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  • Bowel Elimination Answer - 1

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    June Dumdumaya
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    The document discusses bowel elimination and contains 10 multiple choice questions about related nursing care concepts. Some key points covered include: - Alcohol should be avoided to prevent laxative effect while foods like cheese, eggs, and pasta are constipating. - Amoxicillin clavulanate use causes diarrhea about 20% of the time. - For a fecal impaction, the nurse should instruct the patient to retain an oil retention enema for at least 30 minutes. - Nurses should recommend avoiding habitual laxative use as it can lead to chronic constipation.

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    The document discusses bowel elimination and contains 10 multiple choice questions about related nursing care concepts. Some key points covered include: - Alcohol should be avoided to prevent laxative effect while foods like cheese, eggs, and pasta are constipating. - Amoxicillin clavulanate use causes diarrhea about 20% of the time. - For a fecal impaction, the nurse should instruct the patient to retain an oil retention enema for at least 30 minutes. - Nurses should recommend avoiding habitual laxative use as it can lead to chronic constipation.

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    767 views3 pages

    Bowel Elimination Answer - 1

    Uploaded by

    June Dumdumaya
    The document discusses bowel elimination and contains 10 multiple choice questions about related nursing care concepts. Some key points covered include: - Alcohol should be avoided to prevent laxative effect while foods like cheese, eggs, and pasta are constipating. - Amoxicillin clavulanate use causes diarrhea about 20% of the time. - For a fecal impaction, the nurse should instruct the patient to retain an oil retention enema for at least 30 minutes. - Nurses should recommend avoiding habitual laxative use as it can lead to chronic constipation.

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    Bowel Elimination

    1. The nurse would instruct Mr. Brown to avoid which of the following foods to prevent laxative effect? a. cheese b. alcohol c. eggs d. pasta Answer: The correct answer is B. All the foods listed except alcohol have a constipating effect 2. Which of the following is a true statement about the effects of medication on bowel elimination? a. diarrhea occurs with amoxicillin clavulanate use about 20% of the time b. anticoagulants cause a white discoloration of the stool c. narcotic analgesics increase gastrointestinal motility d. iron salts impair digestion and cause a green stool Answer: The correct answer is A. Anticoagulants may result in the stool having a pink to red to black appearance 3. Mr. Jones has a fecal impaction. The nurse correctly administers an oil-retention enema by doing which of the following: a. administering a large volume of solution (500-1000ml) b. mixing milk and molasses in equal quarts for an enema c. instructing the patient to retain the enema for at least 30mins. d. Following the return-flow or Harris flush procedure Answer: The correct answer is C. The usual amount of solution administered with a retention enema is 150-200mL for an adult. 4. As the nurse prepares to assist Mrs. Perez with her newly created ileostomy, she is aware that: a. an appliance will not be required on a continual basis b. the size of the stoma stabilizers within 2 weeks c. irrigation is necessary for regulation d. fecal drainage will be liquid Answer: The correct answer is D. An appliance is usually required on a continual basis because the fecal drainage is liquid 5. Which class of laxative acts by causing the stools to absorb water and swell? a. bulk-forming b. emollient c. lubricant d. stimulant Answer: The correct answer is A. Bulk forming.

    6. Mr. Toney is nervous about a colonoscopy scheduled for tomorrow. The nurse describes the test by explaining that it allows which of the following: a. visual examination of the esophagus and stomach b. visual examination of large intestine c. radiographic examination of the large intestine d. fluoroscopic examination of the small intestine Answer: The correct answer is B. An esophagogastroduodenoscopy allows visual examination of the esophagus and stomach. 7. A bowel training program includes which of the following: a. using a diet that is low in bulk b. decreasing fluid intake to 1000ml c. administering an enema once a day to stimulate peristalsis d. allowing ample time for evacuation Answer: The correct answer is D. For a bowel training program to be effective, the patient must have ample time for evacuation (usually 20-30mins) 8. Your patient complains of excessive flatulence. When reviewing the patients dietary intake, which food, if eaten regularly would you identify as possibly responsible? a. meat b. cauliflower c. potatoes d. ice cream Answer: The correct answer is B. Cauliflower is a gas producing food that results in flatulence. 9. A barium enema should be done before an upper gastrointestinal series because of which of the following: a. retained barium may cloud the colon b. barium can cause lower gastrointestinal bleeding c. the physicians orders are in that sequence d. barium is absorbed readily in the lower intestine Answer: The correct answer is A. The barium enema should always precede the upper gastrointestinal series because retained barium from the latter may take several days to pass through the gastrointestinal tract and may cloud anatomical detail on the barium enema studies. 10. Nurses should recommend avoiding the habitual use of laxatives. Which of the following is the rationale for this? a. They will cause a fecal impaction b. They will cause chronic constipation c. They change the pH of the gastrointestinal tract d. They inhibit the intestinal enzymes Answer: The correct answer is B. Habitual use of laxatives is the most common cause of chronic constipation.

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