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Foundations of Clinical Nursing Question and answers verified to pass

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  • NURS 3632
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  • NURS 3632

Foundations of Clinical Nursing Question and answers verified to pass Foundations of Clinical Nursing (Exam 2) Which is most important when caring for a patient with a colostomy stoma? A. Cleansing the stoma with cool water. B. Spraying an air freshener in the room. C. Selecting a col...

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  • October 24, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 3632
  • NURS 3632
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Foundations of Clinical Nursing (Exam
2)
Which is most important when caring for a patient with a colostomy stoma?


A. Cleansing the stoma with cool water.
B. Spraying an air freshener in the room.
C. Selecting a colostomy bag with an appropriate sized stomal opening.
D. Wearing sterile gloves when caring for the stoma. - correct answer ✔C.
Selecting a colostomy bag with an appropriate sized stomal opening.


Which statement should the nurse use when teaching the patient to avoid
foods that have a laxative effect?


A. "You should avoid applesauce."
B. "You should avoid chocolate."
C. "You should avoid coffee."
D. "You should avoid pasta." - correct answer ✔C. "You should avoid
coffee."


Which question would take priority when collecting a bowel elimination history
for a newly admitted patient with a medical diagnosis of possible bowel
obstruction?


A. "Do you use anything to help move your bowels?"
B. "When was the last time you moved your bowels?"
C. "What color are your usual bowel movements?"

,D. "How often do you have a bowel movement?" - correct answer ✔B.
"When was the last time you moved your bowels?"


Which independent nursing action facilitates defecation of a hard stool?


A. Applying a lubricant to the anus.
B. Encouraging a sitz bath after defecation.
C. Instilling warm mineral oil into the rectum.
D. Placing a cold compress against the anus. - correct answer ✔A. Applying
a lubricant to the anus.


Which adaptation is most significant in indicating the presence of a fecal
impaction?


A. Odorous flatus
B. Marble-sized, hard, dry stools.
C. Liquid, fecal seepage, with no passage of stool.
D. Bright, red blood with the passage of stool. - correct answer ✔C. Liquid,
fecal seepage, with no passage of stool.


Which is the most appropriate outcome for a hospitalized patient with the
nursing diagnosis of diarrhea?


A. The client will have no more than two bowel movements a day.
B. The client will avoid foods that are high in water-soluble fiber.
C. The client will take Loperamide (Imodium) after each bowel movement.
D. The client will drink at least eight glasses of water per day. - correct
answer ✔A. The client will have no more than two bowel movements a day.

, Which of the following is detected in a guaiac test of stool?


A. Bile.
B. Bacteria.
C. Ova and Parasites.
D. Occult blood. - correct answer ✔D. Occult blood.


The nurse discourages straining on defecation primarily because it could
precipitate which of the following?


A. Incontinence.
B. Heart Dysrhythmias.
C. Fecal Impaction.
D. Constipation. - correct answer ✔B. Heart Dysrhythmias.


Which food works best to increase the bulk in fecal material?


A. White bread.
B. White rice.
C. Pasta.
D. Kale. - correct answer ✔D. Kale


The excessive use of laxatives should be avoided primarily because it:


A. Causes incontinence.

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