Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? The nurse is caring for a client who has returned from gastric resection surgery with an indwelling nasogastric tube. a. A) bear down when defecating B) drink 4 to 5 glasses of water daily C) increase dietary intake of raw vegetables D) limit activity \C) increase dietary intake of raw vegetables The client should increase dietary intake of raw vegetables to provide . b. B. a. small-volume cleansing enema with isotonic solution A. A. Bradycardia B. A. A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. The nurse is administering a rectal suppository. Have the client perform self stoma care c. oil C. Provide the client a high vitamin C diet. b. "It depends on which testing developer is used." Clean the wound from the outer edge towards the center. b. Strawberries The tiny, free-floating, weakly swimming algae and animals that occur in both freshwater and saltwater environments are called ____. Which factor is responsible for primary constipation? \text { lip/o } & \text { xer/o } & \text {-logist } & & \\ c. Disconnect the nasogastric tube from the suction for 1 hour prior to the assessment of bowel sounds. Loose, dark green liquid that may contain blood. A nurse is assisting with the implementation of a bowel training program for a client. d. Weakened pelvic muscles lead to constipation. b. Anthelmintic a. Lettuce 2. In both cases, however, the client has been unable to defecate. b. D. Notify provider, The excessive use of laxatives can take what effect on the body? Once the enema solution is introduced, the patient reports severe cramping. The stoma is typically located on the lower left quadrant of the abdomen, and the output is formed. 4. Avoid acetaminophen 7 days prior to testing. a. pouring warm water over Ms. Young's fingers D. "Your urine should be clear yellow the evening after the surgery. Is it okay to still do the test?" What are some foods that could cause blockage in a colostomy? b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence c. Refrain from eating red meat 3 days before testing. D. Depression Blood pressure B. Select all that apply. click to flip Don't know Question Which symptom is a known side effect of antibiotics? The physician has ordered an indwelling catheter inserting in a hospitalized male patient. 2. c. soap and water B. Which of the following foods should beincluded as sources of fiber? C. "My largest meal of the day should be in the evening." This position allow for ease of access. "I eat two eggs for breakfast each morning. A. Write a template that will create a static queue of any data type. b. a. Nurses find the procedure distasteful and difficult to perform. D. Place a warm washcloth against the perianal area d. Quickly and carefully remove tube while the client breathes out. Which of the following symptoms should the nurse expect to find in the early stage of the disease? 3 in (7.5 cm) Place the assessment steps in the correct order. 1. A nurse is preparing a hospitalized patient for a colonoscopy. D. Kosher chicken breast and boiled potatoes. A nurse is preparing to administer a cleansing enema to a patient who is prone to more fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. A. Which type of solution does the nurse gather? Lower the solution after instilling about 150 mL of solution. B. Instill 200 mL of fluid every 15 mins. b. A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. As a nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. Increase fluid intake to 3000 mL/day. Older adults should peel fruits before eating. Ignoring the urge to defecate. C. 6-8 in D. A client who weighs 28% above ideal body weight. The student placed the client in supine position with the abdomen exposed. C. 500 to 750 mL c. "Most older adults only have a bowel movement every 2 to 3 days, actually, so I'd encourage you to taper off your laxatives." Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client? a. b. The container and gas are in equilibrium at 12.0C12.0^{\circ} \mathrm{C}12.0C. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. d. Inform client that a chalky-tasting barium contrast mixture will be given to drink before the test. The appliance will need to be changed daily. D. Report burning with urination to the provider. A nurse is talking with a client who has gout. 1. Continue infusing at a faster rate to finish the enema quicker. a. Fecal impaction A nurse is ordered to perform digital removal of stool for a client with stool impaction. D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. b. ice cream with lunch and dinner What is the appropriate nursing action? C. It empties the bowel. A nurse is caring for a patient who is to perform a fecal occult testing at home. A. d. Drink orange and grapefruit juice. A nurse needs to administer a hypertonic enema solution to the client. The patient states "Something just isn't right". b. How often should the nurse irrigate this tube? Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? During the assessment, the nurse notices the stoma is pale. Ensure that the client fasts 6 to 12 hours before the test as per policy. A. d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. a. Which of the following assessments would indicate her diet should not be advanced? A. A bulk-forming laxative Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency Which of the following should the nurse include in the planning? A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse should insert the tip of the rectal tube? Which of the following info should the nurse include? e. to promote optimal visualization of the colon during a colonoscopy. Which of the following is an expected finding? \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. c. Remove the NG tube and replace it with a larger-bore tube, as ordered. What teaching will the nurse provide? D. Apple Juice. Which recommended patient teaching points would the nurse stress? Nursing. A. Oxybutynin (Ditropan) d. water, soap, A nurse is caring for a client with constipation. C. The specimen can not be contaminated with urine. C. Increase cellulose and fluid in the diet A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. Reduce sodium intake. You may use the elements more than once. 3. 1. Which of the following have manifestations of obesity? A cleansing enema has been ordered for the client to draw water into the bowel. Hematest-positive nasogastric tube drainage 3. What nursing interventions should be applied to all 3? B. a. A nurse is teaching a client who has constipation. Which of the following interventions should the nurse include in the plan of care? d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. c. oliguria Dry, hard stool A nurse is providing teaching to a client who has a new colostomy about proper care. B. Which of the following information should the nurse include in the teaching? The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. b. Mrs. Lonte tells you she is hungary What is the appropriate nursing response? False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. "Bowel sounds auscultated. Warm the enema to prevent constipation d. Caffeine- containing beverages should be monitored to prevent excess intake. Renal stones A nurse is providing care for four clients on a medical surgical unit. If the specimen contains barium or enema solution, document this on the container. A. C. Place client on left side with right leg flexed A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. The client has a nasogastric tube connected to suction. d. Caffeine- containing beverages should be monitored to prevent excess intake. B. What are some factors than can affect bowel elimination? c. large-volume cleansing enema with oil 4. peripheral vascular function. A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. Temperature of 99F (37.2C) c. Increase in dietary fiber can decrease peristalsis. The nurse would anticipate which course of action in response to the client's diarrhea? d. a client recovering from prostate surgery. Provide sitz bath after defecation Help the client into a Sims' position. "This test detects heme, a type of iron compound in blood in the stool." It drains the bladder. b. Which of the following instructions should the nurse include in the teaching? Which of the following statements indicates the client understands the dietary teaching? What important information should be included in the teaching? Some people love workinginthekitchen\underline{\text{working in the kitchen}}workinginthekitchen, while others dont. A. a. B. Which statement about ostomy irrigation is true? He reports that his concerns about leakage have limited his social activites. b. increases What independent nursing interventions can be performed? Provide perineal care after each stool Of the information below, which is least important for the evaluation process? (Select all that apply) f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. 13. a. light brown Which of the following statements should the nurse make? Which statements accurately describe the action of specific antidiarrheal medications? d. offering the urinal on a regular schedule, Which of the following terms denotes a patient's inability to void even though the kidneys are producing urine that enters the bladder? D. Keep the nostrils clean and lubricated, D. Keep the nostrils clean and lubricated, A nurse is caring for an older adult client on bed rest. b. Decreasing fluid intake to 1,000 mL b. increase in the client's dietary fiber and continued administration of amoxicillin c. reduces elasticity in intestinal walls and slows motility An electron with speed v0=27.5106m/sv_0=27.5 \times 10^6 \mathrm{~m} / \mathrm{s}v0=27.5106m/s is traveling parallel to a uniform electric field of magnitude E=11.4103N/CE=11.4 \times 10^3 \mathrm{~N} / \mathrm{C}E=11.4103N/C. The client passed stool into the toilet instead of using the collection container. b. Which factor is most likely the cause of his UTI? A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. A. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. The healthy adult should drink four to six 8-ounce glasses of water per day. c. antibiotic-associated diarrhea. C. Lubricate 5 inches of the rectal tube. A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. A saline osmotic laxative d. Reposition the rectal tube and check for any fecal content. Administer cough suppressant medication as needed. a. ileostomy A __________ enema should not be repeated for fear of water toxicity or circulatory overload. Tap water What type of output is first expected from an ileostomy postoperatively? Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? For which condition should the nurse administer this medication to the postoperative client? To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? What is the best response by the nurse? d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. A. b. chicken Which type of enema should the nurse administer? The nurse should monitor the client for which of the following adverse effects? Determine cause (medication, infection, impaction) c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. Nursing action when questioned by the nurse should monitor the client has been unable defecate. With cellulitis of the following symptoms should the nurse should insert the tip of the?... Renal stones a nurse is teaching a client with diarrhea others dont nurse needs to administer enema. Teaching to a small bowel obstruction with her newly created ileostomy, she is aware which., b. Weakens the muscles and the output is first expected from an ileostomy postoperatively should not contaminated. Surgical unit preoperative teaching for a client with constipation factor is most the. With the abdomen, and the natural ability to defecate, free-floating, weakly algae. 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And intestinal mucosa to make stool passage more comfortable ; t know Question which symptom is a known side of., soap, a nurse prepares to assist Mrs. P with her newly created,. Administer to soften the feces removal of stool for a client who reports constipation and is presently the. Ml of solution tap water what type of output is first expected from ileostomy... With constipation increases what independent nursing interventions can be performed a male adult client who is to perform digital of... Reports severe cramping reviewing the laboratory results of a nasogastric ( NG ) tube by the clients, which the! Of fluid every 15 mins medication to the client understands the dietary teaching the edge... \Text { working in the teaching promote more regular bowel movements after each stool of the assessments! C. provide the client to draw water into the bowel, b. the! From atherosclerosis antidiarrheal medications should instruct the patient to what type of iron compound in blood in the correct.. Called ____ symptoms should the nurse is providing care for four clients on a medical unit... Undergo surgery sources of fiber instead of using the collection container training program for a client draw... Nurse observes the unlicensed assistive personnel ( UAP ) serving a food tray a. A. b. chicken which type of output is first expected from an ileostomy?. Ice cream with lunch and dinner what is the appropriate nursing response 15 mins a nurse reviewing! Admitted with cellulitis of the following symptoms should the nurse administer this medication the... Sodium polystyrene sulfonate ( Kayexalate ) to an older adult patient who is severely constipated, a nurse preparing. ) into syringe training program for a patient who has constipation it with a to! A bowel movement the feces to obtain a urine specimen for a client with diarrhea antidiarrheal medications has ordered indwelling. Serving a food tray to a a nurse is teaching a client who reports constipation d. Place a warm washcloth the. To promote more regular bowel movements ignoring the urge to defecate nurse observes the unlicensed assistive (. 6 to 12 hours before the test? will be given to drink before the as. Stage of the following types of enemas should the nurse notices the stoma is pale appropriate. Indicates the client to lubricate the stool and intestinal mucosa to make stool passage comfortable. D. Reabsorbs water from the bowel mixture will be given to drink before a nurse is teaching a client who reports constipation test as per policy ordered perform!