ATI: Urinary & Bowel Elimination, Fundamentals of Nursing
chapter 38, funds chap 38, Bowel sound P.U., Ch 38 Bowel
Elimination, Chapter 38: Bowel Elimination, Ch 38 Bowel
Elimination taylor NCLEX, PrepU Ch38 Bowel Elimination
(Solution) Verified 100%
A nurse is caring for a client who will perform fecal occult blood testing at home.
Which of the following information should the nurse include when explaining the
procedure to the client?
A. Eating more protein is optimal prior to testing.
B. One stool specimen is sufficient for testing.
C. A red color change indicates a positive test.
D. The specimen cannot be contaminated with urine.
D. The specimen cannot be contaminated with urine.
For fecal occult blood testing, the nurse should warn the client not to contaminate the
stool specimens with water or urine.
If the patient was instructed to avoid foods that may have a laxative effect, the
nurse would advise the patient to avoid which of the following foods?
A) Chinese
B) Alcohol
C) Eggs
D) Pasta
B) Alcohol
All the foods listed as such alcohol have a constipating effect
If a patient was instructed to avoid foods that may have a laxative effect, the
nurse would advise the patient to avoid which of the following foods?
Alcohol.
When the nurse performs a Hemoccult test on a stool specimen, blood in the
stool will change the color on the test paper to
a) Brown
b) Red
c) Green
d) Blue
Blue
anus
opening at the end of the anal canal.
Large Intestine: Primary Organ for Elimination
- extends from ileocecal valve to anus
FUNCTIONS:
absorb water
manufacture vitamins
,form feces
expulsion of feces
The nurse is preparing to auscultate the bowel sounds of a client with a
nasogastric tube in place set to low intermittent suction. How shall the nurse
approach the assessment of bowel sounds and manage the nasogastric tube?
Correct response:
Disconnect the nasogastric tube from suction during the assessment of bowel sounds.
Explanation:
If the client has a nasogastric tube in place, disconnect it from the suction during this
assessment to allow for accurate interpretation of sounds. Allowing the low intermittent
to continue during the assessment will interfere with the auscultation of the sounds.
Disconnect of the tube can occur immediately and not for 1 hour prior to the
assessment.
Reference:
Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia,
Wolters Kluwer, 2019, Chapter 38: Bowel Elimination, p. 1426.
variables influencing bowel elimination
-developmental considerations
-daily patterns
-food and fluid
-activity and muscle tone
-lifestyle and psychological variables
-pathologic conditions
-medications
-diagnostic studies
-surgery and anesthesia
A nurse is talking with a client who reports constipation. When the nurse
discusses dietary changes that can help prevent constipation, which of the
following foods should the nurse recommend?
A. Mac & cheese
B. Fresh fruit and whole wheat toast
C. Bread pudding and yogurt
D. Roast chicken and white rice
B. Fresh fruit and whole wheat toast
A high-fiber diet promotes normal bowel elimination. The nurse should recommend the
client consume fresh fruits vegetables with whole-grain carbs to provide the highest
fiber option.
bowel incontinence
the inability of the anal sphincter to control the discharge of fecal and gaseous material.
A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has
not heard any bowel sounds. How would this be documented?
Correct response:
"All four abdominal quadrants auscultated. Inaudible bowel sounds."
,Explanation:
In the correct response, the nurse has documented what was done during the
assessment and has noted that bowel sounds are inaudible. "Auscultated abdomen for
bowel sounds. Bowel not functioning" is not appropriate as the nurse has diagnosed
that the bowel is not functioning which is a medical diagnosis. The documentation lacks
the assessment. "Bowel sounds auscultated. Client has no bowel sounds" is not
appropriate does not indicate where bowel sounds were auscultated. "Client may have
bowel sounds, but they can't be heard" is a subjective statement and does not
document the assessment.
Reference:
Taylor, C., Lynn, P., & Bartlett, J., Fundamentals of Nursing, 9th ed., Philadelphia,
Wolters Kluwer, 2019, Chapter 38: Bowel Elimination, p. 1452.
infants
characteristics of stool and frequency depend on formula or breast milk
Peristalsis
controlled by nervous system
every 3-12 minutes
mass sweeps 1-4 times per 24 hour period
1/3 to 1/2 of food waste excreted in stool within 24 hours
Which of the following is a true statement about the effects of medication on
bowel illumination?
A) Diarrhea commonly occurs with amoxicillin clavulanate use
B) Anticoagulants cause a white discoloration of the stool
C) Narcotic analgesics increased Gastrointestinal mobility
D) Iron salts in pair digestion and cause a green store
A) Diarrhea commonly occurs with amoxicillin clavulanate use
Anticoagulants may result in the store having a pink to red to black appearance,
whereas iron salts also cause a black stool. Narcotic analgesics decrease gastric
mobility.
The type of stool that will be expelled into the ostomy bag by a client who has
undergone surgery for an ileostomy will be
a) Soft semi-formed
b) Bloody
c) Liquid consistency
d) Mucus filled
Liquid consistency
Which of the following is a true statement about the effects of medication on
bowel elimination?
Diarrhea commonly occurs with ammoxicillin clavulanate use.
Mr. Jay has a fecal impaction. The nurse correctly administers an oil-retention
Enema by doing which of the following?
A) Administering a large volume solution 500 to 1000 ml
B) Mixing milk and molasses and equal parts for an enema
, C) Instructing the patient to retain the enema for at least 30 seconds
D) Administering the enema while the patient is sitting on a toilet
C) Instructing the patient to retain the enema for at least 30 seconds
The usual amount of solution administered with a retention Enema is 150 to 200 mL for
an adult. The milk and molasses mixture is a carminative enema That helps to expel
flats, As does the Harrison flush procedure
Mr. J has a fecal impaction. The nurse correctly administers an oil-retention
enema by doing which of the following?
Instructing the patient to retain the enema for at least 30 minutes.
During the physical examination of a client, the nurse oercusses the abdomen. In
which abdominal quadrant should the nurse expect to hear tympany?
a) Right lower quadrant
b) Right upper quadrant
c) Left upper quadrant
d) Left lower quadrant
LUQ
Variables affecting Bowel Elimination
-developmental considerations
-daily patterns
-food and fluid
- activity and muscle tone
- lifestyle, psychological variables
- pathologic conditions
- meds
- diagnostic studies
- surgery and anesthesia
toddler
physiologic maturity is first priority for bowel training
A nurse is caring for a client with constipation. The incidence of constipation
tends to be high among clients who follow which diet?
Correct response:
a diet lacking in fruits and vegetables
Explanation:
The incidence of constipation tends to be high among clients whose dietary habits lack
sufficient raw fruits and vegetables, whole grains, seeds, and nuts, all of which contain
adequate fiber. Dietary fiber, which becomes undigested cellulose, is important because
it attracts water within the bowel, resulting in bulkier stool that is more quickly and easily
eliminated. A diet lacking in glucose and water will cause dehydration first and then
constipation, depending on other constituents of the diet. Diets consisting of whole
grains, seeds, and nuts provide fiber, which helps in bowel movement. A diet lacking in
meat and poultry products need not necessarily lead to constipation.
Reference:
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