Quiz
Bowel Elimination
Create a free account to finish this quiz
Save your progress and see your final score.
Already have an account? Sign in
Questions in this quiz (25)
1During 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:
- AFood allergy.
- BIrritable bowel.
- CLactose intolerance.
- DIncreased peristalsis.
2When 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):
- AIf patient reports rectal bleeding.
- BWhen there is a family history of polyps.
- CAs part of a routine examination for colon cancer.
- DIf a palpable mass is detected on digital examination.
3Which of the following medications listed in a patient's medication history possibly causes gastrointestinal bleeding? (Select all that apply.)
- AAspirin
- BCathartics
- CAntidiarrheal opiate agents
- DNonsteroidal intiinflammatory drugs (NSDAIDS)
4Nurses discourage patients from straining on defecation primarily because it causes: (Select all that apply.)
- APain
- BImpaction
- CHemorrhoids
- DDysrhythmias
5A cleansing enema is ordered for a 55-year-old patient before intestinal surgery. The nurse understands that the maximum amount of fluid given is:
- A150 to 200 mL
- B200 to 400 mL
- C400 to 750 mL
- D750 to 1000 mL
6A patient starts to experience pain while receiving an enema. The nurse notes blood in the return fluid and rectal bleeding. What action does the nurse take first?
- AAdministers pain medication.
- BSlows down the rate of instillation.
- CTells the patient to breathe slowly and relax.
- DStops the instillation and obtains vital signs.
7Number the steps to irrigating a nasogastric tube (NG) in correct order: 1) Slowly aspirate the syringe. 2) Reconnect the NG tube to suction. 3) Clamp and disconnect the NG tube. 4) Perform hand hygiene and apply clean gloves. 5) Insert tip of syringe into NG tube and slowly inject 30 mL saline.
- A1, 2, 3, 4, 5
- B4, 1, 3, 2, 5,
- C4, 1, 2, 3, 5
- D4, 3, 5, 1, 2
8List the correct order in which to apply on ostomy pouch: 1) Remove the used pouch and skin barrier. 2) Perform hand hygiene and apply clean gloves. 3) Assess the stoma for color, swelling, and healing. 4) Gently cleanse the peristomal skin with warm tap water. 5) Apply nonallergenic tape around the pectin skin barrier. 6) Cut an opening on the pouch 0.15-0.3 cm larger than the stoma. 7) Press the adhesive backing of the pouch smoothly against the skin.
- A2, 3, 5, 1, 7, 6, 4
- B2, 1, 4, 3, 6, 7, 5
- C2, 3, 1, 4, 6, 7, 5
- D2, 1, 3, 4, 6, 7, 5
9A patient is admitted for lower gastrointestinal (GI) bleeding. What color of stool does the nurse anticipate the patient to have?
- ARed
- BBlack
- CGreen
- DOrange
10The nurse is caring for a patient with a colostomy. Which intervention is most important?
- ACleansing the stoma with hot water
- BInserting a deodorant tablet in the stoma bag.
- CSelecting a bag with an appropriate-size stoma opening.
- DWearing sterile gloves while caring for the stoma.
11The nurse understands that, when comparing nasogastric tubes used for gastric decompression, a Salem sump is specifically designed to:
- AMinimize the risk of bowel obstruction.
- BEnsure drainage of the intestines.
- CPrevent gastric mucosal damage.
- DPromote resting the gut.
12Before collecting a stool sample for occult blood, the nurse instructs the nursing assistive personnel to:
- AAsk the patient to void.
- BWash the patient's perineum.
- CSecure a sterile, specimen container.
- DPlan to collect the first specimen of the day.
13The nurse is taking a helath history of a newly admitted patient with a diagnosis Rule/out bowel obstruction. Which of the following is the priority question to ask the patient?
- ADescribe your bowel movements.
- BHow often do you have a bowel movement?
- CWhen was the last time you moved your bowels?
- DDo you routinely use stool softeners, laxatives, or enemas?
14The nurse is caring for a 78-year-old man with diarrhea. Of the following problems, which is the most important to consider?
- AMalnutrition
- BDehydration
- CSkin breakdown
- DIncontinence
15The nurse recognizes which patient needs to use a fracture pan for a bowel movement?
- AThe patient who is obese.
- BThe patient experiencing confusion.
- CThe patient on bed rest.
- DA patient recovering from hip surgery.
16Most nutrients and electrolytes are absorbed in the:
- AColon
- BStomach
- CEsophagus
- DSmall intestine
17Which of the following should be included in the teaching plan for the patient who is scheduled for an upper GI series?
- AThe patient will be allowed nothing by mouth after midnight.
- BGeneral anesthetic is usually used for the procedure.
- CModerate abdominal pain is common after the procedure.
- DA cleansing enema will be given the evening before the procedure.
18Mrs. Anthony is concerned about her breastfed infant's stool, stating that is is yellow instead of brown. The nurse explains to Mrs. Anthony that:
- AThe stool is normal for an infant.
- BA change to formula may be necessary.
- CIt will be necessary to send a stool specimen to the laboratory.
- DHer infant is dehydrated, and she should increase his fluid intake.
19After positioning a patient on the bedpan, the nurse should:
- ALeave the head of the bed flat.
- BRaise the head of the bed 30 degrees.
- CRaise the bed to the highest working level.
- DRaise the head of the bed to a 90-degree angle.
20The physician has ordered a cleansing enema for 7-year-old Michael. The nurse realizes the maximum volume to be given would be:
- A100- 150 mL
- B150- 200 mL
- C300- 500 mL
- D600- 700 mL
21A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client?
- AEating more protein is optimal prior to testing.
- BOne stool specimen is sufficient for testing.
- CA red color change indicates a positive test.
- DThe specimen cannot be contaminated with urine.
22A nurse is talking with a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend?
- AMacaroni and cheese
- BFresh fruit and whole wheat toast
- CRice pudding and ripe bananas
- DRoast chicken and white rice
23A 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.)
- ABradycardia
- BHypotension
- CFever
- DPoor skin turgor
- EPeripheral edema
24A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following are appropriate steps for the nurse to take? (Select all that apply.)
- AWarm the enema solution prior to instillation.
- BPosition the client on the left side with the right leg flexed forward.
- CLubricate the rectal tube or nozzle.
- DSlowly insert the rectal tube about 2 inches.
- EHang the enema container 24 inches above the client’s anus.
25While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the
following is the appropriate intervention?- AHave the client hold his breath briefly.
- BDiscontinue the fluid instillation.
- CRemind the client that cramping is common at this time.
- DLower the enema fluid container.
Information
- Description
- College-Level Nursing Block 3 Quiz on Bowel Elimination, created by cpeters on 26/02/2015.
- Author
- cpeters
- Language
- English
- Views
- 622
- History
- Created on 26 Feb 2015 · updated on 19 Feb 2016
- Tags
- Rating
- No ratings yet Rate this quiz