RNRS 117 - Bowel Elimination Exam 2 | Verified with 100% Correct Answers

RNRS 117 - Bowel Elimination Exam 2 | Verified with 100% Correct Answers 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 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 When mucus is noted in a patient's feces, the nurse suspects which cause? Constipation Intestinal infection Increased peristalsis Malabsorption of fat Which substance may cause complications for a patient who has kidney dysfunction? Castor oil Mineral oil Docusate sodium 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. Which event may occur because of vagus nerve stimulation during removal of a fecal impaction? Atelectasis Bradycardia Hypertension Cardiac tamponade 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 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 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 A patient is scheduled for a plain film x-ray of the kidney, ureter, and bladder. Which preparation will be included on the patient's treatment plan? No preparation required Magnesium citrate bowel preparation Administration of a light sedative the night before the procedure Fasting after midnight The nurse analyzes the characteristics of a patient's feces and identifies that which substance indicates and abnormality? Select all that apply. Excess fat Blood Mucus Bile pigment Dead bacteria The nurse reviews the types of radiological tests performed to assess the abdomen. The nurse identifies that the preparation for which procedure requires a dietary restriction? Select all that apply. Computed tomography scan without contrast Colonoscopy A plain film of the abdomen Ultrasound imaging Barium swallow The nurse is caring for a patient with malabsorption syndrome. Which change in bowel elimination is the patient likely to report? Select all that apply. Pale stools Black, tarry stools Clay-colored stools Increased flatulence Oily stools A patient with alcoholism develops chronic pancreatitis. Which laboratory parameter is helpful in diagnosing pancreatitis? Increased bilirubin Increased serum amylase Elevated carcinoembryonic antigen Elevated alkaline phosphatase levels The nurse assesses a 55-year-old patient as part of a routine physical. The nurse instructs the patient to obtain a stool specimen for guaiac fecal occult blood testing (gFOBT) based on which criterion? If patient reports rectal bleeding If there is a family history of polyps If the patient is experiencing no bowel elimination problems If a palpable mass is detected on digital examination An elderly African American patient reports a change in bowel habits with rectal bleeding and a sense of incomplete bowel evacuation. Which disorder would the nurse suspect in this patient? Infection Colorectal cancer Irritable bowel syndrome Inflammatory bowel disease A patient needs a bowel preparation before a procedure. The nurse anticipates that which type of agent will be prescribed? Psyllium Polycarbophil Methyl cellulose Sodium phosphate The nurse cares for a patient with a nasogastric tube for gastric decompression in place. Which action does the nurse include in the plan of care to prevent adverse effects related to the tube? Select all that apply. Irrigate the tube with saline Administer frequent oral hygiene Measure the length of the exposed tube Measure the pH of the aspirated tube contents Frequently lubricate the nares to minimize discomfort While administering an enema to a patient, the nurse notes blood in the return fluid and rectal bleeding. Which action does the nurse take? Administer pain medication Slow down the rate of instillation Tell the patient to breathe slowly and relax Stop the instillation and obtain vital signs Which result can occur from excess manipulation when performing a digital rectal examination to determine the presence of fecal impaction? Slowing heart rate Severe cramping Fluid and electrolyte imbalance Toxic buildup of magnesium The nurse suspects that a patient has a bowel obstruction based on which assessment finding? Clay-colored stool; noxious change in the odor of the stool Low-pitched and hypoactive bowel sounds Cramping; absence of bowel movements Abdomen that is dull to percussion