Bowel Elimination Exam Questions And Answers (Verified And Updated)
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Course
Bowel Elimination
Institution
Bowel Elimination
Bowel Elimination Exam Questions And Answers (Verified And Updated)
1. The nurse has assessed that a patient's stool has changed from brown to dark black and sticky. The nurse suspects:
a. blockage of the bile duct.
b. blockage of the pancreatic duct.
c. recent excessive intake of milk pr...
Bowel Elimination Exam Questions And
Answers (Verified And Updated)
1. The nurse has assessed that a patient's stool has changed from brown to dark black and sticky. The
nurse suspects:
a. blockage of the bile duct.
b. blockage of the pancreatic duct.
c. recent excessive intake of milk products.
d. presence of occult blood.
ANS: D
Occult or old blood is suspected when stool changes from a normal brown appearance to a dark black
color with a sticky appearance.
2. The nurse has documented that a patient has had two episodes of steatorrhea, which means that
the character of the stool is:
a. hard and clay colored
b. frothy and foul smelling.
c. very liquid and streaked with blood.
d. soft and filled with mucus.
ANS: B
Steatorrhea is defined as stools with abnormally high fat content that are usually frothy, foul smelling,
and float on water.
3. The nurse should plan interventions to combat constipation in a patient:
a. being treated for diabetes mellitus.
b. who has a routine order for Metamucil.
c. who just completed barium studies of the bowel.
d. with orders to ambulate with assistance.
ANS: C
A patient who is undergoing barium radiograph studies is more prone to constipation than are the
other patients.
4. An elderly patient who routinely takes the bulk-forming laxative psyllium (Metamucil) is counseled
by the home health nurse that in order to prevent constipation and possible fecal impaction, this
patient should be sure to take:
a. extra vitamin C.
b. a fat-soluble vitamin.
, c. the medication with a large amount of fluid.
d. an over-the-counter antacid.
ANS: C
A large amount of fluid should be taken to prevent constipation and fecal impaction when using a
product with psyllium
5. A patient calls the nurse at the health clinic and reports that since his trip to Mexico, he has been
experiencing diarrhea. The nurse suggests he try the antidiarrheal drug:
a. docusate sodium (Colace).
b. loperamide (Imodium).
c. polycarbophil (FiberCon).
d. senna (Senokot).
ANS: B
Loperamide (Imodium) is an antidiarrheal; the rest are used to prevent or treat constipation.
6. An elderly resident in a long-term care facility has experienced constant diarrhea for 3 days and is
now exhibiting signs and symptoms of dehydration. The nurse initiates an intervention to offer small
amounts of ________ frequently.
a. a cola beverage
b. ginger ale
c. Gatorade
d. Kool-Aid
ANS: C
The patient may be developing electrolyte imbalance because of the diarrhea, so the best fluid source
to offer is Gatorade, which has sodium and potassium. This should be offered 1 to 2 ounces at a time.
7. A patient who has started antibiotic therapy is having diarrhea as a side effect of the medication.
The nurse should encourage the patient to eat:
a. yogurt.
b. raisins.
c. gelatin fruit-flavored dessert (e.g., Jell-O).
d. poultry.
ANS: A
Diarrhea results from the loss of normal intestinal bacteria that are also killed during treatment with
antibiotics used to treat a different infection; eating yogurt or drinking buttermilk can help restore
normal intestinal flora.
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