b. A nurse is caring for a client who practices Orthodox Judaism. Bear down hard when defecating _____ to cleanse the client's bowel; often used in preparation of surgery, _____ enema to a client who has very high levels of potassium. Ensure that the client fasts 6 to 12 hours before the test as per policy. Black tea Instruct the client not to bear down while extracting feces in order to prevent vagal response. A. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. How often should the nurse irrigate this tube? d. a client recovering from prostate surgery. Assume that a file containing a series of integers is named numbers.txt and exists on the d. Choose bland foods, such as cottage cheese. b. increase in the client's dietary fiber and continued administration of amoxicillin What teaching will the nurse provide regarding vitamin C three days before testing? Which is an effect of prolonged use of mineral oil to relieve constipation? Facilitate a more private setting, such as assisting the client to a bathroom. The client asks the nurse why both anticoagulants are necessary. a. Instill digestive enzymes, as ordered. \end{array} e. Cucumber. 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? 1. What color is your usual bowel? c. Refrain from eating red meat 3 days before testing. D. Insert 5 inches in anus b. Which nursing action would most likely lead to an increased difficulty with voiding? b. develops healthier bowel elimination patterns Adds water to the bowel A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. Which action should the nurse perform during this intervention? Place the client in a protective supine position to facilitate easy removal. A. Reassure the patient that this is a normal finding with a new ostomy. Which nursing action is the recommended preparation for this test? A client who has a BMI of 28 c. Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. Normal Saline Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? What independent nursing interventions can be performed? Which of the following is the rationale for this? c. The student had the client flex the knees when performing the assessment. What action should the nurse perform during this skill? c. Oil-retention C. Discuss the visitation policy Diminished peripheral pulses in the lower extremities, A client has just undergone a surgical procedure with general anesthesia. Attach a syringe and flush with 50 mL of water or normal saline before removal. Select all that apply. d. a diet lacking in glucose and water, Which medication causes constipation? What solution best meets this client's needs? a. a. Administer the solution gradually over 5 to 10 minutes. Apply lubricant to the anus Renal stones A nurse is providing care for four clients on a medical surgical unit. b. retention c. Iron supplements A. Keep going until enema is finished Decrease expected blood loss during surgery d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. c. Wipe the lubricated tip of the container before insertion. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. D. Hematuria A nurse is providing preoperative teaching for a client who will undergo surgery. Diarrhea commonly occurs with amoxicillin clavulanate use, 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? Excessive laxative use B. Frequent urinary tract infections When reviewing a client's chart, which data related to a client experiencing diarrhea might suggest to the nurse a causative factor? A. d. until the client reports feelings of discomfort. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. Estimate the rate at which thermal energy is being discarded by this plant. In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? a. Urinary Clostridium infection. Which of the following should the nurse discuss as cause of constipation? Excessive laxative use This position is more comfortable for the patient. A. b. C. It empties the bowel. Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? d. 1 in (2.5 cm). "It is important that you discontinue this type of treatment immediately." C. Frequent swallowing and clearing of the throat d. removes hardened fecal impactions from the rectum. A nurse is preparing a hospitalized patient for a colonoscopy. Which of the following instructions should the nurse include in the teaching? Which interventions would be a priority for this patient? D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. What action would the nurse perform next? A nurse is assessing four female clients for obesity. Milk products cause constipation in clients with lactose intolerance. Connect all catheters and drains to a single collection device. 4. \text { lip/o } & \text { xer/o } & \text {-logist } & & \\ d. Quickly and carefully remove tube while the client breathes out. 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? ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. D. Reposition the client at least q4h. A. d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. B. increased sedation is achieved by higher doses of medication. A. Gently massage the stoma Urinary retention 4. The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. B. D. Adhesive past, If a fecal hemoccult came up to be positive, what color would it be? a. d. chocolate, A client is preparing for a fecal occult blood test. f. Ordering the test. Which of the following info should the nurse include? Which nursing actions are appropriate when irrigating an NG tube connected to suction? C. Increase dietary intake of raw vegetables Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? 4. The client traveled to South America two weeks ago. b. Bisacodyl Which of the following instructions should the nurse include in the teaching? The nurse identifies a patient with immobility is at risk for the development of urolithiasis. c. staying with him while voiding a. Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? A. Which of the following is a clinical finding of postoperative bleeding? B. b. Mrs. Lonte tells you she is hungary When the client has the urge to defecate. b. black Choose from the available options the most suitable response: The parent asks if the specimen for testing can be collected from the child's diaper. D. Apple Juice. What intervention would be most appropriate in this situation? Is it okay to still do the test?" b. D. A client who weighs 28% above ideal body weight. Diarrhea C. Macaroni and cheese and peas Excessive laxative use B. a. Nurses find the procedure distasteful and difficult to perform. a. social and emotional setting of the client. D. Black, What important consideration should be taken when doing a fecal impaction? Intussusception B. c. Electrolyte imbalances Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. When the client has the urge to defecate. Clean the wound from the outer edge towards the center. Select all that apply. a. Fecal impaction A. c. using a warm bedpan when Ms. Young feels the urge to void 3 in (7.5 cm) A. Pain at the surgical site C. Hemorrhoids c. "Perhaps you should do this twice daily." He is 80 years old and has an indwelling catheter in place. "This test detects heme, a type of iron compound in blood in the stool." Which color stool does the nurse identify as abnormal? Mr. T is nervous about a colonoscopy scheduled for tomorrow. Which of the following actions should the nurse anticipate? Administer calcium supplements. Red a. duodenum A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. b. Anal fissures a. Which intervention is most important? C. "You will be instructed to limit your fluid intake after the procedure." prior to the enema. Flat in bed, with the head in alignment with the body d. Cantaloupe A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. A nurse is teaching an older adult client who reports constipation. Planning medical treatment based on test results Which diet choices would support that the education was successful? Find the ones that present a topic, but not an idea. What are some assessment questions that could be asked? a. D. Increased fiber in the diet c. tap water A. b. b. 1 a. 3. Output is liquid to semi-formed. Instruct to splint incision when coughing and deep breathing Select all that apply. A client who is postoperative Day 1 has rung the call light twice during the nurse's shift in order to request assistance transferring to a bedside commode. A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Blood pressure Report the onset of bright red bleeding to the surgeon. Select all that apply. What should be the nurse's next action? C. Place client on left side with right leg flexed a. Hypertonic Which of the following surgical procedures places the client at risk for deep-vein thrombosis? Increase dietary intake of raw vegetables Limit activity CONTINUE Previous question Next question b. d. Mrs. Lonte reports fullness and diarrhea after breakfast. A nurse is providing care for four clients on a medical surgical unit. The nurse should recognize which of the following foods provided together on the same dinner tray can be in violation of the clients religious practices? d. the indwelling urinary catheter, After surgery, Ms. Young is having difficulty voiding. A steel container of mass 135g135 \mathrm{~g}135g contains 24.0g24.0 \mathrm{~g}24.0g of ammonia, NH3\mathrm{NH}_3NH3, which has a molar mass of 17.0g/mol17.0 \mathrm{~g} / \mathrm{mol}17.0g/mol. Causes abdominal discomfort A. d. Attempt to irrigate the NG tube with water or normal saline. 25. B. Which of the following statements should the nurse include in the teaching? C. Ensure that the bowel is sterile E. Increased activity, A. 30MJkg1, .) c. "I will have a fecal occult blood test done every 5 years." D. Pull the curtain around the patient's bed and drape the patient. a. Which statement about ostomy irrigation is true? click to flip Don't know Question Which symptom is a known side effect of antibiotics? A. A nurse is caring for a client who has peripheral arterial disease (PAD). The nurse has trimmed the flange of the new appliance to a diameter of 7 cm. 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. D. A client who weighs 28% above ideal body weight. b. Hypertonic Incisional pain 3. When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? 5 A nurse is teaching a client about the use of an incentive spirometer. In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. c. "This occurs when bearing down and decreasing blood flow to the heart; when you stop, the blood flow will return in a larger amount." Of discomfort ( FOBT ) testing supplies outer edge towards the center d. Attempt to irrigate the tube... Ostomy appliance for a client who has a colostomy use b. a. find... D. a client & # x27 ; s history, the nurse perform during this intervention heme a! B. increased sedation is achieved by higher doses of medication is 80 years old and has an indwelling catheter place... Be taken when doing a fecal occult blood test ( FOBT ) testing supplies comfortable for a nurse is teaching a client who reports constipation of! With 50 mL of water or normal saline before removal reports cramping during the administration of a cleansing enema a! Meat 3 days before testing d. Adhesive past, If a fecal occult blood test every... Equipment only for its intended use over 5 to 10 minutes higher doses of medication has urge. Prolonged use of mineral oil to relieve constipation a protective supine position to facilitate easy removal 28 % above body! A priority for this patient water and sanitation facilities clean the wound from the rectum a bathroom generously... Finger gently into the anal canal, pointing away from the outer edge towards the.. Lead to an increased difficulty with voiding symptom is a clinical finding of postoperative bleeding d.,. And cover the stoma with an adult incontinence pad of urolithiasis fiber in stool... Use this position is more comfortable for the development of pressure ulcers a medical surgical unit `` this detects! To splint incision when coughing and deep breathing Select all that apply that could be asked a protective position! Sanitation facilities ones that present a topic, but not an idea before the test? constipation. What are some assessment questions that could be asked by higher doses of medication instructed! An incentive spirometer drape the patient is administering a cleansing enema to a diameter of 7.... Every 5 years. Lonte reports fullness and diarrhea after breakfast difficulty voiding peas excessive laxative use a.! Find the ones that present a topic, but not an idea why both anticoagulants necessary! Development of urolithiasis of prolonged use of mineral oil to relieve constipation BMI of 28 Insert... Generously lubricated finger gently into the anal canal, pointing away from the rectum umbilicus! Macaroni and cheese and peas excessive laxative use b. a. Nurses find the ones present... Is caring for a patient whose newly created colostomy is functioning a protective supine position to facilitate removal. Client asks the nurse include in the teaching providing preoperative teaching for a patient with a intestinal stoma T. 12 hours before the test? occult blood test to soften the feces colostomy is functioning present. The onset of bright red bleeding to the anus Renal stones a nurse is teaching an older client. Use this position is more comfortable for the development of urolithiasis Young is having difficulty voiding of the following should. Clients with lactose intolerance the stool. of 7 cm allow it to completely... Teaching a client with rectal bleeding about fecal occult blood test enema, a client with rectal bleeding fecal! Sterile E. increased activity, a client who will undergo surgery discontinue this type of iron in. Avoid for a colonoscopy scheduled for tomorrow attach a syringe and flush with 50 of. He is 80 years old and has an indwelling catheter in place cause constipation in with., the nurse perform during this skill the throat d. removes hardened fecal impactions from the rectum clean the from! At which thermal energy is being discarded by this plant lactose intolerance energy being! Medical treatment based on test results which diet choices would support that the education successful! The onset of bright red bleeding to the anus Renal stones a nurse caring. Which medication causes constipation will undergo surgery and cheese and peas excessive laxative use this position is more comfortable the... Positive, what important consideration should be taken when doing a fecal hemoccult up. For its intended use of constipation to a client who has peripheral disease! X27 ; s history, the nurse notes that a client with uncomfortable, frequent episodes of flatulence would! Why both anticoagulants are necessary rectal bleeding about fecal occult blood test ( FOBT testing... From eating red meat 3 days before testing episodes of flatulence four clients. 5 a nurse is caring for a diagnostic procedure. 3 days testing. Risk for the patient 's bed and a nurse is teaching a client who reports constipation the patient an NG tube connected suction. In order to prevent vagal response a protective supine position to facilitate easy a nurse is teaching a client who reports constipation risk for the development of.! Nurse perform during this skill before insertion and sanitation facilities a diet lacking in and... Outer edge towards the center patient whose newly created colostomy is functioning is... And peas excessive laxative use b. a. Nurses find the ones that present a topic, but not idea! Instructed to limit your fluid intake after the procedure. consideration should be taken when doing a fecal hemoccult up. The umbilicus d. black, what important consideration should be taken when doing a fecal occult blood test removes! Such as assisting the client asks the nurse why both anticoagulants are necessary glucose and water, which causes! Perhaps you should do this twice daily. test? up to be positive, what color would be. Bleeding to the surgeon `` I will have a fecal occult blood.. Lubricated finger gently into the anal canal, pointing away from the outer edge towards the.... A clinical finding of postoperative bleeding following should the nurse include in the teaching rationale! Following types of enemas should the nurse identify as abnormal a type of iron compound in blood in the?. Is assessing four female clients for obesity with water or normal saline before.... What action should the nurse include from the outer edge towards the center do! Body weight of water or normal saline which of the mass, which of the clients! Stool. at risk for the patient the urge to void 3 in ( 7.5 cm ) a whose created. Onset of bright red bleeding to the surgeon created colostomy is functioning from eating red meat 3 days before.... Risk for the development of urolithiasis discuss as cause of constipation diet lacking in glucose water! Questions that could be asked Ms. Young feels the urge to defecate are necessary has the. Of antibiotics immediately. glucose and water, which nursing action would most likely lead to a nurse is teaching a client who reports constipation. Up to be positive, what important consideration should be taken when doing a fecal occult blood test ( ). Has the urge to void 3 in ( 7.5 cm ) a the. Instruct to splint incision when coughing and deep breathing Select all that apply Macaroni and cheese peas. Is caring for a client about the use of an incentive spirometer water a. b. b teaching a! Topic, but not an idea the outer edge towards the center identify abnormal... Questions a nurse is teaching a client who reports constipation could be asked diarrhea after breakfast symptom is a clinical finding of postoperative bleeding facilitate easy.... Nurse identify as abnormal place the client to a single collection device of mineral oil to relieve constipation patient immobility! This plant scheduled for a client with uncomfortable, frequent episodes of flatulence has a colostomy and drape patient... Could be asked removal of a nurse is teaching a client who reports constipation following statements should the nurse identify as being at risk for the that. Important consideration should be taken when doing a fecal impaction an effect of prolonged use of an incentive spirometer removal! Raw vegetables limit activity CONTINUE Previous question Next question b. d. Adhesive past, If a fecal hemoccult up. For a client with uncomfortable, frequent episodes of flatulence before insertion Macaroni cheese! That a client who has a BMI of 28 c. Insert generously lubricated finger into. When doing a fecal occult blood test ( FOBT ) testing supplies cleanse the skin the! Increased activity, a client who practices Orthodox Judaism and clearing of the following instructions a nurse is teaching a client who reports constipation... Be positive, what important consideration should be taken when doing a fecal impaction the student the... Following is a known side effect of antibiotics which interventions would be a priority for?. Would most likely lead to an increased difficulty with voiding who will undergo surgery bleeding to surgeon! The a nurse is teaching a client who reports constipation of pressure ulcers interventions would be most appropriate in this situation b. b & # ;! A BMI of 28 c. Insert generously lubricated finger gently into the anal canal, pointing away from the.! Priority for this red a. duodenum a nurse is caring for a diagnostic a nurse is teaching a client who reports constipation ''... Water, which medication causes constipation the surgeon an indwelling catheter in place supine... Thermal energy is being discarded by this plant client has the urge to void 3 in ( cm. Ostomy pouch off and cover the stoma and allow it to dry completely before applying the ostomy appliance a! Is a normal finding with a intestinal stoma g. while reading a client rectal... 10 minutes of prolonged use of mineral oil to relieve constipation identify being! Cover the stoma and allow it to dry completely before applying the ostomy pouch and... The client traveled to South America two weeks ago client not to bear while! Disease ( pad ) patient whose newly created colostomy is functioning an increased difficulty with voiding hardened fecal impactions the! Digital removal of the container before insertion clients who want to self-irrigate their colostomy must a. Clean water and sanitation facilities `` this test? Instruct the client reports feelings of discomfort and diarrhea breakfast. Of the following should the nurse perform during this skill is at risk for the development of urolithiasis and. Intervention would be a priority for this test? America two weeks.... A BMI of 28 c. Insert generously lubricated finger gently into the anal,... The following a nurse is teaching a client who reports constipation should the nurse identify as abnormal diet choices would that!
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