N436 Bowel Elimination Questions With Complete Solutions
-ostomy Correct Answers Surgical opening
-otomy Correct Answers Surgical incision
A colectomy is scheduled for a 38-year-old woman with
ulcerative colitis. The nurse should plan to include what
prescribed measure in the preoperative preparation of this
patient?
a. Instruction on irrigating a colostomy
b. Administration of a cleansing enema
c. A high-fiber diet the day before surgery
d. Administration of IV antibiotics for bowel preparation
Correct Answers Correct answer: b
Rationale: Preoperative preparation for bowel surgery typically
includes *bowel cleansing with antibiotics, such as oral
neomycin and cleansing enemas, including Fleet enemas*.
Instructions to irrigate the colostomy will be done
postoperatively. Oral antibiotics are given preoperatively, and an
IV antibiotic may be used in the OR. A clear liquid diet will be
used the day before surgery with the bowel cleansing.
A nurse is caring for a client for whom a tap water enema is
prescribed, to be repeated until the return
is clear. Which of the following actions should the nurse take?
,A. Clarify the order with the provider.
B. Explain the procedure to the client.
C. Ensure that the tap water is not too hot.
D. Keep the amount per enema to less than 1,000 mL. Correct
Answers A. Clarify the order with the provider.
Tap water is a hypotonic solution that can cause water toxicity.
It should not be repeated. The nurse should clarify the order with
the provider. Explaining the procedure to the client, ensuring
that the tap water is not too hot, and keeping the amount to less
than 1,000 mL are not pertinent if the enema should not be
repeated.
If you got this question wrong, I am judging you...just kidding :)
A nurse is caring for a client who has had diarrhea for the past 4
days. When assessing the client, the nurse should expect which
of the following findings? (Select all that apply.)
___Bradycardia
___Hypotension
___Fever
___Poor skin turgor
___Peripheral edema
___Abdominal cramping Correct Answers Hypotension
Fever
Poor skin turgor
, Abdominal cramping
Prolonged diarrhea leads to dehydration, which is characterized
by tachycardia, hypotension, fever, lethargy, poor skin turgor,
and abdominal cramping. Peripheral edema is more likely to be
caused by a fluid overload rather than a fluid deficit.
Chapter 45; Page 1096, Box 46-3
A nurse is caring for a client who will perform fecal occult
blood testing at home. Which of the
following should the nurse include when explaining the
procedure to the client?
A. Eating more protein is recommended prior to testing.
B. One stool specimen is sufficient for testing.
C. A red color change indicates a positive test.
D. The specimen cannot be contaminated with urine. Correct
Answers D. The specimen cannot be contaminated with urine.
For fecal occult blood testing at home, the stool specimens
cannot be contaminated with
water or urine; three specimens from three different bowel
movements are required; some
proteins such as red meat, fish, and poultry can alter the test
results; and a blue color
indicates a positive guaiac or presence of fecal occult blood not
red.
-ostomy Correct Answers Surgical opening
-otomy Correct Answers Surgical incision
A colectomy is scheduled for a 38-year-old woman with
ulcerative colitis. The nurse should plan to include what
prescribed measure in the preoperative preparation of this
patient?
a. Instruction on irrigating a colostomy
b. Administration of a cleansing enema
c. A high-fiber diet the day before surgery
d. Administration of IV antibiotics for bowel preparation
Correct Answers Correct answer: b
Rationale: Preoperative preparation for bowel surgery typically
includes *bowel cleansing with antibiotics, such as oral
neomycin and cleansing enemas, including Fleet enemas*.
Instructions to irrigate the colostomy will be done
postoperatively. Oral antibiotics are given preoperatively, and an
IV antibiotic may be used in the OR. A clear liquid diet will be
used the day before surgery with the bowel cleansing.
A nurse is caring for a client for whom a tap water enema is
prescribed, to be repeated until the return
is clear. Which of the following actions should the nurse take?
,A. Clarify the order with the provider.
B. Explain the procedure to the client.
C. Ensure that the tap water is not too hot.
D. Keep the amount per enema to less than 1,000 mL. Correct
Answers A. Clarify the order with the provider.
Tap water is a hypotonic solution that can cause water toxicity.
It should not be repeated. The nurse should clarify the order with
the provider. Explaining the procedure to the client, ensuring
that the tap water is not too hot, and keeping the amount to less
than 1,000 mL are not pertinent if the enema should not be
repeated.
If you got this question wrong, I am judging you...just kidding :)
A nurse is caring for a client who has had diarrhea for the past 4
days. When assessing the client, the nurse should expect which
of the following findings? (Select all that apply.)
___Bradycardia
___Hypotension
___Fever
___Poor skin turgor
___Peripheral edema
___Abdominal cramping Correct Answers Hypotension
Fever
Poor skin turgor
, Abdominal cramping
Prolonged diarrhea leads to dehydration, which is characterized
by tachycardia, hypotension, fever, lethargy, poor skin turgor,
and abdominal cramping. Peripheral edema is more likely to be
caused by a fluid overload rather than a fluid deficit.
Chapter 45; Page 1096, Box 46-3
A nurse is caring for a client who will perform fecal occult
blood testing at home. Which of the
following should the nurse include when explaining the
procedure to the client?
A. Eating more protein is recommended prior to testing.
B. One stool specimen is sufficient for testing.
C. A red color change indicates a positive test.
D. The specimen cannot be contaminated with urine. Correct
Answers D. The specimen cannot be contaminated with urine.
For fecal occult blood testing at home, the stool specimens
cannot be contaminated with
water or urine; three specimens from three different bowel
movements are required; some
proteins such as red meat, fish, and poultry can alter the test
results; and a blue color
indicates a positive guaiac or presence of fecal occult blood not
red.
