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FUNDAMENTALS OF NURSING EXAM 3 QUIZBANK LATEST AND FREQUENTLY TESTED RATED A GUIDE.
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FUNDAMENTALS OF NURSING EXAM 3 QUIZBANK LATEST AND FREQUENTLY TESTED RATED A GUIDE.
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A client with an upper gastrointestinal disorder is experiencing seeping of liquidstool, anorexia, abdominal distention, and nausea and vomiting. Which should
the nurse suspect the client is experiencing?
1. Constipation
2. Diarrhea
3. Trapped flatus
4. Fecal impaction
Answer: 4
A client has occasional bouts of constipation and asks the nurse what can be
done to prevent these episodes in the future. What should the nurse instruct the
client to do? (Select all that apply.)
1. Establish a regular exercise regimen.
2. Include high-fiber foods, such as vegetables, fruits, and whole grains, in the
diet.
3. Maintain fluid intake of 2000-3000 mL a day.
4. Do not ignore the urge to defecate.
5. Use over-the-counter medications to treat constipation.
Answer: 1,2,3,4
A client has received an oil retention enema. At which time should the nurse
instruct the client that the enema will take effect?
1. 1-3 hours
2. 10-20 minutes
3. 5-10 minutes
4. 10-15 minutes
Answer: 1
,A client experiencing hard, dry feces is scheduled for an enema. The nurse
recognizes that what type of solution would be best for the client? (Select all that
apply.)
1. Hypertonic
2. Hypotonic
3. Soapsuds
4. Oil retention
5. Isotonic
Answer: 2,5
The nurse is discussing different types of ostomy appliances with a client with a
new ostomy. During this discussion, the nurse should keep in mind that an
ostomy appliance should do which of the following? (Select all that apply.)
1. Be changed daily
2. Protect the skin
3. Collect stool
4. Control odor
5. Be open, so the client can empty it sporadically throughout the day
Answer: 2,3,4
The nurse is assigning activities regarding fecal elimination to assistive personnel
(AP). Which activity can AP safely perform to meet a client's fecal elimination
needs?
1. Provide a fracture pan to a client on bed rest.
2. Provide a client who has a fecal impaction and prolapsed rectum with a
cleansing enema.
,3. Change a client's ostomy device.
4. Irrigate a client's ostomy.
Answer: 1
During morning care, assistive personnel (SAP) notes that thick green drainage is
seeping around the appliance of a client's new ostomy. What should the AP have
been instructed to do?
1. Clean around the drainage.
2. Remove the ostomy appliance and cover the stoma with toilet tissue.
3. Perform complete ostomy care.
4. Report the drainage to the nurse.
Answer: 4
The nurse is performing ostomy care for a client. Place in order the steps the
nurse will perform to do this care.
1. Clean and dry the peristomal skin and stoma.
2. Prepare and apply the skin barrier.
3. Empty the pouch and remove the ostomy barrier.
4. Assess the stoma and peristomal skin.
5. Apply the pouch.
6. Place a piece of tissue or gauze over the stoma and change it as needed.
Answer: 3,1,4,6,2,5
While administering an enema, the client complains of abdominal cramping.
What should the nurse do?
1. Raise the height of the solution container.
, 2. Clamp the flow for 30 seconds, and restart at a slower rate.
3. Discontinue the enema infusion.
4. Assist the client to a supine position.
Answer: 2
A client has received a return-flow enema. What should the nurse document
about this procedure? (Select all that apply.)
1. Number of times the solution was changed.
2. Type of solution.
3. Length of time the solution was retained.
4. The amount, color, and consistency of the return.
5. Client relief of flatus and abdominal distention.
Answer: 2,3,4,5
The nurse has completed care with a client who has a new ostomy. What should
the nurse document about the care provided? (Select all that apply.)
1. Any change in stoma size
2. Condition of the skin around the stoma
3. Amount and type of drainage
4. Client's response to the procedure
5. Degree of bowel sounds after care provided
Answer: 1,2,3,4
During an assessment, the nurse notes that a client's stool is black. Which
medication should the nurse consider as causing this client's change in stool
color?
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