?
Diet
Fluid intake and output
Medications
Gender Correct Answer-Gender
Rationale: There is no relationship noted between gender and defecation
pattern. Diet, fluids, and medications all can affect amount, consistency,
or pattern of defecation.
The elderly population is known to use laxatives with regularity. In
advising an older adult practicing this habit, the nurse would identify all
of the following except: (Select all that apply.)
Consistent use of laxatives inhibits natural defecation reflexes, and is
thought to cause rather that cure constipation.
Habitual use of laxatives eventually requires larger or stronger doses
because the effect is progressively reduced.
Laxatives may interfere with fluid and electrolyte balance.
Laxatives increase the absorption of certain vitamins. Correct Answer-
Answers:
, Consistent use of laxatives inhibits natural defecation reflexes, and is
thought to cause rather that cure constipation.
Habitual use of laxatives eventually requires larger or stronger doses
because the effect is progressively reduced.
Laxatives may interfere with fluid and electrolyte balance.
Rationale: Laxatives decrease the absorption of vitamins. The remaining
answer choices are true.
The nurse encounters a 75-year-old in the emergency department, with
complaints of nausea, diarrhea, and anorexia. He has been evaluated,
and it is determined that he can be treated at home. In discussing the
guidelines of managing diarrhea, the nurse knows the client understands
his care measures when he says:
"I will drink two glasses of water a day to prevent dehydration."
"I will drink tea when I get home."
"I will increase foods with fiber, like oatmeal."
"I will eat fried chicken for supper." Correct Answer-Answer: "I will
increase foods with fiber, like oatmeal."
Rationale: Increasing roughage (fiber) in the diet helps to add bulk to the
stool. Eight glasses of water remains the recommended fluid
, recommendation, although there is some disagreement. Beverages with
caffeine, like tea, and fatty foods like fried chicken aggravate diarrhea.
A client suffering with ulcerative colitis has discussed the need for a
temporary colostomy to rest the colon and help the healing process. The
colostomy will be located in the descending colon. The type of stool that
the client can expect from this stoma is:
Liquid that cannot be regulated
Malodorous and mushy drainage
Increasingly solid
Liquid fecal drainage Correct Answer-Answer: Increasingly solid
Rationale: Stool in the descending colon is often formed, and the tissue
can be trained for periodic defecation. Liquid stool and malodorous stool
that cannot be controlled is found within the ascending colon.
Malodorous, mushy stool is noted in the transverse colon. Output is
always expected at some point in time from ostomies as evidence of
their functioning.
After having a transverse colostomy constructed for colon cancer,
discharge planning for home care would include teaching about the
ostomy appliance. Information appropriate for this intervention would
include:
Instructing the client to report redness, swelling, fever, or pain at the
site to the physician for evaluation of infection
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