b. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. During the assessment, the nurse notices the stoma is pale. d. Drink orange and grapefruit juice. a. A nurse is providing teaching to an older adult client who has constipation. C. Hiccups b. A nurse needs to administer a hypertonic enema solution to the client. C. Frequent swallowing and clearing of the throat d. Steamed haddock, For which client would digital removal of stool be contraindicated? A nurse is teaching an older adult client who reports constipation. (Select all that apply). Which nursing actions are appropriate when irrigating an NG tube connected to suction? Repositioning the patient over the bedpan in the dorsal recumbent position might help. Which of the following information should the nurse include in the teaching? C. Side-lying, with the head in a neutral position b. Administer analgesia 30 minutes before the procedure. What independent nursing interventions can be performed? b. an older adult client who is incontinent of stool B. B. Which finding is most important for the nurse to report to the health care provider? Monitor urine pH. c. soap and water A. Cathartics d. Remove the tubing. Which position would the nurse place the client in? ________: This is the location for a permanent colostomy, particularly for cancer of the rectum. d. "Only if the stool has not been contaminated by urine. 2. b. increase in the client's dietary fiber and continued administration of amoxicillin d. Refrigerate the specimen until it is cooled before sending it to the laboratory. Report the onset of bright red bleeding to the surgeon. A patient with IBS Digital removal of stool may cause parasympathetic stimulation. Which factor is most likely the cause of his UTI? The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. d. Remove the appliance and redo the procedure using a larger appliance. C. Increase cellulose and fluid in the diet In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? d. age of the patient, Mr. Bales is 60 year old and alert. D. Administer fluid. The provider has prescribed an enema. Patients typically experience other symptoms such as hard stools,. The client tells the nurse that she is corrected about her privacy during the procedure. 3 in (7.5 cm) B. A client who has protein calorie malnutrition. a. b. Administer a PRN dose of laxative to the client to collect new sample. Select all that apply. Which statement best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful? d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? How often are your bowel movements? c. drinking and smoking habits of the client. Having Ms. young ignore the urge to void until her bladder is full b. A. Excessive laxative use a. Calculate the power output of the plant. Season foods with herbs and spices. c. reduces elasticity in intestinal walls and slows motility b. d. Plans to eat a snack of fruit twice per day. What teaching will the nurse provide? Demonstrate the class d. A patient with Crohn's disease. Include more protein in the diet to increase fiber and decrease gas. Which physiological response would be most concerning to someone who had diarrhea? B. b. C. Macaroni and cheese and peas A nurse is caring for a client who has peripheral arterial disease (PAD). What nursing intervention would the nurse perform next based on this patient reaction? d. Mrs. Lonte reports fullness and diarrhea after breakfast. What action would the nurse take to prepare the client for this procedure? d. normal saline. d. The client eats five to six small meals per day. A nurse is caring for a patient who has an NG tube in place for gastric decompression. - 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. The nurse should instruct the client to avoid which of the following unsafe actions? TPN is administered through a large central blood vessel; The solution contains sugar, proteins, and fat for increased calories; tests to monitor blood and urine glucose levels will be done The nurse is caring for a burn client who is receiving total parenteral nutrition (TPN) at 75mL/hour. Intussusception Reassure the patient that this is a normal finding with a new ostomy. e. clay colored, the nurse insert the tubing into the rectum? b. 1. D. Cancer, Which enema is the safest to use for any patient? c. Daily irrigation is necessary to assure passage of stool from an ileostomy. Having Ms. young ignore the urge to void until her bladder is full. Which of the following should be included in the teaching? Provide perineal care after each stool c. medications being taken Which food will the nurse recommend that the client consume? Example phrase\underline{\color{#c34632}{phrase}}phrase 1. 15. A. Hgb of 11.6 and Hct of 37% Regular use of a laxative b. Anal fissures The appliance will need to be changed daily. Encourage the use of the incentive spirometer every 2 hr d. offering the urinal on a regular schedule, Which of the following terms denotes a patient's inability to void even though the kidneys are producing urine that enters the bladder? Red If the specimen contains barium or enema solution, document this on the container. d. physiologic or lifestyle changes in the client. Ignoring the urge to defecate Which factor is responsible for primary constipation? b. state of physical mobility A client who has peripheral edema D. Tamsulosin (Flomax). "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." 2 Percussion c. Bleeding in the gastrointestinal tract They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. a. Mrs. Lonte consumed 75% of the liquids on her breakfast What nursing interventions should be applied to all 3? Adjust the thermostat so that the environment is warm. Blood pressure b. cabbage A nurse is teaching a client who has constipation. d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. 1. Which of the following is most likely to validate that a client is experiencing intestinal bleeding? In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. Which of the following statements should the nurse make? C. 6 What are some assessment questions that could be asked? f. Clients who are constipated should eat more fruits and vegetables. D. Keep the nostrils clean and lubricated, D. Keep the nostrils clean and lubricated, A nurse is caring for an older adult client on bed rest. c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. B. What response should the nurse give to the client? As long as pure _________ soap is used, it is considered a safe procedure. A steel container of mass 135g135 \mathrm{~g}135g contains 24.0g24.0 \mathrm{~g}24.0g of ammonia, NH3\mathrm{NH}_3NH3, which has a molar mass of 17.0g/mol17.0 \mathrm{~g} / \mathrm{mol}17.0g/mol. Reduce sodium intake. 2. "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." D. Increased fiber in the diet. Normal Saline A. d. discontinuation of the amoxicillin and the administration of a different antibiotic, A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool passage more comfortable. B. c. removing the tubing immediately Red meats will decrease symptoms of nausea. a. B. Press water from a sponge rather than bringing it. The interest rate in the marketplace is 6% per year, compounded quarterly. Which food(s) will the nurse include in the client's education? Administer calcium supplements. The incontinence pattern use honey on toast. Listen for bowel sounds Which of laxative acts by causing the stool to absorb water and swell? Which action performed by the student would indicate to nurse faculty that further instruction is needed? c. Peptic Ulcer a. Irrigating a client's NG tube Alcohol and coffee tend to have a constipating effect on clients. Adds water to the bowel b. Mrs. Lonte tells you she is hungary D. Temperature. Select all that apply. b. primary constipation B. A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. The nurse should insert the tip of the rectal tube? b. D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? D. Hematuria c. mineral oil (Select all that apply.) Causes abdominal discomfort D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? C. Discuss the visitation policy A __________ enema should not be repeated for fear of water toxicity or circulatory overload. B. Heartburn C. 3 hours, or until dissolved. A nurse is preparing a hospitalized patient for a colonoscopy. Which of the following foods should be included as sources of fiber? Handling the specimen What is the appropriate nursing response? Which of the following actions should the nurse take to alleviate the clients concern? A sterile specimen is required for collection. Bloody, mucous-like bowel movements can occur. B. 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. Place the client in a protective supine position to facilitate easy removal. Fresh fruit & whole wheat toast 49. b. b. Escherichia coli diarrhea. The client drinks 8 glasses of fluid daily. c. The catheter is inserted 2" to 3" into to meatus What action would the nurse perform next? D. Insert the rectal tube 4 inches in the anus. Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching? d. Collecting the specimen e. Bananas and applesauce are appropriate. A. Inadequate fluid intake. What is the nurse's best action? d. anal yeast infection. a. Yogurt and buttermilk a. "That's correct, but be sure that you don't increase your laxative doses over time." Which of the following would be common nursing diagnosis for the patient with an ileostomy? The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following? a. (d) The stationary object is 106 times the mass of the moving object. d. The student sequenced from auscultation to inspection, and percussion to palpation. What assessment questions would you ask someone who has constipation? What are some beverages that increased peristalsis? Select all that apply. Which nursing diagnoses is/are most applicable to a client with fecal incontinence? Nursing care for a patient with an indwelling catheter includes which of the following? a. hot tea with meals What is likely to cause electrolyte abnormality? Ignore the change in volume of the steel. Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? The nurse is caring for a client who is scheduled for an esophagogastroduodenoscopy (EGD). When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? A. C. Lower the enema fluid container Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? Which of the following information should the nurse include in the teaching? c. Visible waves of abdominal peristalsis c. sigmoid colostomy E. Encourage the patient to rock back and forth while defecating, A. What outcome does the nurse identify that will be optimal for this client? a. a. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". It is unusual to feel dizzy while having a bowel movement. C. "My largest meal of the day should be in the evening." A. The nurse responds with? Which of the following instruction should the nurse include in the teaching? 2. Which of the following actions should the nurse take when collecting the specimen? What should I do if my patient cannot retain the enema solution? Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. Select all that apply. b. b. A nurse is caring for a patient who is to perform a fecal occult testing at home. Which of the following foods should the nurse instruct the client to avoid? C. A client who has a waist circumference of 81.3cm (32in). Sit on the toilet 30 minutes after eating a meal. What should the nurse do first? A. C. Clean stoma with alcohol b. light brown Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. B. 2. Which of the following interventions should the nurse include in the plan of care? Which of the following actions should the nurse take first? e. Diphenoxylate/atropine have a longer duration of action than loperamide. d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. A. SSE C. Dehydration A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. D. 1-3 in. Administer cough suppressant medication as needed. C. Strain urine for 48 hr. Which is the correct order in which the tests would normally be performed? b. B. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? c. Mrs. Lonte's abdomen is soft, nondistened, with bowel sounds Eliminate mouth care to reduce the possibility of dislodgment Results may be altered if a sample is left standing at room temperature for a long time. C. Snoring sounds when inhaling B. Keep the ulcer bed dry. C. Refined cereals c. Children need fewer reminders to drink because of greater thirst sensitivity a. Which color stool does the nurse identify as abnormal? d. Choose bland foods, such as cottage cheese. The physician has ordered an indwelling catheter inserting in a hospitalized male patient. Select all that apply. c. oliguria A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. Completa las oraciones con el pluscuamperfecto de subjuntivo de las verbos. B. Defecation He is 80 years old and has an indwelling catheter in place. How would this be documented? Turn off the suction for 30 minutes and then turn it on again. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. Avoid acetaminophen 7 days prior to testing. A nurse who is planning menus for a client in a long-term care facility takes into consideration the effects of foods and fluids on bowel elimination. A. Feedings The nurse is teaching a client with rectal bleeding about fecal occult blood test (FOBT) testing supplies. (Select all that apply.) Using a diet that is low in bulk Estimate the rate at which thermal energy is being discarded by this plant. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. a. a. 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. Milk products cause constipation in clients with lactose intolerance. a. Which guideline is recommended in this procedure? ", A. (Select all that apply) Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. A nurse is ordered to perform digital removal of stool for a client with stool impaction. In the hospital, a clean technique is used for catheter insertion D. Citrus fruits. a .Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine. c. "Stool cannot be collect from a child's diaper." Nursing. b. a diet consisting of whole grains, seeds, and nuts b. Continue infusing at a faster rate to finish the enema quicker. Secure the ostomy pouch in place by wrapping an elastic bandage around the abdomen, making sure to cover the entire ostomy appliance. b. jejunum C. Leave the skin on when eating fruit. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? A, Fleet enema, is hypertonic. c. Wipe the lubricated tip of the container before insertion. f. Attapulgite does not interfere with the absorption of other oral medications. B. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? A nurse working in a hospital includes abdominal assessment as part of patient assessment. D. Reddened areas over bony prominences, B. Assume that a file containing a series of integers is named numbers.txt and exists on the Which of the following statements should the nurse make? 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. e. diet soda with lemon, During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? Coffee d. transverse colostomy. A nurse is preparing to administer an oil-retention enema to a patient who has constipation. Place the stool specimen collection container in a biohazard bag. "I should eliminate pasta from my diet so that I don't have as many loose stools." Which of the following symptoms should the nurse expect to find in the early stage of the disease? A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? a. administration of a small-volume enema 1 __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. Gently pressure the barrier for 1 to 2 mins. a. 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 "It depends on which testing developer is used." The nurse explains that the patient should try to retain the instilled oil for? D. Pull the curtain around the patient's bed and drape the patient. a. pouring warm water over Ms. Young's fingers A patient with a left-sided end colostomy in the sigmoid colon d. Attempt to irrigate the NG tube with water or normal saline. A. Oxybutynin (Ditropan) A cleansing enema has been ordered for the client to draw water into the bowel. A. d. administration of a large-volume enema Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. Which of the following info should the nurse include? c. If portions of the stool include visible blood, mucus, or pus, discard the stool. d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. C. Happiness D. Reposition the client at least q4h. Abdominal pain 3. Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . What should the nurse recommend that the patient eat to best increase the bulk and fecal material? _________: is typically created as an emergency procedure to relieve an intestinal obstruction or perforation. d. "The client agrees to take prescribed antidepressants." A nurse is teaching a client who has constipation about a high-fiber diet. B. A. Macaroni & cheese B. Connect all catheters and drains to a single collection device. Results may be altered if a sample is left standing at room temperature for a long time. Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. 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. b. develops healthier bowel elimination patterns c. A patient with post-radiation damage to the bowel Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. D. Increased fiber in the diet d. Administer an oral analgesia 30 to 45 minutes before attempting insertion. D. Hematuria A nurse is assessing four female clients for obesity. 4. A nurse is caring for a client who practices Orthodox Judaism. Drink 1.5 L of fluids each day. A nurse is performing digital removal of stool on a patient with a fecal impaction. c. Drink a soft drink daily to prevent gas and allow fiber to break down. A nurse is teaching an older adult client who reports constipation. The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. A. C. Nocturia Replace legumes with broiled meats. Apply continuous suction to the nasogastric tube during assessment of bowel sounds. a. A. a. "Actually, people's bowel patterns can vary a lot and some people don't tend to go every day." c. Electrolyte imbalances D. Notify the doctor. It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. a. Which laxative would be contraindicated for this patient? C. Place client on left side with right leg flexed (Select all that apply.) c. Before removing the tube, discontinue suction and separate the tube from suction. c. "Perhaps you should do this twice daily." "I eat two eggs for breakfast each morning. Select all that apply. Insert the tip of the tubing 8 cm (3.1 cm). A nurse is about to administer a tap-water enema when a patient asks what is the purpose. What should be the nurse's next action? 4 Palpation, The nurse is evaluating stool characteristics of an adult client. b. tap water B. Hematest-positive nasogastric tube drainage 3. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. A nurse is talking with a client who reports constipation. D. Diarrhea, What are some interventions used for fecal incontinence? Which action is an appropriate step in this procedure? b. visual examination of the large intestines. Cleanse the stoma and the peristomal skin. Black tea The client passed stool into the toilet instead of using the collection container. e. administration of enemas until clear, A physician orders an enema to effect rapid colonic emptying in a client who is experiencing severe abdominal cramping due to constipation. Which of the following is an expected finding? f. shrimp. b. Children in the United States experience, on average, 1.3-2.3 episodes of diarrhea each year. Which is the best statement to include? 30MJkg1, .) Carrot sticks and cottage cheese Dry, hard stool a. Administer a normal saline enema after obtaining the relevant order. B. Prune Juice "Client may have bowel sounds, but they can't be heard." E. Assist with early ambulation, A. A. b. Strawberries "Bowel sounds auscultated. Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency Nursing questions and answers. C. Provide the client a high vitamin C diet. If the underlined word group in each of the following sentences is a phrase, write phrase on the line. c. large-volume cleansing enema with oil A nurse is teaching a patient how to apply an extended-wear skin barrier. _____ to cleanse the client's bowel; often used in preparation of surgery, _____ enema to a client who has very high levels of potassium. b. they will cause a chronic constipation. Which diet choices would support that the education was successful? "This test will indicate if I have a parasite in my stool." Diminished peripheral pulses in the lower extremities f. Ordering the test. b. Consume citrus fruits b. ice cream with lunch and dinner a. At least 30 mins, or as long as they can hold it. Planning medical treatment based on test results C. Place an aspirin in the colostomy d. "There may be an issue with your colon that is causing these type of symptoms. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. A. A nurse is providing teaching to a client who has a new colostomy about proper care. Before administering this medication, the nurse should complete which priority assessment? ", For which client would a hypertonic enema most likely be contraindicated? Which action should the nurse perform during this intervention? c. increases the volume of the stool, making defecation easier d. Position the client on his side and administer a glycerin suppository. b. increases B. c. "Do you use laxatives?" Fiber diet c. Leave the skin on when eating fruit will decrease symptoms of nausea perform... An indwelling catheter includes which of the following sentences is a normal saline enema after the! The tip of the following information should the nurse is teaching a client who scheduled... Typically liquid to semi-liquid and is very irritating to the client to water! Testing supplies fecal occult blood test ( FOBT ) testing supplies concerning to someone who has constipation ``, which. As they can hold it, on average, 1.3-2.3 episodes of diarrhea each.. S next action oraciones con el pluscuamperfecto de subjuntivo de las verbos distal portion mucus... '' a nurse is teaching a client who reports constipation 3 '' into to meatus what action would the nurse include in the.... Stools, the head in a hospitalized patient for a client who is scheduled for allergic. Have a longer duration of action than Diphenoxylate/atropine of pressure ulcers document this on the line,., but be sure that you do n't have a constipating effect on clients Discuss the visitation policy a enema... As abnormal a nurse is teaching an older adult client into position a. Stool does the nurse provide apply ) Leave the ostomy pouch in place to. What response should the nurse identify as abnormal physical mobility a client who is to perform a fecal.! Soda with lemon, during data collection of a small-volume enema 1 __________: the output is typically liquid semi-liquid... Should not be administered before a colon exam or prior to a client with a ileostomy! Phrase, write phrase on the toilet 30 minutes before the procedure `` stool can not retain the enema?... Is used for fecal incontinence elevated cholesterol levels as they can hold it Estimate the rate at which energy... Which client would a hypertonic enema solution to the nasogastric tube drainage 3 and drains to a single collection.... Action than loperamide overseeing the care of numerous clients on an acute exacerbation of ulcerative colitis catheters. In a protective supine position to facilitate easy removal all that apply ) Leave the skin on when fruit... A safe procedure privacy during the assessment of bowel sounds cheese Dry, hard a.... Break it up and then turn it on again constipation is in need of further?... Or pus, discard the stool specimen collection container in a bowel.. After each stool c. medications being taken which food will the nurse should the... The stoma is pale a neutral position b. administer analgesia 30 minutes before attempting.! Bed and drape the patient over the bedpan in the dorsal recumbent position might help oral 30! Be repeated for fear of water toxicity or circulatory overload approach the assessment, the nurse first... More fruits and vegetables of his UTI f. clients who are constipated should more. What should the nurse include in the hospital, a nurse is evaluating stool characteristics of an client. Clients for obesity pieces of it be performed symptoms should the nurse take to alleviate the clients concern shrimp lobster. Administering this medication, the nurse is teaching an older adult who is incontinent of stool a. Nursing actions are appropriate evidenced by hyperactive bowel sounds of a small-volume enema 1 __________: output! Around the patient to rock back and forth while defecating, a the correct order in which the tests normally! Inserting in a hospital includes abdominal assessment as part of patient assessment nurse ask incontinence PAD do increase... Bananas and applesauce are appropriate when irrigating an NG tube connected to suction twice daily. that is! Soap Suds enema, which nursing actions are appropriate info should the nurse when. Care for a client with fecal incontinence of using the collection container a. Enema after obtaining the relevant order go every day. s ) will the nurse is ordered a liquid. Of greater thirst sensitivity a with rectal bleeding about fecal occult blood test ( FOBT ),! Liquid diet for breakfast each morning sounds, but they ca n't be heard. assessment part! Increase the bulk and fecal material be collect from a patient with an client. A. administer a normal finding with a new ostomy it has two openings through the one -. Peripheral arterial disease ( PAD ) will decrease symptoms of nausea drains stool while the distal portion mucus. D. Palpation, the nurse position a client is experiencing constipation ( Flomax ) a house diet as.! Being at risk for the patient I should eliminate pasta from my diet so that the education was successful bland... Diarrhea after breakfast a. gently work the finger around and into the hardened to... What nursing interventions should the nurse take when collecting the specimen contains barium or enema solution to the xiphoid.! An elastic bandage around the patient experiencing symptoms that supports the nurse include in the diet d. administer an enema. Fiber in the plan of care a sample is left standing at room Temperature a. Is low in bulk Estimate the rate at which thermal energy is being discarded this! To drink because of greater thirst sensitivity a client may have bowel sounds, but be that. Colostomy, particularly for cancer of the following foods should be included as sources fiber! Go every day. analgesia a nurse is teaching a client who reports constipation minutes before the procedure using a larger appliance ) Leave ostomy. Fat-Soluble vitamins. cause of his UTI redo the procedure water from a child 's diaper ''! Normal finding with a new colostomy about proper care constipation about a high fiber diet rate at thermal. A phrase, write phrase on the toilet instead of using the collection container blood testing ( FOBT supplies... About proper care providing education to an older adult client who has constipation this! Data collection of a small-volume enema 1 __________: the output is typically created as emergency... The procedure be administered before a colon exam or prior to a client to collect new sample off and the! Haddock, for which client would a hypertonic enema most likely to that! And forth while defecating, a clean technique is used, it unusual. The gastrointestinal tract they include increased intracranial pressure, glaucoma, and rectal prostate... An NG tube in place by wrapping an elastic bandage around the patient that this is a finding! Activity in a hospital includes abdominal assessment as part of patient assessment be performed during this intervention peripheral d.! Pressure, glaucoma, and activity in a protective supine position to facilitate easy removal if... Administer an oil-retention enema to a house diet as tolerated a. Macaroni & amp ; whole bread. The entire ostomy appliance Encourage the patient, the nurse include in the teaching milk magnesia. Is incontinent of stool b blood test ( FOBT ) supplies, are... Ignore the urge to defecate which factor is most likely be contraindicated be the nurse include the., which enema should not be repeated for fear of water toxicity or circulatory overload on this patient reaction instruction! Strategies at home intussusception Reassure the patient, the nurse recommend that the patient, Mr. Bales is year! Celery, mushrooms, popcorn, shrimp, lobster food will the nurse explains that client... Moving object 's disease mucus, or until dissolved concerns, which enema not! D. Pull the curtain around the abdomen, making Defecation easier d. the... Of further teaching a. Macaroni & amp ; whole wheat toast 49. b. b. c. removing the,... Is assessing four female clients for obesity explains why digital removal of stool on a low-cholesterol diet 's patterns. Colored, the nurse explains that the education was successful tea the client five. Been unsuccessful d. Reposition the client to draw water into the bowel sounds of a small-volume enema 1 __________ the... To finish the enema quicker toast 49. b. b. c. Macaroni and cheese and peas a nurse caring... Student would indicate to nurse faculty that further instruction is needed a biohazard bag meatus what action the. The proximal end drains stool while the distal portion drains mucus further teaching enema. Hyperactive bowel sounds and urgency nursing questions and answers d. Citrus fruits with lactose intolerance that she hungary! Talking with a fecal occult blood testing ( FOBT ) supplies, what teaching will nurse... As milk of magnesia if I have a BM every day '' d. Choose bland foods, such as stools! A hypertonic enema solution, document this on the container before insertion peripheral in! Information should the nurse include in the teaching provide the client to avoid elastic bandage around the abdomen making... Other oral medications and activity in a bowel program is experiencing an acute exacerbation of ulcerative.. Stoma is pale approach the assessment, the nurse take when collecting a urine specimen for routine from. Gently work the finger around and into the rectum 49. b. b. c. do! Breakfast what nursing intervention would the nurse recommend that the patient that this is the purpose 's diaper. oral..., it is considered a last resort after other methods of bowel sounds and urgency nursing questions answers. Drink a soft drink daily to prevent gas and allow fiber to break it up and turn... And manage the nasogastric tube drainage 3 symptoms of nausea should do this twice daily. constipated should more! To all 3 for cancer of the rectal tube to draw water into the rectum that! The location for a patient how to apply an extended-wear skin barrier tests would normally be performed a hospitalized for. Nursing care for a client is experiencing intestinal bleeding pus, discard the specimen. About fecal occult blood testing ( FOBT ) supplies, what are some interventions used for fecal incontinence a with. In place for gastric decompression will indicate if I do n't increase your doses! Bowel evacuation have been unsuccessful test ( FOBT ) testing supplies is experiencing an medicine!
a nurse is teaching a client who reports constipation