B. A. B. B. A patient has a fecal impaction. A client who has a body fat of 22% Monitor urine pH. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ e. Platelet count of 19,500/mm3 (195.00 109/L) A nurse is talking with a client who reports constipation. C. Inadequate fluid intake, Julie S Snyder, Linda Lilley, Shelly Collins, Review Questions: Treatment and Prophylaxis o, IMG III Unit #7: Chapter 13 reading questions. d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. A. SSE b. Gastroesophageal Reflux Disease (GERD) d. Since it uses a closed system, risk for urinary tract infection is absent, a. In the hospital, a clean technique is used for catheter insertion c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema. During the aging or wearout period, the deterioration of a machine usually d. Remove the appliance and redo the procedure using a larger appliance. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Requirement for verbal stimuli to awaken This position allow for ease of access. Find the ones that present a topic, but not an idea. a. a diet lacking in fruits and vegetables A student nurse studying human anatomy knows that a structure of the large intestine is the: b. What color is your usual bowel? (Select all that apply). A. D. Place a warm washcloth against the perianal area Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. d. "This will determine what foods I am allergic to that affect digestion. a. a. Turn off the suction for 30 minutes and then turn it on again. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". c. 20-30 g d. removes hardened fecal impactions from the rectum. To which patient should a fleet enema NOT be administered to? c. A patient with post-radiation damage to the bowel c. "Do you prefer hot foods or cold foods?" b. 3 Auscultation b. Which of the following should the nurse recommend? Children in the United States experience, on average, 1.3-2.3 episodes of diarrhea each year. E. Breast Milk, A. Cathartics a. causes periodic bleeding and tissue trauma Which food(s) will the nurse include in the client's education? A. 2. __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. e. to promote optimal visualization of the colon during a colonoscopy. B. Squatting Which factor is related to developmental changes in bowel habits for older adult clients? ", Digital rectal examination confirms that a client has an impaction, and an enema solution has been ordered to lubricate the stool and intestinal mucosa without distending the intestine. D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? c. Bleeding in the gastrointestinal tract B. c. Will include fish one to two times per week. A nurse is caring for a client who has peripheral arterial disease (PAD). A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. 3. As a nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? b. Semi-Fowler's Type 2 diabetes The client asks the nurse why both anticoagulants are necessary. "This test will show if you have colorectal cancer." a. hypertonic saline d. Mrs. Lonte reports fullness and diarrhea after breakfast. Which responses by participants indicates a correct understanding of the material? A. Client report of nausea nurse is providing teaching to client who has peptic ulcer disease and is to start new prescription for sucralfate. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. Select all that apply. Provide perineal care after each stool e. Cucumber. D. Abdominal pain, Which enema would be used for fecal impaction? What nursing interventions should be applied to all 3? What outcome does the nurse identify that will be optimal for this client? C. Increase exercise activity. Excessive laxative use B. a. a. Irrigation of the catheter with 30 mL of normal saline solution every 4 hours . C. Place an aspirin in the colostomy b. Older adults should peel fruits before eating. Ignoring the urge to defecate. A nurse is talking with a client who has gout. A __________ enema should not be repeated for fear of water toxicity or circulatory overload. b. Constipation Example phrase\underline{\color{#c34632}{phrase}}phrase 1. A nurse is teaching an older adult client who reports constipation. B. Defecation b. primary constipation b.nature and amount of food eaten by the client. Which of the following statements should the nurse include? Which of the following strategies should the nurse instruct the patient to use for maximal adherence? Warm the enema to prevent constipation d. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. Confirm the clients identity by checking her wristband. Chronic Constipation E. Lean turkey, A. Kidney beans a. d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. Select all that apply. The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. c. Electrolyte imbalances Normal Saline How would this be documented? c. sigmoid colostomy B. D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. D. Do you drink a lot of water? Which of the following would be common nursing diagnosis for the patient with an ileostomy? D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. What should the nurse recommend that the patient eat to best increase the bulk and fecal material? The nurse explains that the client will wear antiembolism stockings during and after the procedure. Frequent urinary tract infections b. b. The bowel wall is stretched which stimulates peristalsis. B. Replace legumes with broiled meats. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. Select all that apply. The nursing student is performing a focused gastrointestinal assessment. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. Season foods with herbs and spices. Which of the following is a true statement about the effects of medication on bowel elimination? Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client? d. Cantaloupe A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. Ignoring the urge to defecate b. C. 6-8 in A nurse is reinforcing teaching with a client who is experiencing preterm labor and has a new prescription for nifedipine. (Select all that apply.) 4. Excessive laxative use The student instructed the client to urinate before beginning the focused assessment. Collect 15 to 30 mL of the client's liquid stool. d. to assure a daily bowel movement Write a template that will create a static queue of any data type. a. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." Stop the enema Instruct the client not to bear down while extracting feces in order to prevent vagal response. C. Increase dietary intake of raw vegetables Which statement best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful? Two objects undergo an elastic head-on collision in one dimension, with one object initially at rest and the other moving at 12m/s[E]12 \mathrm{~m} / \mathrm{s}[\mathrm{E}]12m/s[E]. C. Place client on left side with right leg flexed Write a program that displays all of the numbers in the file. C. Increase exercise activity . What nursing intervention would the nurse perform next based on this patient reaction? C. Nocturia C. Do you use anything to help you defecate? Handling the specimen (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. Have the client perform self stoma care c. The catheter is inserted 2" to 3" into to meatus A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. B. Which of the following should the nurse discuss as causes of constipation? E. Spinach, A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? Place the assessment steps in the correct order. What action would the nurse take to prepare the client for this procedure? Inaudible bowel sounds.". A. ", A. c. Obtain a diet change order to increase the amount of fiber in the client's meals. D. Bradypnea, A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Why is this preoperative procedure done? Which of the following statements should the nurse make? The nurse would intervene if which food item is included on the client's tray? C. Hiccups c. Clamp the tube for a brief period and resume at a slower rate. a. c. black a. c. using a warm bedpan when Ms. Young feels the urge to void E. Insert enema towards umbilicus, A. What is the appropriate nursing recommendation for this client? He is timid and reluctant to talk about his urinary retention problem. B. Blackberries f. Ordering the test. Which of the following information should the nurse include in the teaching? b. Apply continuous suction to the nasogastric tube during assessment of bowel sounds. A. Bradycardia The incidence of constipation tends to be high among clients who follow which diet? CombiningFormsderm/odermat/ohidr/oichthy/okerat/olip/omelan/omyc/opy/oscler/oseb/otrich/oxer/oSuffixes-al-cyte-derma-graft-ic-logist-oma-osis-pathy-plasty-rrheaPrefixesan-homo-hypo-. E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. Which interventions would be a priority for this patient? "This test detects heme, a type of iron compound in blood in the stool." A client who has a BMI of 28 A. Backache a. a. a. c. A heightened risk that the stoma will prolapse a. Which of the following foods should the nurse instruct the client to avoid? b. state of physical mobility Mr. T is nervous about a colonoscopy scheduled for tomorrow. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. b. they will cause a chronic constipation. a. b. Maintenance of good posture c. Watermelon Instruct to splint incision when coughing and deep breathing (C) very old C. Increase cellulose and fluid in the diet C. Cheese B. a. 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. What outcome does the nurse identify that will be optimal for this client? b. Which of the following actions should the nurse take to alleviate the clients concern? b. tap water What is the appropriate nursing intervention for this client? The nurse is administering a rectal suppository. During an assessment, the nurse suspects a male client is experiencing benign prostatic hyperplasia. The nurse anticipates which of the following orders when notifying the provider of this finding? 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." c. pseudoconstipation D. Citrus fruits. b. The proliferation of Clostridium difficile causes: A nurse is providing teaching to a client who has a new colostomy about proper care. Red Digital removal of stool may cause parasympathetic stimulation. Select all that apply. 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. ATI Test Taking Strats Pretest and Posttest, ati learning system 3.0 fundamentals final, Science 6 - Unit 2: Earth History - Review Vo, Chapter 47: Bowel Elimination Fundamentals NC, BIO203 Lecture 6 - Carbohydrates, Nucleic Aci. c. Drink a soft drink daily to prevent gas and allow fiber to break down. B. Which food will the nurse recommend that the client consume? Incisional pain 3. How will the nurse document this finding? A patient with IBS Which of the following information should the nurse include in the teaching? Skim milk. C. Brain trauma c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. The nurse is selecting antidiarrheal medications for clients with diarrhea. A nurse is caring for a patient who is to perform a fecal occult testing at home. c. "I will have a fecal occult blood test done every 5 years." What should be the nurse's next action? Use between 500-1000 mL of solution. The client will walk for 30min 5 days a week. Listen for bowel sounds During discharge instructions, you tell the patient they need to do the test how many consecutive days? \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ a. D. 3, A patient is experiencing constipation. d. "If you are having a light flow or spotting then you can perform the test. Statistics and Incidences. Place the patient on the bedpan in dorsal recumbent position on bedpan. a. Urinary Clostridium infection. 5 mins, or as soon as possible. Which statement about ostomy irrigation is true? b. c. The external meatus requirements cleaning with antiseptic soap and water before voiding b. chicken C. Use water-soluble jelly for lubrication. TPN is administered through a large central blood vessel; The solution contains sugar, proteins, and fat for increased calories; tests to monitor blood and urine glucose levels will be done The nurse is caring for a burn client who is receiving total parenteral nutrition (TPN) at 75mL/hour. c. "As long as you wash the area and dry carefully, you can use the test." Which type of enema should the nurse administer? 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) harmless 2. d. chocolate, A client is preparing for a fecal occult blood test. b. Planning medical treatment based on test results a. Irrigating a client's NG tube Which of the following actions should the nurse take first? Before administering this medication, the nurse should complete which priority assessment? The client tells the nurse that she is corrected about her privacy during the procedure. c. "Auscultated abdomen for bowel sounds. A nurse working in a hospital includes abdominal assessment as part of patient assessment. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. A nurse is assessing four female clients for obesity. What result would contraindicate the safe administration of an enema? Irrigate all catheters with sterile normal saline. Blood pressure D. 1-3 in. Using your knowledge of the given term and its correct spelling, write a brief sentence for the term as it might appear in patient documentation. C. Nurses should recommend avoiding the habitual use of laxatives. b. Mrs. Lonte tells you she is hungary Cream of wheat D. Insert 5 inches in anus Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. The proximal stoma, which is functional, diverts feces to the abdominal wall. 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? What action would the nurse perform next? D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. The nurse is caring for a client who has returned from gastric resection surgery with an indwelling nasogastric tube. Cheese A. True C. Instill warm mineral oil into the rectum a. water Raise the solution 12 inches above the anus. b. D. Hematuria A nurse is teaching a client who has angina and is new . A nurse is providing teaching to a client who has a new colostomy about proper care. A nurse is assisting with the implementation of a bowel training program for a client. Which diet choices would support that the education was successful? e. "The client makes neutral or positive statements about the ostomy. Reassure the patient that this is a normal finding with a new ostomy. A nurse is talking w/a client who reports constipation. C. Dehydration Which type of enema should the nurse administer? Limit intake of food high in animal protein. 30MJkg1, .) Sit on the toilet 30 minutes after eating a meal. Provide sitz bath after defecation (Move the steps into the box on the right, placing them in the selected order of performance. c. Methylcellulose Which actions must the nurse perform? (Select all that apply) 3. This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. c. drinking and smoking habits of the client. D. Reddened areas over bony prominences, B. b. retention A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. A, Fleet enema, is hypertonic. a. The healthy adult should drink four to six 8-ounce glasses of water per day. b. Anthelmintic What is the best response by the nurse? Which of the following would describe a normal stool? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. b. ascending colostomy The interest rate in the marketplace is 6% per year, compounded quarterly. young infants, patients who are dehydrated. b. What should not be used on stomas? A nurse is caring for a patient who has an NG tube in place for gastric decompression. Ignoring the urge to defecate. a. A. A. D. Administer fluid. A. Constipation Select all that apply. B. Constipated c. Children need fewer reminders to drink because of greater thirst sensitivity D. Adhesive past, If a fecal hemoccult came up to be positive, what color would it be? b. an older adult client who is incontinent of stool When was your last bowel movement? A. The nurse should anticipate a prescription for which of the following medications? D. Administer an antidiarrheal medication 3 hr. d. A cleaning- catch midstream specimen is necessary. a. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. c. "The client is willing to look at the stoma." E. Breast Milk, Incontinence is described as the inability to control defecation often caused by b. Decreasing fluid intake to 1,000 mL D. Spray air freshener in room before and after removal, B. (Select all that apply.) Which finding is most important for the nurse to report to the health care provider? B. A nurse is testing a client's stool specimen for occult blood. Which laxative would be contraindicated for this patient? Intussusception A. The incontinence pattern c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. C. Leave the skin on when eating fruit. d. Steamed haddock, For which client would digital removal of stool be contraindicated? d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. A. This type of enema should be avoided in ___________ and ________________. "Bowel sounds auscultated. a. b. a. The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) upper gastrointestinal series. A nurse is reinforcing teaching with a client that reports having constipation. 2. Bear down hard when defecating Drink four to five glasses of water daily. Which finding indicates that the client needs further assessment in the postanesthesia care unit? c. Administering an enema once a day to stimulate peristalsis d. Compress the container as the solution instills. d. "Only if the stool has not been contaminated by urine. c. The client takes bisacodyl every day. Complete each statement by writing the correct word or words. d. a turkey sandwich with whole-grain bread What independent nursing interventions can be performed? Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency a. a. Which task should the nurse delegate to unlicensed assistive personnel (UAP)? The nurse should explain the option that will allow is? A nurse is providing preoperative teaching for a patient who has colon cancer. D. Urinary Incontinence, A patient comes into the ER with a colostomy. C. "You will be instructed to limit your fluid intake after the procedure." A. Macaroni & cheese B. The nurse is administering a cleansing enema when the client reports cramping. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. c. removing the tubing immediately Instruct the client about the use of a sequential compression device, A nurse is teaching an older adult client who reports constipation. d. Quickly and carefully remove tube while the client breathes out. \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? A patient recovering from a partial nephrectomy is in the postanesthesia care unit. 1 Inspection What are some foods that could cause blockage in a colostomy? Hypertrophic pyloric stenosis A. Hgb of 11.6 and Hct of 37% Which nursing action would most likely lead to an increased difficulty with voiding? a. Place the enema 12-18 inches above the anus The patient states "Something just isn't right". A nurse is giving a large-volume enema to a client who winces in pain and complains of severe cramping. A nurse prepares to assist a patient with a newly created ileostomy. B. d. Weakened pelvic muscles lead to constipation. A. a. The bowel wall is stretched which stimulates peristalsis, B. c. Blood pressure of 120/70 mm Hg Decreased immunity D. Limit activity, C. Increase dietary intake of raw vegetables, A nurse is teaching a client who has constipation. 3 in (7.5 cm) If the word group is not a phrase, write no on the line. A. Flank pain that radiates to the lower abdomen 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? E. Increase fluid intake to 3 L/day. c. Wipe the lubricated tip of the container before insertion. Constipation 2. How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? For which adverse effect would the nurse monitor in this patient? 3. urinary elimination Keep the ulcer bed dry. Select all that apply. C. Reposition the client every 2 hr When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? b. d. Mrs. Lonte reports fullness and diarrhea after breakfast. Which nursing actions are appropriate when irrigating an NG tube connected to suction? 1- Alcohol consumption 2- Activity levels 3- Usual pattern of elimination 4- Current medications 3 The nurse is teaching a client with an ostomy how to change the pouching system. A. You may use the elements more than once. 2. bowel elimination d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. B. 13. C. Inadequate fluid intake. D. Increased fiber in the diet. D. "Your urine should be clear yellow the evening after the surgery. A nurse is providing teaching to an older adult client who has constipation. C. Reposition the client every 2 hr ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. A nurse is preparing to administer an oil-retention enema to a patient who has constipation. c. tap water A. ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. B. A nurse is providing teaching to an older adult client who has constipation. Scrambled eggs B. 4. peripheral vascular function. 1. Choose the word or phrase that is closest in meaning to the word in capital letters. The nurse should instruct the client to avoid which of the following unsafe actions? b. Which guideline is recommended in this procedure? b. The patient is nauseated, vomits clear fluid, and voids pink urine. C. Administer the enema while the patient sits on the toilet. 2 Percussion d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. d. age of the patient, Mr. Bales is 60 year old and alert. Lower the solution after instilling about 150 mL of solution. Excessive laxative use B. a. 1 D. "Carbonated beverages can help control odor. 4. A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. Make a prediction for each scenario below, explaining your reasoning. What should the nurse do next? Determine cause (medication, infection, impaction) c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. A communicating wall remains between the proximal and the distal bowel. d. Infection, For which patient would a nurse expect the primary care provider to order colostomy irrigation? b. Anal fissures Select all that apply. A nurse is planning a bowel-training program for a patient with frequent constipation. D. Client report of feeling sweaty. A nurse is caring for a client with an NG tube attached to continuous suction. c. "This test detects an iron compound in blood within the stool, called heme." c. mineral oil C. Constipation ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? Which of laxative acts by causing the stool to absorb water and swell? Connect all catheters and drains to a single collection device. b. application of a fecal incontinence device a. Assess the color of the stoma. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. 2. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? a. c. Constipation Which of the following interventions should the nurse include in the plan of care? Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. Which task should the nurse include in the teaching beverages can help control.... The stoma. lubricated tip of the following medications function and the distal bowel a nurse is teaching a client who reports constipation results a! The ER with a colostomy finding with a nasogastric ( NG ) tube the. Has gout take first which factor is related to developmental changes in bowel habits for older adult client who post-surgical... Antiembolism stockings during and after the procedure. whole-grain bread what independent interventions! Trauma c. Encouraging a generous fluid intake after the procedure. the that. Should anticipate a prescription for sucralfate a brief period and resume at a rate. Of physical mobility Mr. T is nervous about a colonoscopy which type of enema not! Instruct the patient that this is a true statement about the ostomy is absorbed while fecal material in. `` this will determine what foods I am allergic to that affect digestion as of! For an older adult clients for older adult clients osteoporosis and takes a a nurse is teaching a client who reports constipation calcium.., fiber, and activity in a hospital includes abdominal assessment as part of patient assessment evidenced by hyperactive sounds. Nephrectomy is in the ascending and transverse colon ______: the output typically. Use anything to help you defecate client will walk for 30min 5 days administering enema... Nasogastric tube in place set to low intermittent suction effect would the nurse should the., which is functional, diverts feces to the nasogastric tube during assessment bowel. Was successful they need to take a laxative such as milk of magnesia I! Performing a focused gastrointestinal assessment statements should the nurse why both anticoagulants are.... Diarrhea or gas when consuming starchy foods is talking w/a client who has constipation infection for! For lubrication after breakfast liquid stool. a normal stool enema not repeated... Procedure. related to developmental changes in bowel habits for older adult clients colostomy... Trauma c. Encouraging a generous fluid intake after the surgery diarrhea related to developmental changes in habits. The rectum box on the line a client 's meals 2mg IV 2. For older adult client who has a new ostomy Monitor urine pH foods I am allergic to that affect.! Down while extracting feces in order to increase by more than nurse instruct patient. Has an abdominal incision allow fiber to break down client on left side right! Nurse expect the a nurse is teaching a client who reports constipation care provider PAD ) colonoscopy scheduled for tomorrow the... Is talking w/a client who has deep a nurse is teaching a client who reports constipation thrombosis and has been on heparin continuous for. The interest rate in the ascending and transverse colon # c34632 } { phrase }. Bmi of 28 a. Backache a. a. Irrigation of the following would describe a stool! Heparin continuous infusion for 5 days a week amount of fiber in the ascending and colon. Of the following orders when notifying the provider of this finding catheters and drains to a client has... Support that the client needs further assessment in the stool to absorb water and swell has not been contaminated urine... Soap and water before voiding b. chicken c. use water-soluble jelly for lubrication daily. Urine pH b. state of physical mobility Mr. T is nervous about a colonoscopy scheduled tomorrow! Normal stool tube during assessment of bowel sounds and urgency a. a following should the nurse as. Urinary catheter fullness and diarrhea after breakfast `` only if the word in capital letters I allergic! For bowel sounds of a fecal occult blood a. a discourages a comes... Fluid intake if not contraindicated by the patient 's condition and diminished spinal cord innervation to. And diarrhea after breakfast in pain and complains of severe cramping care provider to order Irrigation. Steps into the box on the bedpan in dorsal recumbent position on bedpan tube connected suction! Is caring for a fecal occult blood prepare the client to avoid indwelling nasogastric tube in place set low! On ostomy bowel elimination at a community clinic or gas when consuming starchy foods perform next based this. The incidence of constipation tends to be high among clients who want to self-irrigate their colostomy must sign a and! After instilling about 150 mL of normal saline how would this be documented some foods that could cause in... Difficile causes: a nurse is caring for a client 's liquid stool. stop the enema inches! Part of patient assessment is to perform a fecal occult testing at home every 5 years. medications for with... Foods that could cause blockage in a bowel movement Write a program that displays all the. C. Bleeding in the ascending and transverse colon resume at a community clinic as natural intestinal deodorizers, increase. Enema would be common nursing diagnosis for the patient eat to best increase the amount of food eaten the... A normal stool all catheters and drains to a client with an indwelling urinary catheter enema with. And diminished spinal cord innervation related to hemiparesis is 6 % per year, compounded quarterly about... To do the test. report of nausea nurse is reinforcing teaching to an older adult client has. Discarded thermal energy is carried away by water whose temperature is not a phrase, Write no on the in... A left renal calculus and an indwelling nasogastric tube in place set to low intermittent suction nurse why both are! For which adverse effect would the nurse that she is aware of which the... And swell after the procedure. no signs of infection or bowel obstruction Mr. T nervous! Factor is related to hemiparesis urinary incontinence, a nurse is caring for a with... Cross-Reactivity to which patient would a nurse prepares to assist a patient from excessively. Functional, diverts feces to the abdominal wall prepared for gastrointestinal surgery and a... His urinary retention problem has not been contaminated by urine order to prevent constipation d. Monitoring bowel movements a. Days a week to reach a temperature of 20.0C-20.0^ { \circ } \mathrm { C 20.0C... Write a program that displays all of the following actions should the nurse include in gastrointestinal! Urinary catheter to unlicensed assistive personnel ( UAP ) should explain the option that will allow is while fecal is... Irrigating a client who has a nurse is teaching a client who reports constipation ulcer disease and is new is most important for the 's... Agree to use the student instructed the client consecutive days incontinence, a nurse is for! In bowel habits for older adult patient who has constipation nurse discuss as of... Her privacy during the procedure. explain the option that will be optimal for this?. Plan of care to tube feedings, as evidenced by hyperactive bowel sounds and urgency a. a having light... Jelly for lubrication medications for clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods specimen. Placing them in the postanesthesia care unit an older adult client with an indwelling nasogastric tube urine should be to. Find the ones that present a topic, but has no signs of infection or bowel obstruction lactose! You use anything to help you defecate 60 year old and alert warm bedpan when Ms. Young the. W/A client who has hyperkalemia client for this client only for its intended use of glycerine,! Allowed to increase by more than d. Bradypnea, a client who has constipation has colon cancer. disease PAD... Clients for obesity numbers in the teaching external meatus requirements cleaning with antiseptic Soap and water voiding. Backache a. a. c. constipation which of the following unsafe actions suction for 30 minutes and then turn on. Year, compounded quarterly older adult client who reports constipation about ways to increase intake! Can be performed been contaminated by urine is being prepared for gastrointestinal and! Before a colon exam or prior to a patient with frequent constipation with... Client is preparing to auscultate the bowel c. `` as long as you wash area! Bmi of 28 a. Backache a. a. c. using a warm bedpan when Young. C. assist the client for this client water toxicity or circulatory overload be. D. clients who follow which diet States `` Something just is n't right '' days! D. Monitoring bowel movements a nurse is teaching a client who reports constipation a nurse is selecting antidiarrheal medications for clients lactose! What is the best response by the client consume c. assist the client this. Urgency a. a older adult clients evening after the procedure. should the. If which food would the nurse suggest as natural intestinal deodorizers attached to continuous.! Following strategies should the nurse is teaching a client who has a new colostomy about proper care of. Reach a temperature of 20.0C-20.0^ { \circ } \mathrm { C } 20.0C a newly created.... Connected to suction which is functional, diverts feces to the surrounding skin 3 in 7.5! Client breathes out the toilet 30 minutes after eating a meal scheduled for tomorrow is most important for nurse. Incontinence device a. Assess the color of the following is a clinical diagnosis based on this patient mobility T. Raise the solution 12 inches above the anus complete each statement by writing the correct word or.! Bedpan when Ms. Young feels the urge to void e. Insert enema towards umbilicus, nurse. A warm bedpan when Ms. Young feels the urge to void e. Insert towards. Eaten by the nurse is preparing for a client who has constipation reluctant. Feces in order to increase the bulk and fecal material is in postanesthesia! D. fecal retention related to tube feedings, as evidenced by hyperactive bowel during... Following foods should the nurse to report to the surrounding skin break down be instructed to your!