NSG Elimination (Pearson Module) 2023 Questions and
Answers complete
The nurse is caring for a patient with major fecal incontinence.
Which collaborative intervention should the nurse be prepared to implement?
Administer an antibiotic
Which specific instruction should the nurse provide to a patient experiencing an
alteration in bowel function?
Instruction on increased fluid and fiber intake
The home health nurse is conducting an assessment of an older woman.
Which observation should a nurse include to help determine the presence of
urinary incontinence?
Assessing for the odor of urine
The nurse is performing an abdominal assessment on an older adult patient.
Which information should the nurse consider while performing the assessment?
Older adult patients can sometimes have shortness of breath while in the supine
position for an extended period of time.
The nurse is preparing a presentation on urinary elimination problems for a group
of older adults.
Which important fact should the nurse include?
Urinary retention is uncommon in women
At 5 feet 10 inches and 320 pounds, a female patient has been advised to lose
weight for her overall health and to help with a recent problem of incontinence.
The patient asks, "How will this help with my incontinence?"
Which explanation by the nurse is appropriate?
"Weight loss can reduce stress incontinence caused by increased pressure on the
bladder as a result of obesity."
A female patient is experiencing problems with urinary elimination. After an initial
assessment interview, the nurse performs a physical examination.
Which specific assessment should the nurse include?
Skin Assessment
The nurse is preparing to administer an anticholinergic agent to a patient with
urinary urgency.
For which medical condition should the nurse assess before administering the
drug?
Narrow-angle glaucoma
A male patient is experiencing urinary issues and the healthcare provider has
ordered a digital rectal exam. The patient asks the nurse what to expect from the
test.
How should the nurse reply?
"The physician will insert a single gloved and lubricated finger into the rectum to feel the
prostate gland."
A patient is experiencing increased urinary urgency and incontinence.
Which medication should the nurse anticipate to be prescribed for this patient?
Anticholinergic Agent
, A patient reports intense thirst, weight loss, and a large volume of urine when
voiding.
Which condition should the nurse suspect the patient is experiencing?
Polyuria
The nurse is teaching the parents of a new baby about bowel elimination.
Which instruction should the nurse include?
Newborns pass meconium within the first 48 hours
The nurse is preparing to administer an antidiarrheal agent to a patient with
severe diarrhea lasting several days.
Before administering the medication, what lab result(s) should the nurse check?
Blood urea nitrogen (BUN) and creatinine
The nurse is caring for a patient who presents with severe diarrhea. The
healthcare provider has ordered an antidiarrheal agent. Before administering the
medication, the nurse reviews the most recent lab orders and notes that the
patient is severely dehydrated and has an elevated blood urea nitrogen (BUN) and
creatinine.
Which is the priority action by the nurse?
Withholding the antidiarrheal agent and notifying the provider
The nurse is caring for a 23-year-old female patient who is complaining of urinary
frequency, and voiding a lot more than usual.
How should the nurse document the patient's complaint?
Polyuria
The nurse is providing dietary teaching to a patient with chronic constipation.
Which food selection by the patient indicates that the instructions were
understood?
Split pea soup
An older male patient is experiencing dysuria and urinary retention.
The nurse should suspect which condition first as the most likely cause of these
clinical manifestations?
Prostatic Hyperplasia
The nurse is observing a new graduate nurse provide care for a patient with
Clostridium difficile (C. diff) infection.
Which action by the new graduate nurse requires immediate intervention?
Washing hands with a hand sanitizer
A patient diagnosed with bowel obstruction is scheduled for surgical resection of
the bowel.
Which nursing action is most appropriate for this patient?
Preparing needed preoperative instructions
An older adult patient asks why they are having difficulty making it to the
bathroom on time lately.
Which response by the nurse is accurate?
"The muscle under your bladder become weakened with age, making it difficult to
control urine flow"
The nurse is evaluating a patient with new onset of fecal incontinence.
Which collaborative activity should the nurse anticipate to evaluate the patient's
sphincter tone?
Answers complete
The nurse is caring for a patient with major fecal incontinence.
Which collaborative intervention should the nurse be prepared to implement?
Administer an antibiotic
Which specific instruction should the nurse provide to a patient experiencing an
alteration in bowel function?
Instruction on increased fluid and fiber intake
The home health nurse is conducting an assessment of an older woman.
Which observation should a nurse include to help determine the presence of
urinary incontinence?
Assessing for the odor of urine
The nurse is performing an abdominal assessment on an older adult patient.
Which information should the nurse consider while performing the assessment?
Older adult patients can sometimes have shortness of breath while in the supine
position for an extended period of time.
The nurse is preparing a presentation on urinary elimination problems for a group
of older adults.
Which important fact should the nurse include?
Urinary retention is uncommon in women
At 5 feet 10 inches and 320 pounds, a female patient has been advised to lose
weight for her overall health and to help with a recent problem of incontinence.
The patient asks, "How will this help with my incontinence?"
Which explanation by the nurse is appropriate?
"Weight loss can reduce stress incontinence caused by increased pressure on the
bladder as a result of obesity."
A female patient is experiencing problems with urinary elimination. After an initial
assessment interview, the nurse performs a physical examination.
Which specific assessment should the nurse include?
Skin Assessment
The nurse is preparing to administer an anticholinergic agent to a patient with
urinary urgency.
For which medical condition should the nurse assess before administering the
drug?
Narrow-angle glaucoma
A male patient is experiencing urinary issues and the healthcare provider has
ordered a digital rectal exam. The patient asks the nurse what to expect from the
test.
How should the nurse reply?
"The physician will insert a single gloved and lubricated finger into the rectum to feel the
prostate gland."
A patient is experiencing increased urinary urgency and incontinence.
Which medication should the nurse anticipate to be prescribed for this patient?
Anticholinergic Agent
, A patient reports intense thirst, weight loss, and a large volume of urine when
voiding.
Which condition should the nurse suspect the patient is experiencing?
Polyuria
The nurse is teaching the parents of a new baby about bowel elimination.
Which instruction should the nurse include?
Newborns pass meconium within the first 48 hours
The nurse is preparing to administer an antidiarrheal agent to a patient with
severe diarrhea lasting several days.
Before administering the medication, what lab result(s) should the nurse check?
Blood urea nitrogen (BUN) and creatinine
The nurse is caring for a patient who presents with severe diarrhea. The
healthcare provider has ordered an antidiarrheal agent. Before administering the
medication, the nurse reviews the most recent lab orders and notes that the
patient is severely dehydrated and has an elevated blood urea nitrogen (BUN) and
creatinine.
Which is the priority action by the nurse?
Withholding the antidiarrheal agent and notifying the provider
The nurse is caring for a 23-year-old female patient who is complaining of urinary
frequency, and voiding a lot more than usual.
How should the nurse document the patient's complaint?
Polyuria
The nurse is providing dietary teaching to a patient with chronic constipation.
Which food selection by the patient indicates that the instructions were
understood?
Split pea soup
An older male patient is experiencing dysuria and urinary retention.
The nurse should suspect which condition first as the most likely cause of these
clinical manifestations?
Prostatic Hyperplasia
The nurse is observing a new graduate nurse provide care for a patient with
Clostridium difficile (C. diff) infection.
Which action by the new graduate nurse requires immediate intervention?
Washing hands with a hand sanitizer
A patient diagnosed with bowel obstruction is scheduled for surgical resection of
the bowel.
Which nursing action is most appropriate for this patient?
Preparing needed preoperative instructions
An older adult patient asks why they are having difficulty making it to the
bathroom on time lately.
Which response by the nurse is accurate?
"The muscle under your bladder become weakened with age, making it difficult to
control urine flow"
The nurse is evaluating a patient with new onset of fecal incontinence.
Which collaborative activity should the nurse anticipate to evaluate the patient's
sphincter tone?
