RNRS 117- Bowel Elimination Sherpath
(Exam II) Latest Update
During a home health visit after a patient's recent surgery, the nurse assesses
that a patient is experiencing acute pain related to constipation. The nurse
reviews the potential causes of the pain and recognizes that the patient is at risk
of intestinal obstruction if which condition is unresolved?
Incisional pain
Fecal impaction
Use of opioid medication
Impaired physical mobility related to surgery - ANSWER Fecal impaction
Upon auscultating the abdomen of a patient with a stethoscope, the nurse hears
high-pitched and hyperactive bowel sounds. The nurse identifies that the
assessment findings correspond with which condition?
Small intestine obstruction
Normal bowel activity
Fluid or gas within the abdomen
Effects of abdominal surgery - ANSWER Small intestine obstruction
When mucus is noted in a patient's feces, the nurse suspects which cause?
Constipation
Intestinal infection
Increased peristalsis
Malabsorption of fat - ANSWER Intestinal infection
Which substance may cause complications for a patient who has kidney
dysfunction?
Castor oil
Mineral oil
Docusate sodium
Magnesium hydroxide - ANSWER Magnesium hydroxide
When caring for patients of varying ages with disorders of bowel elimination,
which information does the nurse consider?
Adolescents have a decreased metabolic rate.
The ability to control defecation is absent until 2 to 3 years of age.
, Peristalsis is enhanced and esophageal emptying is accelerated in older adults.
Infants have little secretion of digestive enzymes and slow intestinal peristalsis. -
ANSWER The ability to control defecation is absent until 2 to 3 years of age.
Which event may occur because of vagus nerve stimulation during removal of a
fecal impaction?
Atelectasis
Bradycardia
Hypertension
Cardiac tamponade - ANSWER Bradycardia
A patient presents with a 5-day history of diarrhea. The patient states "I initially
experienced nausea and vomiting that lasted 24 hours." For which additional
symptom does the nurse assess to determine the plan of care? Select all that
apply.
Bradycardia
Dizziness
Dry skin
Peripheral edema
Dark-colored urine - ANSWER Dizziness
Dry skin
Dark-colored urine
A patient experiences chronic constipation but has no other symptoms. The
nurse anticipates the health care provider will prescribe which medication to
provide relief for the condition?
Castor oil
Mineral oil
Polycarbophil
Docusate sodium - ANSWER Polycarbophil
A patient reports passing narrow, pencil-shaped stools over the past few days.
The nurse suspects which cause for the assessment finding? Select all that
apply.
Pancreatitis
Obstruction
Malabsorption
Absence of bile
Increased peristalsis - ANSWER Obstruction
Increased peristalsis
(Exam II) Latest Update
During a home health visit after a patient's recent surgery, the nurse assesses
that a patient is experiencing acute pain related to constipation. The nurse
reviews the potential causes of the pain and recognizes that the patient is at risk
of intestinal obstruction if which condition is unresolved?
Incisional pain
Fecal impaction
Use of opioid medication
Impaired physical mobility related to surgery - ANSWER Fecal impaction
Upon auscultating the abdomen of a patient with a stethoscope, the nurse hears
high-pitched and hyperactive bowel sounds. The nurse identifies that the
assessment findings correspond with which condition?
Small intestine obstruction
Normal bowel activity
Fluid or gas within the abdomen
Effects of abdominal surgery - ANSWER Small intestine obstruction
When mucus is noted in a patient's feces, the nurse suspects which cause?
Constipation
Intestinal infection
Increased peristalsis
Malabsorption of fat - ANSWER Intestinal infection
Which substance may cause complications for a patient who has kidney
dysfunction?
Castor oil
Mineral oil
Docusate sodium
Magnesium hydroxide - ANSWER Magnesium hydroxide
When caring for patients of varying ages with disorders of bowel elimination,
which information does the nurse consider?
Adolescents have a decreased metabolic rate.
The ability to control defecation is absent until 2 to 3 years of age.
, Peristalsis is enhanced and esophageal emptying is accelerated in older adults.
Infants have little secretion of digestive enzymes and slow intestinal peristalsis. -
ANSWER The ability to control defecation is absent until 2 to 3 years of age.
Which event may occur because of vagus nerve stimulation during removal of a
fecal impaction?
Atelectasis
Bradycardia
Hypertension
Cardiac tamponade - ANSWER Bradycardia
A patient presents with a 5-day history of diarrhea. The patient states "I initially
experienced nausea and vomiting that lasted 24 hours." For which additional
symptom does the nurse assess to determine the plan of care? Select all that
apply.
Bradycardia
Dizziness
Dry skin
Peripheral edema
Dark-colored urine - ANSWER Dizziness
Dry skin
Dark-colored urine
A patient experiences chronic constipation but has no other symptoms. The
nurse anticipates the health care provider will prescribe which medication to
provide relief for the condition?
Castor oil
Mineral oil
Polycarbophil
Docusate sodium - ANSWER Polycarbophil
A patient reports passing narrow, pencil-shaped stools over the past few days.
The nurse suspects which cause for the assessment finding? Select all that
apply.
Pancreatitis
Obstruction
Malabsorption
Absence of bile
Increased peristalsis - ANSWER Obstruction
Increased peristalsis
