Question 1

The patient asks the nurse how an ileostomy differs from a colostomy. The most informative response by the nurse would be that:

Accepted Answer

A)   an ileostomy is performed to remove stool from the colon, whereas a colostomy is the removal of lower portions of bowel, diverting intestinal contents.
B)   an ileostomy has effluent that is more formed, whereas a colostomy has effluent that is liquid.
C)   a colostomy is an opening into the colon, whereas an ileostomy is an opening at the ileum.
D)   an ileostomy requires irrigating, whereas a colostomy requires catheterizing.

Question 2

The nurse caring for a patient with lactose intolerance would anticipate the need to offer interventions for:

Accepted Answer

A)   diarrhea.
B)   steatorrhea.
C)   constipation.
D)   hemorrhoid discomfort.

Question 3

The patient with the new colostomy is concerned about how to control diarrhea of the effluent. The nurse suggests that diarrhea can be controlled by the intake of:

Accepted Answer

A)   cheese.
B)   apple juice.
C)   raw vegetables.
D)   beams.

Question 4

The nurse has assessed that a patient's stool has changed from brown to dark black and sticky. The nurse suspects:

Accepted Answer

A)   blockage of the bile duct.
B)   blockage of the pancreatic duct.
C)   recent excessive intake of milk products.
D)   presence of occult blood.

Question 5

The nurse assesses a pale, light gray stool and recognizes that the cause of this abnormal color is due to an obstruction in the _________ duct.

Accepted Answer

bile
An obstruction in the bil...

Question 6

A patient who has started antibiotic therapy is having diarrhea as a side effect of the medication. The nurse should encourage the patient to eat:

Accepted Answer

A)   yogurt.
B)   raisins.
C)   gelatin fruit flavored dessert (eg, Jell O) .
D)   poultry.

Question 7

A nurse is digitally removing a fecal impaction from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

Accepted Answer

A)   blood pressure increases from 110/84 to 118/88 mm Hg.
B)   pulse rate decreases from 78 to 52 beats/min.
C)   respiratory rate increases from 16 to 24 breaths/min.
D)   temperature increases from 98.8° F to 99.0° F.

Question 8

A patient scheduled for bowel surgery has an order to receive enemas until clear. The nurse is aware that no more than three enemas should be given because:

Accepted Answer

A)   repeated enemas may cause more flatus.
B)   the patient may develop an irritated rectum.
C)   repeated enemas may cause electrolyte imbalance.
D)   the patient may develop severe diarrhea.

Question 9

A nurse is assisting a patient with a new continent ileostomy to catheterize the internal reservoir to drain the ileostomy. When the catheter meets resistance from the internal valve, the nurse should:

Accepted Answer

A)   have the patient take a deep breath and apply gentle pressure over the area.
B)   withdraw the catheter and start again with a new one.
C)   ask the patient to bear down and hold her breath.
D)   coat the opening with petroleum jelly or a water soluble lubricant.

Question 10

The nurse should plan interventions to combat constipation in a patient:

Accepted Answer

A)   being treated for diabetes mellitus.
B)   who has a routine order for Metamucil.
C)   who just completed barium studies of the bowel.
D)   with orders to ambulate with assistance.

Question 11

A nurse is reinforcing education with a patient who will begin a bowel training program. An intervention this program does not include is:

Accepted Answer

A)   regularly scheduled time for toileting.
B)   fluid intake of at least 1500 mL daily.
C)   use of a suppository.
D)   use of an enema.

Question 12

The nurse reminds the patient that digestion of food is a complex process with much of the food breaking down in intestines. The small intestine functions to:

Accepted Answer

A)   reabsorb sodium and chlorides.
B)   propel waste material toward the anus.
C)   absorb food substances from the bloodstream.
D)   return water from the waste material to the bloodstream.

Question 13

There is an order to administer a cleansing enema to an adult patient before bowel surgery. The nurse will fill the enema bag with how many milliliters of fluid for this procedure?

Accepted Answer

A)   500 to 1000 mL
B)   300 to 500 mL
C)   200 to 300 mL
D)   50 to 150 mL

Exam 30: Promoting Bowel Elimination

The nurse reminds the patient that digestion of food is a complex process with much of the food breaking down in intestines. The small intestine functions to:

Correct Answer
verified

A nurse is assisting a patient with a new continent ileostomy to catheterize the internal reservoir to drain the ileostomy. When the catheter meets resistance from the internal valve, the nurse should:

Correct Answer
verified

A nurse is digitally removing a fecal impaction from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

Correct Answer
verified

The nurse assesses a pale, light gray stool and recognizes that the cause of this abnormal color is due to an obstruction in the _________ duct.

Correct Answer
verified
bile
An obstruction in the bil...
View Answer

The nurse has assessed that a patient's stool has changed from brown to dark black and sticky. The nurse suspects:

Correct Answer
verified

There is an order to administer a cleansing enema to an adult patient before bowel surgery. The nurse will fill the enema bag with how many milliliters of fluid for this procedure?

Correct Answer
verified

A nurse is reinforcing education with a patient who will begin a bowel training program. An intervention this program does not include is:

Correct Answer
verified

A patient who has started antibiotic therapy is having diarrhea as a side effect of the medication. The nurse should encourage the patient to eat:

Correct Answer
verified

The patient with the new colostomy is concerned about how to control diarrhea of the effluent. The nurse suggests that diarrhea can be controlled by the intake of:

Correct Answer
verified

A patient scheduled for bowel surgery has an order to receive enemas until clear. The nurse is aware that no more than three enemas should be given because:

Correct Answer
verified

The nurse caring for a patient with lactose intolerance would anticipate the need to offer interventions for:

Correct Answer
verified

The patient asks the nurse how an ileostomy differs from a colostomy. The most informative response by the nurse would be that:

Correct Answer
verified

The nurse should plan interventions to combat constipation in a patient:

Correct Answer
verified

Exam 30: Promoting Bowel Elimination

The nurse reminds the patient that digestion of food is a complex process with much of the food breaking down in intestines. The small intestine functions to:

Correct AnswerverifiedShow Answer

A nurse is assisting a patient with a new continent ileostomy to catheterize the internal reservoir to drain the ileostomy. When the catheter meets resistance from the internal valve, the nurse should:

Correct AnswerverifiedShow Answer

A nurse is digitally removing a fecal impaction from a patient. The nurse should stop the procedure immediately and take corrective action if the patient's:

Correct AnswerverifiedShow Answer

The nurse assesses a pale, light gray stool and recognizes that the cause of this abnormal color is due to an obstruction in the _________ duct.

Correct AnswerverifiedbileAn obstruction in the bil...View AnswerShow Answer

The nurse has assessed that a patient's stool has changed from brown to dark black and sticky. The nurse suspects:

Correct AnswerverifiedShow Answer

There is an order to administer a cleansing enema to an adult patient before bowel surgery. The nurse will fill the enema bag with how many milliliters of fluid for this procedure?

Correct AnswerverifiedShow Answer

A nurse is reinforcing education with a patient who will begin a bowel training program. An intervention this program does not include is:

Correct AnswerverifiedShow Answer

A patient who has started antibiotic therapy is having diarrhea as a side effect of the medication. The nurse should encourage the patient to eat:

Correct AnswerverifiedShow Answer

The patient with the new colostomy is concerned about how to control diarrhea of the effluent. The nurse suggests that diarrhea can be controlled by the intake of:

Correct AnswerverifiedShow Answer

A patient scheduled for bowel surgery has an order to receive enemas until clear. The nurse is aware that no more than three enemas should be given because:

Correct AnswerverifiedShow Answer

The nurse caring for a patient with lactose intolerance would anticipate the need to offer interventions for:

Correct AnswerverifiedShow Answer

The patient asks the nurse how an ileostomy differs from a colostomy. The most informative response by the nurse would be that:

Correct AnswerverifiedShow Answer

The nurse should plan interventions to combat constipation in a patient:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
bile
An obstruction in the bil...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified