A cleansing enema is ordered for a 55-year-old patient before intestinal surgery. The
nurse understands that the maximum amount of fluid given is:
A.) 150 to 200 mL.
B.) 200 to 400 mL.
C.) 400 to 750 mL.
D.) 750 to 1000 mL. - ️️D
REASON: More than 1000 mL of fluid causes distention to the...
NURS 3105 FPCC - Ch 46 (Bowel
Elimination) Review Questions
A cleansing enema is ordered for a 55-year-old patient before intestinal surgery. The
nurse understands that the maximum amount of fluid given is:
A.) 150 to 200 mL.
B.) 200 to 400 mL.
C.) 400 to 750 mL.
D.) 750 to 1000 mL. - ✔️✔️D
REASON: More than 1000 mL of fluid causes distention to the point of rupturing the
bowel.
During the nursing assessment a patient reveals that he has diarrhea and cramping
every time he has ice cream. He attributes this to the cold nature of the food. However,
the nurse begins to suspect that these symptoms are associated with:
A.) Food allergy.
B.) Irritable bowel.
C.) Lactose intolerance.
D.) Increased peristalsis. - ✔️✔️C
REASON: This patient possibly lacks the enzyme needed to digest milk sugar lactase
and therefore is potentially lactose intolerant.
When assessing a 55-year-old patient who is in the clinic for a routine physical, the
nurse instructs the patient about the need to obtain a stool specimen for guaiac fecal
occult blood testing (gFOBT):
A.) If patient reports rectal bleeding.
B.) When there is a family history of polyps.
C.) As part of a routine examination for colon cancer.
D.) If a palpable mass is detected on digital examination. - ✔️✔️C
REASON: This is used as a diagnostic screening tool for colon cancer as recommended
by the American Cancer Society.
Which of the following medications listed in a patient's medication history possibly
causes gastrointestinal bleeding? (Select all that apply.)
A.) Aspirin
B.) Cathartics
C.) Antidiarrheal opiate agents
D.)Nonsteroidal antiinflammatory drugs (NSAIDs) - ✔️✔️A, D
REASON: Side effects of aspirin and NSAIDs include rectal bleeding.
, Nurses discourage patients from straining on defecation primarily because it causes:
(Select all that apply.)
A.) Pain.
B.) Impaction.
C.) Hemorrhoids.
D.) Dysrhythmias. - ✔️✔️C, D
REASON: The Valsalva maneuver requires the patient to hold his or her breath while
straining to defecate. This maneuver increases venous pressure from straining. Over
time, hemorrhoids result. In addition, this maneuver increases the risk for dysrhythmias,
which are often life threatening.
A patient starts to experience pain while receiving an enema. The nurse notes blood in
the return fluid and rectal bleeding. What action does the nurse take first?
A.) Administers pain medication
B.) Slows down the rate of instillation
C.) Tells the patient to breathe slowly and relax
D.) Stops the instillation and obtains vital signs - ✔️✔️D
REASON: Bleeding is an unexpected outcome. You should stop the procedure, obtain
vital signs, and call the health care provider since this is a medical emergency.
A patient is admitted for lower gastrointestinal (GI) bleeding. What color of stool does
the nurse anticipate the patient to have?
A.) Red
B.) Black
C.) Green
D.) Orange - ✔️✔️A
REASON: Red-colored stool indicates lower GI bleeding.
The nurse is caring for a patient with a colostomy. Which intervention is most important?
A.) Cleansing the stoma with hot water
B.) Inserting a deodorant tablet in the stoma bag C.) Selecting a bag with an
appropriate-size stoma opening D.) Wearing sterile gloves while caring for the stoma -
✔️✔️C
REASON: The opening of the appliance should be no larger than 0.15 to 0.3 cm (1/16
to 1/8 inch) surrounding the stoma to ensure that the skin around the stoma is protected
from the enzymes present in the effluent without impinging the stoma.
During the nursing assessment a patient reveals that he has diarrhea and cramping
every time he has ice cream. He attributes this to the cold nature of the food. However,
the nurse begins to suspect that these symptoms are associated with:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
