Chapter 32- Bowel Elimination
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.
How many grams should be in the daily diet?
1.
20– 30 g
A)
40– 50 g
B)
60– 70 g
C)
>80g
D)
Ans: A
Feedback:
A person who consumes approximately 20 g to 30 g of dietary fiber from fruits,
vegetables, and grains will most likely have sufficient bulk in the stools to allow for easy
defecation.
A patient reports constipation. Which of the following assessment questions should the
nurse initially ask when completing the patient’s health history, including bowel habits?
2.
“Do you have a daily bowel movement?”
A)
“How do you handle stress?”
B)
“Do you eat fiber foods every day?”
C)
, “What medicines do you take?”
D)
Ans: B
Feedback:
This represents a broad opening statement that allows for greater subjective information.
Chronic exposure to stress can slow bowel activity, resulting in decreased frequency of
bowel movements.
The student nurse has completed a presentation to a group of senior citizens on colorectal
screening. Which statement by a participant suggests a need for further education?
3.
“I will need yearly screenings for colon cancer.”
A)
“I will have a fecal occult blood test done every 5 years.”
B)
“I will have a flexible endoscopic exam done every 5 years.”
C)
“My mother had colon cancer so I am at a greater risk for also developing colon
cancer.”
D)
Ans: B
Feedback:
Yearly screenings, including a fecal occult blood test, should be done on all patients over
the age of 50. A flexible endoscopic exam should be done every 5 years. A family history
of colorectal cancer increases the risk of developing colorectal cancer.
A patient is complaining of increased flatulence. Which of the following may be a cause
of his flatulence? Select all that apply.
4.
, Carbonated beverages
A)
Caffeinated beverages
B)
Smoking
C)
Drinking straws
D)
Rapid ingestion of food
E)
Ans: A, C, D, E
Feedback:
Rapid ingestion of food, improper use of straws, smoking, and excessive carbonated
beverages may all be causes of flatulence. Caffeinated beverages typically do not cause
flatulence.
A nurse is providing education to an elderly patient concerning ways to prevent
constipation. Which diet choices would support that the education was successful? Select
all that apply
5.
Hot tea with meals
A)
A turkey sandwich with whole-grain bread
B)
Prune juice with breakfast
C)
Ice cream with lunch and dinner
D)
Diet soda with lemon
E)
Ans: A, B, C
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.
How many grams should be in the daily diet?
1.
20– 30 g
A)
40– 50 g
B)
60– 70 g
C)
>80g
D)
Ans: A
Feedback:
A person who consumes approximately 20 g to 30 g of dietary fiber from fruits,
vegetables, and grains will most likely have sufficient bulk in the stools to allow for easy
defecation.
A patient reports constipation. Which of the following assessment questions should the
nurse initially ask when completing the patient’s health history, including bowel habits?
2.
“Do you have a daily bowel movement?”
A)
“How do you handle stress?”
B)
“Do you eat fiber foods every day?”
C)
, “What medicines do you take?”
D)
Ans: B
Feedback:
This represents a broad opening statement that allows for greater subjective information.
Chronic exposure to stress can slow bowel activity, resulting in decreased frequency of
bowel movements.
The student nurse has completed a presentation to a group of senior citizens on colorectal
screening. Which statement by a participant suggests a need for further education?
3.
“I will need yearly screenings for colon cancer.”
A)
“I will have a fecal occult blood test done every 5 years.”
B)
“I will have a flexible endoscopic exam done every 5 years.”
C)
“My mother had colon cancer so I am at a greater risk for also developing colon
cancer.”
D)
Ans: B
Feedback:
Yearly screenings, including a fecal occult blood test, should be done on all patients over
the age of 50. A flexible endoscopic exam should be done every 5 years. A family history
of colorectal cancer increases the risk of developing colorectal cancer.
A patient is complaining of increased flatulence. Which of the following may be a cause
of his flatulence? Select all that apply.
4.
, Carbonated beverages
A)
Caffeinated beverages
B)
Smoking
C)
Drinking straws
D)
Rapid ingestion of food
E)
Ans: A, C, D, E
Feedback:
Rapid ingestion of food, improper use of straws, smoking, and excessive carbonated
beverages may all be causes of flatulence. Caffeinated beverages typically do not cause
flatulence.
A nurse is providing education to an elderly patient concerning ways to prevent
constipation. Which diet choices would support that the education was successful? Select
all that apply
5.
Hot tea with meals
A)
A turkey sandwich with whole-grain bread
B)
Prune juice with breakfast
C)
Ice cream with lunch and dinner
D)
Diet soda with lemon
E)
Ans: A, B, C
