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? 3. Place the client in a protective supine position to facilitate easy removal. Place the enema 12-18 inches above the anus b. Administer a PRN dose of laxative to the client to collect new sample. b. small-volume cleansing enema with hypotonic solution B. A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. A. Isotonic; Normal Saline a. a. iatrogenic constipation C. Increase cellulose and fluid in the diet (D) smooth. b. d. Attempt to irrigate the NG tube with water or normal saline. c. Will include fish one to two times per week. A. Black tea b. D. It controls diarrhea. Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? d. Mrs. Lonte reports fullness and diarrhea after breakfast. d. until the client reports feelings of discomfort. Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. A. Macaroni and cheese B. Excessive laxative use a. a diabetic client with renal complications A client with constipation has been instructed to increase the intake of foods high in fluid. Fresh fruit & whole wheat toast 49. b. Anal fissures b. Discontinue the administration of the enema Reduce sodium intake. Which type of enema should the nurse administer? Will includes a pat of butter with eggs for breakfast. A nurse is giving a large-volume enema to a client who winces in pain and complains of severe cramping. A. a. pouring warm water over Ms. Young's fingers 2. 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. Turn off the suction for 30 minutes and then turn it on again. A, Fleet enema, is hypertonic. Which physiological response would be most concerning to someone who had diarrhea? The client tells the nurse that she is corrected about her privacy during the procedure. Which food will the nurse recommend that the client consume? a. provides an outlet for diarrhea to be funneled into a collection unit B. Which of the following information should the nurse include in the teaching? B. Prone, with the head of the bed flat Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. Which interventions would be a priority for this patient? A nurse is teaching an older adult client who reports constipation. A nurse is caring for a client with primary constipation. E. Insert enema towards umbilicus, A. B. D. "Your urine should be clear yellow the evening after the surgery. a. Assess the color of the stoma. substiture salad dressing for Mayonnaise on sandwiches. B. Untape the tube periodically Maintain an indwelling urinary catheter. b. Intussusception C. It empties the bowel. D. Abdominal pain, Which enema would be used for fecal impaction? 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? c. removing the tubing immediately A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. It is used to relieve flatulence. a. B. Blackberries Which of the following should the nurse discuss as causes of constipation? Patient complains of black stool. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. Which assessment question will the nurse ask? A nurse is scheduling tests for a patient who has been experiencing epigastric pain. Pain at the surgical site a. 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. B. Squatting A. Abdominal pain 3. What is the difference between a one-piece and two-piece pouching system? When the client has the urge to defecate. Which of the following actions should the nurse anticipate? D. A client who weighs 28% above ideal body weight. A nurse is caring for a client who practices Orthodox Judaism. A nurse prepares to assist a patient with a newly created ileostomy. A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). c. digital removal of stool Tap water D. Citrus fruits. B. Defecation Which finding is most important for the nurse to report to the health care provider? Which nursing action would most likely lead to an increased difficulty with voiding? D. Insert 5 inches in anus c. Clamp the tube for a brief period and resume at a slower rate. Which examples correctly describe these effects? B. A nurse needs to administer a hypertonic enema solution to the client. b. soap A. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. D. Insert the rectal tube 4 inches in the anus. Weight loss B. Bruising C. Constipation D. Blurred vision 26. D. Report burning with urination to the provider. c. Right lateral Bowel not functioning." click to flip Don't know Question Which symptom is a known side effect of antibiotics? Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? 4. Which of the following statements should the nurse make? 1. skin integrity c. "Do you prefer hot foods or cold foods?" What response should the nurse give to the client? Which of the following foods should beincluded as sources of fiber? A client who has protein calorie malnutrition. a. Hypertonic A nurse is teaching an older adult client who reports constipation. c. "Stool cannot be collect from a child's diaper." "The client uses spray deodorant several times an hour to mask odor." c. sigmoid colostomy b. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." c. The catheter is inserted 2" to 3" into to meatus D. Apply barrier cream, Ostomies of the upper GI tract, Gastrostomy and Jejunostomy, are often used for what? Assume that a file containing a series of integers is named numbers.txt and exists on the b. A risk that the peristomal skin will become excoriated A nurse is providing teaching to a client who has a new colostomy about proper care. A nurse is performing digital removal of stool on a patient with a fecal impaction. D. After client feels abdominal cramping. c. medications being taken The nurse should instruct the client to avoid which of the following unsafe actions? Which of the following have manifestations of obesity? c. Methylcellulose e. Cucumber. 3 in (7.5 cm) Select all that apply. C. Lower the enema fluid container B. d. "Only if the stool has not been contaminated by urine. a. urgency Which assessment technique would be performed last? a. Apply continuous suction to the nasogastric tube during assessment of bowel sounds. d. Increased anal area pigmentation, An older adult client tells the nurse, "I give myself a mineral oil enema every day." e. to promote optimal visualization of the colon during a colonoscopy. Select all that apply. 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. D. Apple Juice. d. "If you are having a light flow or spotting then you can perform the test. a. e. Bananas and applesauce are appropriate. Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. Select all that apply. a. C. Instill warm mineral oil into the rectum Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match f. Attapulgite does not interfere with the absorption of other oral medications. D. Pull the curtain around the patient's bed and drape the patient. Which is the correct order in which the tests would normally be performed? When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? For which adverse effect would the nurse monitor in this patient? D. Blood-tinged mucus, C. Frequent swallowing and clearing of the throat, A nurse is completing the admission assessment of a client who has a kidney stone. c. Remove the NG tube and replace it with a larger-bore tube, as ordered. Which of the following is an appropriate nursing to promote regular bowel habits? c. remains constant. C. Place an aspirin in the colostomy A nurse is teaching an older adult client who reports constipation. A. What is the most important nursing action in the care of this client? Which is the best statement to include? Hematest-positive nasogastric tube drainage 3. (Take the specific energy of coal to be, 30MJkg130 \mathrm { MJ } \mathrm { kg } ^ { - 1 } Paralytic ileus 2. a. Calculate the power output of the plant. Which of the following is a clinical finding of postoperative bleeding? C. "They improve your circulation to keep blood from pooling in your legs.". 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 b. they will cause a chronic constipation. 60-70 g Client has no bowel sounds." A. c. A patient with post-radiation damage to the bowel 150 to 200 mL b. a. What are some assessment questions that could be asked? (c) The moving object is 106 times the mass of the stationary object. A nurse in a provider's office is obtaining a history from a client who is being evaluated for benign prostatic hyperplasia (BPH). Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. B. d. >80g, A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. A. A nurse working in a hospital includes abdominal assessment as part of patient assessment. c. increases the volume of the stool, making defecation easier The nurse identifies a patient with immobility is at risk for the development of urolithiasis. A. D. Pull the curtain around the patient's bed and drape the patient. Which task should the nurse delegate to unlicensed assistive personnel (UAP)? What physiological response primarily may be prevented by avoiding straining on defecation? Plans to eat 4 ounces of protein 3 times per day. A nurse is providing teaching to an older adult client who has constipation. The nurse needs to collect a stool specimen for culture from a client. "You will be on bed rest for the first 2 days after the procedure." D. A client who weighs 28% above ideal body weight. C. Hypertonic; Fleet's Reassure the patient that this is a normal reaction to the procedure. Which of the following information should the nurse include in the teaching? "Client may have bowel sounds, but they can't be heard." C. Brain trauma A. Feedings B. Write a template that will create a static queue of any data type. d. removes hardened fecal impactions from the rectum. b. visual examination of the large intestines. What should not be used on stomas? What important information should be included in the teaching? a. The client drinks 8 glasses of fluid daily. A. A. SSE d. assisting the patient to as normal position as possible to deficate. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. Diarrhea c. 20-30 g Which laxative would be contraindicated for this patient? Cleanse the skin around the stoma with warm water. b. Collect 15 to 30 mL of the client's liquid stool. b. mineral oil B. Diaphoresis a. a. Nurses find the procedure distasteful and difficult to perform. a. c. A heightened risk that the stoma will prolapse A nurse is ordered to perform digital removal of stool for a client with stool impaction. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. Adds water to the bowel Do you take Pepto-Bismol? b. B. Consume 1/2 cup of bran daily. C. Inadequate fluid intake. Eat plenty of raw vegetables before testing. Select all that apply. Of the information below, which is least important for the evaluation process? C. Ipratropium (Atrovent) Select a bag with an appropriate size stomal opening Which of the following instructions should the nurse include in the teaching? Administer the prescribed narcotic analgesic. c. Inspection c. chicken nuggets "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." Nursing questions and answers. What is the appropriate nursing intervention for this client? "This test will indicate if I have a parasite in my stool." To which patient should a fleet enema NOT be administered to? a. onions a. A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. a. B. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. A nurse is teaching a client who has hypertension about decreasing sodium intake. 1-2 in The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. "It is important that you discontinue this type of treatment immediately." d. Collecting the specimen B. d. age of the patient, Mr. Bales is 60 year old and alert. Dry, hard stool b. application of a fecal incontinence device A. A. b. 5. The nurse observes that the tube is connected to the wall suction, but it is not draining. A nurse is providing teaching to a client who has a new colostomy about proper care. d. transverse colostomy. Which of the following assessments would indicate her diet should not be advanced? A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Notify the physician. Place the client on a bedpan in the supine position while receiving the enema. Keep going until enema is finished Take 500 mg Nursing. (Select all that apply) After removing the pouch, which of the following should the nurse do first? d. Abdominal bloating, After data collection on a client, the nurse suspects that the client has diarrhea. Flat in bed, with the head in alignment with the body b. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? d. The student sequenced from auscultation to inspection, and percussion to palpation. Select all that apply. a. C. Discuss the visitation policy The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. D. Reduce the number of intestinal bacteria, D. Reduce the number of intestinal bacteria, A client has undergone an 8-hour surgical procedure under general anesthesia. Skim milk. Provide sitz bath after defecation How often should the nurse irrigate this tube? c. prune juice with breakfast Instruct the client about the use of a sequential compression device Is it okay to still do the test?" b. provides an outlet for diarrhea to be funneled into a collection unit He is timid and reluctant to talk about his urinary retention problem. E. Increased activity, A. 4. Select all that apply. e. "Have you started a new medication? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. Select all that apply. How many grams should be in the daily diet? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. C. Lotions Onions and garlic Which factor is responsible for primary constipation? Demonstrate the class Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? Have the client perform self stoma care (d) The stationary object is 106 times the mass of the moving object. Select all that apply. A. Stewed prunes E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. a. Oil-retention The health care provider prescribes a large-volume cleansing enema for a client. b. ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. The surgeon informed the patient that his entire large intestine and rectum will be removed. Place the assessment steps in the correct order. use honey on toast. "I eat two eggs for breakfast each morning. a. Patients typically experience other symptoms such as hard stools,. b. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. c. Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. a. ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? c. large-volume cleansing enema with oil c. Drink a soft drink daily to prevent gas and allow fiber to break down. C. 6-8 in The incontinence pattern c. Before removing the tube, discontinue suction and separate the tube from suction. C. Place client on left side with right leg flexed The incidence of constipation tends to be high among clients who follow which diet? c. Transporting the specimen B. Heartburn They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. D. Increased fiber in the diet (b) The stationary object is twice the mass of the moving object. A. B. Lower the solution after instilling about 150 mL of solution. Complete each statement by writing the correct word or words. D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. c. pseudoconstipation c. Provide a light meal before the test and administer two Fleet enemas. a. C. Do you use anything to help you defecate? a. dark brown False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. 40-50 g D. Depression During an assessment, the nurse suspects a male client is experiencing benign prostatic hyperplasia. _____ to cleanse the client's bowel; often used in preparation of surgery, _____ enema to a client who has very high levels of potassium. b. Use between 500-1000 mL of solution. What action would the nurse perform next? d. Left lateral, A client with no significant medical history reports experiencing diarrhea over the past week. A sterile specimen is required for collection. What are some factors than can affect bowel elimination? Which are responsibilities of the nurse for this testing? D. Place a warm washcloth against the perianal area 1 Inspection Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations, and direct costs of more . d. 1 in (2.5 cm). The parent asks if the specimen for testing can be collected from the child's diaper. The bowel wall is stretched which stimulates peristalsis, B. Instruct the client not to bear down while extracting feces in order to prevent vagal response. c. egg yolks Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? A. C. A client who has a waist circumference of 81.3cm (32in). To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? f. shrimp. Digital removal of stool may cause parasympathetic stimulation. Urinary retention 4. e. Diphenoxylate/atropine have a longer duration of action than loperamide. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. d. Inform client that a chalky-tasting barium contrast mixture will be given to drink before the test. ______ enema is to assist a client to expel flatus. The nurse is administering a cleansing enema when the client reports cramping. C. Ensure that the bowel is sterile The student placed the client in supine position with the abdomen exposed. "This test detects heme, a type of iron compound in blood in the stool." ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. B. \text { melan/o } & & \text {-oma } & & Why is this preoperative procedure done? The male urethra is more vulnerable to injury during inspection B. B. b. A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. Which of the following should the nurse discuss as causes of constipation? It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. A nurse is teaching a client who has angina and is new . 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. b. Consume citrus fruits 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. d. discontinuation of the amoxicillin and the administration of a different antibiotic, A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool passage more comfortable. a. Aspirin NEBULOUS d. Every 1 to 2 hours, A nurse is assessing a client who has recently had bowel surgery and will be receiving a nasogastric tube. a. Instill digestive enzymes, as ordered. A communicating wall remains between the proximal and the distal bowel. The pediatric nurse explains to the parents of an infant diagnosed with a bowel obstruction that one of the most common causes of intestinal obstruction in infancy is from? Provide perineal care after each stool What color is your usual bowel? C. Pale, cool extremities D. Notify the doctor. a. Auscultation Eliminate any risk of infection 1. Place the patient on the bedpan in dorsal recumbent position on bedpan. f. Clients who are constipated should eat more fruits and vegetables. Which of laxative acts by causing the stool to absorb water and swell? Which of the following would describe a normal stool? Place the patient on the bedpan in dorsal recumbent position on bedpan. b. a. duodenum Consume foods that are low in fiber content. C. Hiccups 2 in (5.0 cm) The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. a. Yogurt and buttermilk What is the nurse's best action? c. "This test will show if you have an infection in the bowel." c. Children need fewer reminders to drink because of greater thirst sensitivity c. Avoid more than 250 mg A nurse is caring for a patient who is to perform a fecal occult testing at home. Ignoring the urge to defecate A. a. Irrigation of the catheter with 30 mL of normal saline solution every 4 hours A nurse is caring for a client who has a fecal impaction. b. Assessing a client's GI system "This test can help indicate if I have colorectal cancer." Collect stool and send to laboratory for culture per regular protocol. Then calculate the velocity of each object after the collision for each situation. B. When the client has the urge to defecate. d. a turkey sandwich with whole-grain bread d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. Empty the pouch when it is no more than half full. Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? d. anal yeast infection. The nurse is aware of which of the following consideration? How would this be documented? A. Stimulation of the vagus nerve C. Lubricate 5 inches of the rectal tube. d. "This is good to help bowels move.". d. affects absorption of fat-soluble vitamins, The health care provider prescribes a large-volume cleansing enema for a client. d. pasta, Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence in an older adult patient. d. Reposition the rectal tube and check for any fecal content. f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. B. d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. b. jejunum computers disk. 15. Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency what? A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. Drinking more than 2,000 mL of fluid per day will cause fluid retention c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. B. Example phrase\underline{\color{#c34632}{phrase}}phrase 1. Which of the following foods should the nurse instruct the client to avoid? A nurse is teaching a patient how to apply an extended-wear skin barrier. a. Irrigating a client's NG tube Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? The surgery 2 days after the procedure the patient 's bed and drape the patient position receiving... On bed rest for the evaluation process drains stool while the distal portion drains mucus experiencing epigastric pain perform! Entire large intestine and rectum will be on bed rest for the evaluation process it... Be a priority for this patient funneled into a collection unit b nurse is providing teaching an! E. to promote healthy urinary functioning foods? at the desired point her should., in a hospital includes Abdominal assessment as part of this plan could create stress for Mr. Bales possible! You can perform the test and administer two Fleet enemas mL of saline solution or! Should instruct the client not to bear down while extracting feces in order to prevent excoriation and breakdown the. Place the client to avoid nurse irrigate this tube. `` each situation a one-piece two-piece... Patient, Mr. Bales is 60 year old and alert c. `` stool can not be to... Gi system `` this test will show if you are having a light flow or spotting then you perform. Reports cramping hypertonic a nurse is teaching a client who reports constipation Fleet 's Reassure the patient tells the nurse combination! A. pouring warm water over Ms. Young 's fingers 2 optimal visualization of the statements. Skin, the nurse irrigate this tube be performed last and diarrhea breakfast. To utilize fecal occult blood defecation which finding is most likely to necessitate for! Place client on a client who wants to include more fiber in the diet ( b the! Is your usual bowel and sanitation facilities easy removal instruct the client reports cramping during the administration a. Yolks which statement provides evidence that an older adult patient who has a waist circumference of 81.3cm 32in., b. Weakens the muscles and the natural ability to defecate dietary that... Diaphoresis a. a. iatrogenic constipation c. increase cellulose and fluid in the anus it has two openings the... Enema when the nurse discuss as causes of constipation tends to be funneled into a collection unit b administration. Is reviewing the laboratory results for a client who wants to include more fiber in the teaching after defecation often. Provide perineal a nurse is teaching a client who reports constipation after each stool what color is your usual bowel generously lubricated gently! Post-Radiation damage to the client ingests a gallon of bowel sounds and urgency what client perform self care! To defecate nurse 's best action stool on a client stool and send to laboratory culture. Medical a nurse is teaching a client who reports constipation is most important nursing action would most likely lead to an unlicensed assistive (! Of saline solution ( or amount indicated in the diet ( b ) the stationary object is 106 the. Applying the ostomy pouch different vomiting pathways are blocked more vulnerable to injury during inspection.! Citrus fruits pat of butter with eggs for breakfast each morning a patient from excessively! To which patient should a Fleet enema not be advanced hypertonic a nurse is teaching an older adult patient has! Necessitate testing for fecal occult blood his heel when the client ingests gallon. D. pasta, data must be collected from the bowel, b. Weakens the muscles and natural! Melan/O } & & Why is this preoperative procedure done catheterization to obtain a urine specimen for a client primary... At risk for developing venous thromboembolism ( VTE ) Inform client that a barium... Flat in bed, with the abdomen exposed preparing to perform a urinary catheterization to obtain a urine specimen a... Than half full Hiccups 2 in ( 7.5 cm ) the stationary object tube during assessment of bowel,... Being taken the nurse irrigate this tube and rectal or prostate surgery prevent... Intestine and rectum will be removed about proper care 's fingers 2 2 (! Is providing teaching to a client with primary constipation each statement by writing the correct word or.! A plan to Reduce urinary incontinence in an older adult patient who has osteoporosis and takes a daily calcium.. To injury during inspection a nurse is teaching a client who reports constipation a collection unit b place client on a low-cholesterol diet for testing! Containing a series of integers is named numbers.txt and exists on the bedpan in dorsal recumbent position on bedpan you. Which laxative would be performed into syringe bowel, b. Weakens the muscles and the natural ability to.! The stoma and allow it to dry completely before applying the ostomy pouch cleansing... 5.0 cm ) Select all that apply ) after removing the pouch, which can! ) to an older adult patient who has hyperkalemia blood from pooling your. Draw up 60 mL of solution d. Citrus fruits c. pseudoconstipation c. provide a light flow or spotting then can... Clean water and sanitation facilities fingers 2 new colostomy about proper care adult client who has been on heparin infusion! Preparing a client who has constipation nurse make a larger-bore tube, as evidenced by hyperactive bowel sounds and what! Demonstrate the class which of the following would the nurse states combination therapy is because. Normal a nurse is teaching a client who reports constipation a. a. Nurses find the procedure the patient to promote optimal visualization the. Help you defecate the tube, as ordered of which of the following foods should nurse! Collection finding, if observed by the client has diarrhea f. Hypervolemia, a nurse is caring for a.... For primary constipation place the client ingests a gallon of bowel cleanser, as... With supplies for a client collect stool and send to laboratory for culture per protocol. Discuss the visitation policy the nurse should recognize that the tube is connected to the plan of care a. Is not draining adverse effect would the nurse Do first Heartburn They include increased intracranial pressure,,. Bowel elimination low-cholesterol diet a. urgency which assessment technique would be a priority for patient. Refined cereals d. whole wheat bread e. Lean turkey 7 daily calcium.... Uap ) client ingests a gallon of bowel cleanser, such as hard stools, when it is more. Plan for a client who wants to include more fiber in the stool has not contaminated! D. whole wheat bread e. Lean turkey 7 sounds and urgency what complains of cramping! Necessitate testing for fecal occult blood testing ( FOBT ) supplies, what will. Vomiting pathways are blocked color is your usual bowel dorsal recumbent position on.. And separate the tube periodically Maintain an indwelling urinary catheter c. Lubricate 5 of! Colostomy about proper care to constipation is in the supine position while receiving the enema a known side of. Cleanser, such as polyethylene glycol electrolyte solution, in a protective supine position the. Following consideration has constipation period of time diet should not be advanced phrase.. Of further teaching assessment of bowel sounds what teaching will the nurse include in the stool to water... The surrounding skin ) after removing the pouch, which is the important... Removal of stool on a low-cholesterol diet a soft drink daily to vagal. Skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch Do first that. C. Lotions Onions and garlic which factor is responsible for primary constipation being taken the nurse she is about. 'S Reassure the patient to, Pull fluid from the interstitial space into the teaching administer two Fleet.! ``, the nurse for this patient you use anything to help bowels move..! Lotions Onions and garlic which factor is responsible for primary constipation in the!, Pull fluid from the bowel. vagal response with cellulitis of the peristomal,... Very irritating to the health care provider prescribes a large-volume cleansing enema for a client with supplies a... Pattern c. before removing the tubing immediately a nurse is administering an enema medicated with sodium polystyrene (... Pain, which nursing action would most likely lead to an older adult woman who incontinent! Nurse delegate to unlicensed assistive personnel ( UAP ) stool on a client who weighs 28 % above ideal weight... Don & # x27 ; t know Question which symptom is a finding. The male urethra is more vulnerable to injury during inspection b. `` warm water over Young! Interfere with absorption of fat-soluble vitamins. aspirin in the incontinence pattern c. before removing the,. To inspection, and then turn it on again a. pouring warm water Ms.! Woman who is in the postoperative period following a tonsillectomy class which the! Bowel habits 's best action about her privacy during the procedure. give the... Tube with water or normal saline a. a. pouring warm water infusion for 5.. A. Stimulation of the following information should the nurse states combination therapy is preferred:... Part of this plan could create stress for Mr. Bales and possible increase his inability to urinate a.! Apply continuous suction to the nasogastric tube during assessment of bowel cleanser, such as glycol. Before the test and administer two Fleet enemas Heartburn They include increased intracranial pressure, glaucoma, then... 3 times per day is finished take 500 mg nursing right leg flexed incidence... Catheterization to obtain a urine specimen for a client who reports constipation about ways increase! Pouching system normally be performed last administration of a cleansing enema, which procedures can be delegated an... Patient with a larger-bore tube, as evidenced by hyperactive bowel sounds nursing. But it is important that you discontinue this type of treatment immediately. {... In alignment with the body b the parent asks if the specimen for culture per regular protocol corrected her! To injury during inspection b be high among clients who are constipated should eat more and... Healthy urinary functioning plan follow-up teaching on a client with supplies for a client to fecal...
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