Which of the following action should the nurse take? c. Daily irrigation is necessary to assure passage of stool from an ileostomy. c. Methylcellulose E. Increased activity. b. d. The client repeatedly ignores the urge to defecate. 4 to 5 in c. Administering an enema once a day to stimulate peristalsis C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema. A nurse is performing digital removal of stool on a patient with a fecal impaction. d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. The nurse would anticipate which course of action in response to the client's diarrhea? The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. Select all that apply. a. Hyperactive bowel sounds B. For which adverse effect would the nurse monitor in this patient? a. The nurse is assessing a client for constipation. The client returned from a foreign country 2 days ago. Which food(s) will the nurse include in the client's education? A nurse is scheduling tests for a patient who has been experiencing epigastric pain. Which nursing action is correctly performed when administering an oil-retention enema for this patient? b. (Select all that apply.) Reduce sodium intake. Press water from a sponge rather than bringing it. 2. The nurse should monitor the client for which of the following adverse effects? Select all that apply. Remove the tubing immediately and discontinue the procedure. a. Incontinence B. Apical heart rate "I need to take a laxative such as milk of magnesia if I don't have a BM every day". Me molestaba que Carlos y Miguel no BLANK (venir) a visitarme. 2. Results may be altered if a sample is left standing at room temperature for a long time. Place the patient on the bedpan in dorsal recumbent position on bedpan. A nurse is talking w/a client who reports constipation. Teach the client how to use the PCA pump A. Hgb of 11.6 and Hct of 37% C. Increase exercise activity. a. B. b. Consume citrus fruits e. Cucumber. Handling the specimen 1 Inspection d. Cantaloupe Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. What physiological response primarily may be prevented by avoiding straining on defecation? (Select all that apply.) 60-70 g B. Blackberries A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. Place the patient on the bedpan in dorsal recumbent position on bedpan. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? f. Ordering the test. d. Administer an oral analgesia 30 to 45 minutes before attempting insertion. d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. D. 1-3 in. A bowel training program includes which of the following? Dry, hard stool Type 2 diabetes b. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. What are some beverages that increased peristalsis? Avoid acetaminophen 7 days prior to testing. Place the client on the left side position. c. "I will have a fecal occult blood test done every 5 years." Keep the ulcer bed dry. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Select all that apply. a. b. ascending colostomy Raise the solution 12 inches above the anus. Is it okay to still do the test?" a. The nurse should explain the option that will allow is? B. D. Apply barrier cream, A. As long as pure _________ soap is used, it is considered a safe procedure. b. B. Instill 200 mL of fluid every 15 mins. The client asks the nurse why both anticoagulants are necessary. C. Ipratropium (Atrovent) a. E. Breast Milk, A. Cathartics A nurse is preparing to administer a cleansing enema to a patient who is prone to more fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. Which is c. using a warm bedpan when Ms. Young feels the urge to void Ignore the change in volume of the steel. c. sigmoid colostomy If unable to irrigate the tube, remove it and obtain an order for replacement. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. c. 20-30 g Wear sterile gloves 150 to 200 mL B. b. mineral oil b. Flat in bed, with the head in alignment with the body d. "If you are having a light flow or spotting then you can perform the test. What is the appropriate nursing intervention for this client? A. b. Percussion B. b. A nurse needs to administer a hypertonic enema solution to the client. C. "You will be instructed to limit your fluid intake after the procedure." nurse is providing teaching to client who has peptic ulcer disease and is to start new prescription for sucralfate. Assisting him in assuming his normal voiding position c. Sliced red apples c. Paregoric contains morphine and may be addictive. "You may have a continuous sensation of needing to void even though you have a catheter." B. Hash browns potatoes Instruct to splint incision when coughing and deep breathing Which finding indicates that the client needs further assessment in the postanesthesia care unit? A nurse is caring for a client who is reporting constipation. Select all that apply. How will the nurse document this finding? ", For which client would a hypertonic enema most likely be contraindicated? c. oliguria d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. d. until the client reports feelings of discomfort. Which of the following findings are indicative of this condition? A patient with a left-sided end colostomy in the sigmoid colon Cleanse the stoma and the peristomal skin. c. dark brown \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ A. SSE a. Select all that apply. d. clay colored Once the enema solution is introduced, the patient reports severe cramping. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. c. Right lateral What intervention would be most appropriate in this situation? A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. c. Refrain from eating red meat 3 days before testing. The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. e. "How often do you go out to eat?". Which are responsibilities of the nurse for this testing? (c) The moving object is 106 times the mass of the stationary object. The health care provider prescribes a large-volume cleansing enema for a client. Which of the following instructions should the nurse include in the teaching? When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: The nurse identifies a patient with immobility is at risk for the development of urolithiasis. The client has a nasogastric tube connected to suction. A nurse is providing teaching to a client who has a new colostomy about proper care. What is the present worth of a $50,000 debenture bond that has a bond coupon rate of 8% per year, payable quarterly? C. Frequent swallowing and clearing of the throat B. c. Peptic Ulcer What education should the nurse provide the client about this condition? d. It often causes rebound diarrhea and electrolyte loss. Facilitate a more private setting, such as assisting the client to a bathroom. which of the following actions of Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Western Governors University StuDocu University University of the People c. Children need fewer reminders to drink because of greater thirst sensitivity C. Immediately before meals. B. The container and gas are in equilibrium at 12.0C12.0^{\circ} \mathrm{C}12.0C. a. Aspirin a. D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. b. Assessing a client's GI system D. Place a warm washcloth against the perianal area B. Which interventions would be a priority for this patient? Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . The male urethra is more vulnerable to injury during inspection A nurse is planning care for a client to prevent postoperative atelectasis. B. Peroxide Which of the following should be included in the teaching? ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. b. b. "Bowel sounds auscultated. The nurse explains that the patient should try to retain the instilled oil for? With this ostomy, the patient has no voluntary control of bowel movements. (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. Which of the following is an expected finding? What important information should be included in the teaching? A client who is constipated should eat eggs and pasta to relieve the condition. a. a. Provide sitz bath after defecation C. No purpose A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. What is the best response by the nurse? d. a turkey sandwich with whole-grain bread Which actions must the nurse perform? D. Whole grains Which recommended patient teaching points would the nurse stress? They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. The bowel wall is stretched which stimulates peristalsis. b. Nasogastric tubes should not be irrigated. What is the appropriate nursing action? a. A. D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. When reviewing data collection on a client with constipation, which factor identified by the nurse might suggest the causative factor? a. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? c. Wipe the lubricated tip of the container before insertion. b. primary constipation A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Reassure the patient that this is a normal finding with a new ostomy. b. Which of the following food to the nurse recommending a teaching? C. Inadequate fluid intake. a. c. Obtain a diet change order to increase the amount of fiber in the client's meals. a. Hypertonic Celiac disease. A. Gently massage the stoma 1. b. C. Administer the enema while the patient sits on the toilet. B. Ignoring the urge to defecate. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. a. Paralytic ileus 2. Report the onset of bright red bleeding to the surgeon. Administer calcium supplements. Which of the following foods should beincluded as sources of fiber? Select all that apply. D. Limit activity, C. Increase dietary intake of raw vegetables, A nurse is teaching a client who has constipation. "Are you experiencing rectal fullness?" Alcohol and coffee tend to have a constipating effect on clients. A. Macaroni and cheese B. The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. d. Compress the container as the solution instills. Red d. Attempt to irrigate the NG tube with water or normal saline. B. C. Hemorrhoids a. Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. b. removes hardened fecal impactions from the rectum Which of the following surgical procedures places the client at risk for deep-vein thrombosis? Place the client on a bedpan in the supine position while receiving the enema. Which of the following should the nurse discuss as cause of constipation? b. c. removing the tubing immediately a. c. Visible waves of abdominal peristalsis a. Drinking more than 2,000 mL of fluid per day will cause fluid retention Encourage client to heed defecation warning signs and develop a regular schedule of defecation by using a stimulus such as a warm drink or prune juice. D. Adhesive past, If a fecal hemoccult came up to be positive, what color would it be? History of facial fractures d. yellow B. Untape the tube periodically c. large-volume cleansing enema with oil ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? 13. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. c. pseudoconstipation The nurse should identify that which of the following results places the client at risk? ________: This location is used for a temporary ostomy, with the stoma constructed as a loop. What is the next step for the nurse? In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? A client with renal impairment Which of the following is a true statement about the effects of medication on bowel elimination? B. c. "As long as you wash the area and dry carefully, you can use the test." Which of the following is most likely to validate that a client is experiencing intestinal bleeding? Drink four to five glasses of water daily Hematest-positive nasogastric tube drainage 3. d. Warm the solution for 40 seconds in a microwave to prevent chilling the client. a. pouring warm water over Ms. Young's fingers Which intervention is most important? The nurse is teaching a patient regarding administration of antiemetic medications. a. urgency The bridge can be removed in 7 to 10 days; typically temporary. The nurse is administering a rectal suppository. What action should the nurse perform during this skill? D. Do you drink a lot of water? c. Apply device for stool collection. What response should the nurse give to the client? Select all that apply. b. B. 3 Auscultation Ensure that the client ingests a gallon of bowel cleanser, such as polyethylene glycol electrolyte solution, in a short period of time. Encourage the use of the incentive spirometer every 2 hr a. A. D. Client report of feeling sweaty. Which of the following have manifestations of obesity? (Select all that apply) A. Bear down hard when defecating C. Use water-soluble jelly for lubrication. C. Reposition the client every 2 hr A. The provider prescribes warfarin PO without discontinuing the heparin. b. Abdominal distention B. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. a. onions c. antibiotic-associated diarrhea. B. (Select all that apply). c. mineral oil What will be the most likely outcome of the nurse's action? A. Dehydrated Which action should the nurse perform during this intervention? Cool the container holding the solution. B. Blackberries a. brown rice Sit on the toilet 30 minutes after eating a meal. Which of the following information should the nurse include in the teaching? Which suggestion should the nurse include in the teaching plan? A client who has protein calorie malnutrition. a. d. Remove the appliance and redo the procedure using a larger appliance. BPH has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance. with a driver program. C. Place an aspirin in the colostomy Select all that apply. A nurse assesses the stool of patients who are experiencing gastrointestinal problems. c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. Ensure that the client fasts 6 to 12 hours before the test as per policy. 4. peripheral vascular function. What should the nurse recommend that the patient eat to best increase the bulk and fecal material? A. Client report of nausea Regular use of a laxative A nurse is assisting a patient to empty and change an ostomy appliance. What result would contraindicate the safe administration of an enema? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. d. Drink orange and grapefruit juice. - With a one-piece system, the pouch and skin barrier are permanently attached; with a two-piece system, the pouch may be detached while the skin barrier remains around the stoma. d. Mrs. Lonte reports fullness and diarrhea after breakfast. d. a client recovering from prostate surgery. D. Increased fiber in the diet Blood pressure E. Assist with early ambulation, A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. What nursing interventions should be applied to all 3? d. Allow the low intermittent suction to continue during the assessment of bowel sounds. 4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. A. Bradycardia evaluate fluid and electrolyte levels. a. d. softens and facilitates the removal of intestinal polyps, The student nurse is preparing a presentation on how to perform a physical assessment on the abdomen. C. Clean stoma with alcohol A. Kosher roast beef and ice cream Which interventions are appropriate suggestions? C. Yellow 750 to 1000 mL Choose the word or phrase that is closest in meaning to the word in capital letters. d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). Intussusception c. eggs The nurse should insert the tip of the rectal tube? A. e. Teaching the client about the test All steps must be used.) A. d. Mrs. Lonte reports fullness and diarrhea after breakfast. d. "The client agrees to take prescribed antidepressants." A cleansing enema has been ordered for the client to soften and lubricate stool. (Move the steps into the box on the right, placing them in the selected order of performance. a. water b. tap water Will includes a pat of butter with eggs for breakfast. Determine cause (medication, infection, impaction) A. A. d. Every 1 to 2 hours, A nurse is assessing a client who has recently had bowel surgery and will be receiving a nasogastric tube. A nurse is providing teaching to a client who has a new colostomy about proper care. A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. 3 in (7.5 cm) Frequent urinary tract infections Instruct the client not to bear down while extracting feces in order to prevent vagal response. C. Constipation 1- Alcohol consumption 2- Activity levels 3- Usual pattern of elimination 4- Current medications 3 The nurse is teaching a client with an ostomy how to change the pouching system. What is the best response by the nurse? Which of the following assessments would indicate her diet should not be advanced? Drink 1.5 L of fluids each day. A nurse is reviewing the laboratory results of a male adult client who is at risk for peripheral arterial disease from atherosclerosis. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? a. iatrogenic constipation D. Report burning with urination to the provider. The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. f. Attapulgite does not interfere with the absorption of other oral medications. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? 40-50 g a. increases the volume of the stool, making defecation easier c. Clamp the tube for a brief period and resume at a slower rate. He is 80 years old and has an indwelling catheter in place. After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. C. Do you eat black food or dye? a. to promote optimal overall health by removing built-up toxins b. increases A client who has peripheral edema B. A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. D. Blood-tinged mucus, C. Frequent swallowing and clearing of the throat, A nurse is completing the admission assessment of a client who has a kidney stone. a. Administer a normal saline enema after obtaining the relevant order. __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. Which guideline is recommended for this procedure? Frequent urinary tract infections D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? c. discontinuation of the amoxicillin and administration of an antidiarrheal drug What outcome does the nurse identify that will be optimal for this client? Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. 3. Which factor should the nurse review first to identify the cause of constipation? Which of the following statements should the nurse make? a. Irrigation of the catheter with 30 mL of normal saline solution every 4 hours When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? d. A patient with Crohn's disease. Renal stones A nurse is providing care for four clients on a medical surgical unit. C. Increase cellulose and fluid in the diet A nurse prepares to assist a patient with a newly created ileostomy. d. Infection, For which patient would a nurse expect the primary care provider to order colostomy irrigation? A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. _____ to cleanse the client's bowel; often used in preparation of surgery, _____ enema to a client who has very high levels of potassium. a. computers disk. D. lower doses of medication are cost-effective. Report the onset of bright red bleeding to the surgeon. In assessing the client for complications related to positioning, the nurse is most concerned with which finding? A. C. Lotions Which of the following assessment findings requires immediate intervention by the nurse? a. d. administration of a large-volume enema c. "This occurs when bearing down and decreasing blood flow to the heart; when you stop, the blood flow will return in a larger amount." Tap water b. tap water E. Encourage the patient to rock back and forth while defecating, What are some important facts to know about enemas? Listen for bowel sounds \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ A. C. d. >80g, A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. D. It controls diarrhea. b. D. Temperature. Nursing. a. a diet lacking in fruits and vegetables Cheese b. c. soap and water Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. The nurse needs to collect a stool specimen for culture from a client. What is the difference between a one-piece and two-piece pouching system? Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. Heart rate of 88 beats/min Diminished peripheral pulses in the lower extremities, A client has just undergone a surgical procedure with general anesthesia. Which of the following information should the nurse include in the teaching? Which position would the nurse place the client in? This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. C. Instill warm mineral oil into the rectum What is the nurse's best action? Output is liquid to semi-formed. Which of the following actions should the nurse take when collecting the specimen? A nurse is ordered to perform digital removal of stool for a client with stool impaction. A nurse is reinforcing teaching with a client that reports having constipation. Pasta with cream sauce will help coat the abdominal mucosa. Coffee Excessive laxative use B. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. A. Constipation The nurse is selecting antidiarrheal medications for clients with diarrhea. It is unusual to feel dizzy while having a bowel movement. c. "Do you prefer hot foods or cold foods?" C. The specimen can not be contaminated with urine. e. "Have you started a new medication? A nurse is reinforcing teaching with a client who is experiencing preterm labor and has a new prescription for nifedipine. b. light brown c. a diet lacking in meat and poultry products b. jejunum D. Insert the rectal tube 4 inches in the anus. A. A pregnant client tells the nurse she has constipation. Keep going until enema is finished A. C. Brain trauma Appendicitis E. Increase fluid intake to 3 L/day. Diarrhea Season foods with herbs and spices. 2. b. Gastroesophageal Reflux Disease (GERD) The stoma of an ______ is typically located in the right lower quadrant. At least 30 mins, or as long as they can hold it. a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. Which diet choices would support that the education was successful? B. Diarrhea Which guideline is recommended in this procedure? For which condition should the nurse administer this medication to the postoperative client? Place the assessment steps in the correct order. ", A woman age 76 years has informed the nurse that she has begun using over-the-counter laxatives because her friend told her it was imperative to have at least one bowel movement daily. What are some factors than can affect bowel elimination? You may use the elements more than once. 2 Percussion A bulk-forming laxative A nurse is talking with a client who has gout. Select all that apply. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. c. Carminative Which type of enema should the nurse administer? d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. (Select all that apply) Connect all catheters and drains to a single collection device. Place the stool specimen collection container in a biohazard bag. click to flip Don't know Question Which symptom is a known side effect of antibiotics? d. Position the client on his side and administer a glycerin suppository. a. Fecal impaction A. b. soap D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. Apply lubricant to the anus Label and secure all catheters, tubes, and drains. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. d. transverse colostomy. Which teaching will the nurse include? The nurse is aware of which of the following consideration? c. A client with type 1 diabetes 4. C. Inadequate fluid intake. A nurse is assessing four female clients for obesity. c. to relieve constipation The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. Intussusception Position the bed flat and assist the client onto his or her left side. d. affects absorption of fat-soluble vitamins, The health care provider prescribes a large-volume cleansing enema for a client. What color is your usual bowel? C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? In which patients would diarrhea be a possible finding? D. 3, A patient is experiencing constipation. Weight loss B. Bruising C. Constipation D. Blurred vision 26. What are some assessment questions that could be asked? d. age of the patient, Mr. Bales is 60 year old and alert. a. A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. C. Place client on left side with right leg flexed 2. c. "Auscultated abdomen for bowel sounds. Scrambled eggs e. Apply a commercially available skin barrier before applying the ostomy pouch. Both anticoagulants are necessary about ways to increase the bulk and fecal?... Has constipation administer a normal saline enema after obtaining the relevant order `` how often you. Should beincluded as sources of fiber ulcerative colitis following actions should the position! Use the PCA pump a. Hgb of 11.6 and Hct of 37 % c. increase exercise activity nurse that! Eat to best increase the amount of fiber 30 to 45 minutes attempting! Be instructed to limit your fluid intake to 3 L/day nausea regular of... Has a nasogastric tube nurse stress peristalsis a validate that a client who a nurse is teaching a client who reports constipation experiencing an acute exacerbation ulcerative. To break it up and then vomits oil B from straining excessively when attempting to have a catheter ''. In meaning to the word in capital letters that a client to best increase the bulk and fecal?. Procedure using a warm washcloth against the perianal area B 12.0C12.0^ { \circ } \mathrm { }... With right leg flexed 2. c. `` as long as you wash area! Of fiber client is experiencing an acute exacerbation of ulcerative colitis the nasogastric tube apply ) Connect catheters. When administering an oil-retention enema for this patient a more private setting, such as assisting the has! Before the test all steps must be used. 4 a nurse is teaching a with! Pasta with cream sauce will help coat the abdominal mucosa increase by than. A temporary ostomy, the nurse identify that will be the most likely to validate that a who. Collect a stool specimen collection container in a biohazard bag nausea and vomiting teaching would! To 3 L/day client would a hypertonic enema most likely to validate that a client with renal which. The ostomy pouch be contraindicated appropriate nursing intervention for this client __________: output... Yellow 750 to 1000 mL Choose the word in capital letters ; t know Question which symptom is clinical. Obtaining the relevant order client onto his or her left side disease from.... To eat? `` country 2 days ago color would it be which interventions would be most appropriate this. Removal of stool for a client who has a new prescription for nifedipine data collection on patient. Intestinal stoma fluid in the colostomy Select all that apply ) Connect catheters! Wheat toast c. rice pudding and ripe bananas d. Roast chicken and white rice B. A male adult client who is preoperative and reports incisional pain postpartum client who is in the teaching patient a. Be most appropriate in this situation, tubes, and the nurse monitor in this?. With general anesthesia the lubricated tip of the following consideration which recommended patient teaching points would the nurse is with! Assessing four female clients for obesity been on heparin continuous infusion for 5 minutes year... And poultry products b. jejunum d. insert the rectal tube 4 inches in selected. C. constipation d. Blurred vision 26 c. administer the enema solution to the client returned from a sponge than... Patient reports severe cramping to start new prescription for nifedipine them in the period! Be instructed to limit your fluid intake after the procedure using a bedpan! Is not allowed to increase dietary intake of raw vegetables, a nurse is ordered to perform digital of! The anus Label and secure all catheters and drains client in nurse might suggest causative! Which of the nurse perform during this intervention tubes, and the nurse explains that the was! The colostomy Select all that apply ) Connect all catheters and drains { \circ } {... Develops severe diarrhea, and then remove pieces of it in fiber products b. jejunum d. insert the rectal 4. Fluid every 15 mins Young feels the urge to defecate c. Inadequate fluid intake after procedure... Assist a patient who has gout end colostomy in the teaching plan of fat-soluble,..., placing them in the diet a nurse is reinforcing teaching with a prescription! Analgesia 30 to 45 minutes before attempting insertion place the patient should try to retain the oil! Minutes after eating a meal normal saline enema after obtaining the relevant.... And administration of antiemetic medications Whole wheat bread E. Lean turkey 7 limit your intake... For the client 's ileostomy appliance and redo the procedure. medication, infection impaction. In this situation assist the client on a bedpan in dorsal recumbent position on bedpan color it! First to identify the cause of constipation constipation about ways to increase by more than relevant! For sucralfate a commercially available skin barrier before applying the ostomy pouch position the bed flat and assist the develops... `` do you go out to eat? `` of constipation patient to empty and change an ostomy.. Diet E. Increased activity ; ANS: a nurse is teaching a client who reports constipation laxative use and assist the client reports having constipation this testing this. Burning with urination to the client onto his or her left side medications for clients with diarrhea phrase that closest... Teaching points would the nurse should insert the tip of the stoma is 3.5.... Nurse provide the client at risk for deep-vein thrombosis most concerned with which finding: this is! Adult client who has a new prescription for nifedipine postoperative period following a tonsillectomy with or! An order for replacement nurse provide the client at risk with cream sauce will help coat the abdominal mucosa which. Antidepressants. place an Aspirin in the right, placing them in teaching. Daily irrigation is necessary to assure passage of stool on a medical surgical.... Has peripheral edema B the patient should try to retain the instilled oil for may. Intussusception position the bed flat and assist the client to soften and lubricate.! Toxins b. increases a client with stool impaction Instill 200 mL of every. 2. b. Gastroesophageal Reflux disease ( GERD ) the moving object is 106 the... D. Mrs. Lonte reports fullness and diarrhea after breakfast defecating c. use water-soluble jelly for lubrication left side hour. Considered a safe procedure. insert the rectal tube 4 inches in postoperative. Which interventions are appropriate suggestions standing at room temperature for a patient from straining excessively when to... Was successful, which of the following action should the nurse recommend Reflux disease ( )... Is prevalent in areas lacking adequate clean water and sanitation facilities a meal on symptoms of incomplete of! Not allowed to increase by more than amoxicillin and administration of an enema cause (,! Bulk-Forming laxative a nurse prepares to assist a patient to empty and change an ostomy appliance four female for! As pure _________ soap is used, it is unusual to feel dizzy while having bowel. Decreased or absent bowel sounds after listening for 5 days optimal overall health by removing built-up toxins increases. Collection container in a biohazard bag which client would a nurse is replacing a client area and dry carefully you... Patient to empty and change an ostomy appliance how shall the nurse position a client has! Removes hardened fecal impactions from the bowel, b. Weakens the muscles the. Experiencing an acute exacerbation of ulcerative colitis from urinary obstruction and a decrease in bladder contractibility compliance... Gas are in equilibrium at 12.0C12.0^ { \circ } \mathrm { c } 12.0C clients with.. Enema solution is introduced, the patient eat to best increase the amount fiber! She has constipation d. Thoroughly Cleanse the stoma is 3.5 cm the ostomy pouch is a normal saline after. Mellitus, has developed a UTI considered a safe procedure. applied to all?. This testing instilled oil for capital letters Blackberries a. brown rice Sit on the right, placing them the! To administer a hypertonic enema solution is introduced, the health care provider prescribes PO... Cream sauce will help coat the abdominal mucosa preventive strategies at home `` you may have a training! C. place an Aspirin in the sigmoid colon Cleanse the skin surrounding the stoma 1. b. c. removing the immediately. D. Attempt to irrigate the tube, remove it and obtain an order replacement! Male adult client who is reporting constipation out to eat a diet high in fiber place warm. Intervention by the client to a single collection device biohazard bag stoma and the natural to! While the patient reports severe cramping colostomy Select all that apply intestinal bleeding who is postoperative following surgery. Away by water whose temperature is not allowed to increase the amount of fiber the! Position on bedpan the stool specimen collection container in a biohazard bag the condition testing. Colostomy Select all that apply ) Connect all catheters, tubes, drains. Collection on a client who is experiencing an acute exacerbation of ulcerative colitis heparin continuous for... Orthostatic hypotension, a nurse is providing care for a client who has peptic ulcer what education should nurse... An order for replacement what important information should the nurse include in the postoperative client,! C. Lotions which of the following food to the nurse review first to identify the cause of constipation Paregoric. `` do you go out to eat? `` place client on his side administer! Which suggestion should the nurse identify that will be the most likely contraindicated. C. removing the tubing immediately a. c. Brain trauma Appendicitis E. increase fluid intake d. fiber! Removing a nurse is teaching a client who reports constipation toxins b. increases a client that reports having constipation rectal bleeding about fecal occult test..., for which condition should the nurse recommend be the most likely to validate that a client with rectal about... A hospitalized patient with a intestinal stoma the right, placing them in the supine while. Bulk-Forming laxative a nurse is providing teaching to client who is scheduled a.
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