Study Guide for Nursing Foundations Chapter 46 Bowel Elimination Review Questions and Answers

During the nursing assessment a patient reveals that he has diarrhea and cramping every time he has ice cream. He attributes this to the cold nature of the food. However, the nurse begins to suspect that these symptoms are associated with: Lactose intolerance. When assessing a 55-year-old patient who is in the clinic for a routine physical, the nurse instructs the patient about the need to obtain a stool specimen for guaiac fecal occult blood testing (gFOBT): As part of a routine examination for colon cancer Which of the following medications listed in a patient's medication history possibly causes gastrointestinal bleeding? (Select all that apply) Aspirin Nonsteroidal antiinflammatory drugs (NSAIDs) A cleansing enema is ordered for a 55-year-old patient before intestinal surgery. The nurse understand that the maximum amount of fluid given is 750 to 1000 mL Nurses discourage patients from straining on defecation primarily because it causes (Select all that apply) Hemorrhoids Dysrhythmias A patient starts to experience pain while receiving an enema. The nurse notes blood in the return fluid and rectal bleeding. What actions does the nurse take first? Stops the instillation and obtains vital signs Number the steps to irrigating a nasogastric tube (NG) in correct order: 1. Perform hand hygiene and apply clean gloves 2.Clamp and disconnect the NG tube 3. Insert tip of syringe into NG tube and slowly inject 30 mL saline 4. Slowly aspirate the syringe 5. Reconnect the NG tube to suction List the correct order in which to apply an ostomy pouch? 1. Perform hand hygiene and apply clean gloves 2. Remove the used pouch and skin barrier 3. Gently cleanse the peristomal skin with warm tap water 4. Assess the stoma for color, swelling, and healing. 5. Cute an opening on the pouch 0.15-0.3 cm (1/16 to 1/8 inch) larger than the stoma 6. Press the adhesive backing o the pouch smoothy against the skin. 7. Apply nonallergenic tape around the pectin skin barrier. A patient is admitted for lower gastrointestinal (GI) bleeding. What color of stool does the nurse anticipate the patient to have? Red The nurse is caring for a patient with a colostomy. Which intervention is most important? Selecting a bag with an appropriate-size stoma opening The nurse understands that, when comparing nasogastric tubes used for gastric decompression, a Salem sump is specifically designed to: Prevent gastric mucosal damage Before collecting a stool sample for occult blood, the nurse instructs the nursing assistive personnel to: Ask the patient to void The nurse is taking a health history of a newly admitted patient with a diagnosis Rule/out bowel obstruction. Which of the following is the priority questions to ask the patient? When was the last time you moved your bowels? The nurse is caring for a 78-year-old man with diarrhea. Of the following problems, which is the most important to consider? Dehydration