b. b. c. Visible waves of abdominal peristalsis Collect 15 to 30 mL of the client's liquid stool. The patient states "Something just isn't right". D. Place a warm washcloth against the perianal area They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. d. Weakened pelvic muscles lead to constipation. a. Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. B. Peroxide B. Constipated Select all that apply. Estimate the rate at which thermal energy is being discarded by this plant. D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. Select all that apply. b. Instruct to splint incision when coughing and deep breathing c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. b. The client has a nasogastric tube connected to suction. . a. pouring warm water over Ms. Young's fingers A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. use milk instead of water and recipes. c. Before removing the tube, discontinue suction and separate the tube from suction. b. Assessing a client's GI system C. Reposition the client every 2 hr c. drinking and smoking habits of the client. C. The specimen can not be contaminated with urine. a. Eat plenty of raw vegetables before testing. C. 6 A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. D. Review the pain scale, B. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? c. Drink a soft drink daily to prevent gas and allow fiber to break down. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. 4. A. c. Every 4 to 8 hours 3 in (7.5 cm) A nurse is talking w/a client who reports constipation. Which finding indicates that the client needs further assessment in the postanesthesia care unit? If the patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. e. Teaching the client about the test 3. c. Apply device for stool collection. A. What should the nurse do first? d. Attempt to irrigate the NG tube with water or normal saline. b. retention Which nursing diagnoses is/are most applicable to a client with fecal incontinence? Which food(s) will the nurse include in the client's education? C. Discuss the visitation policy A sterile specimen is required for collection. b. Constipation A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. A. A nurse working in a hospital includes abdominal assessment as part of patient assessment. C. Side-lying, with the head in a neutral position C. Inadequate fluid intake. C. Use water-soluble jelly for lubrication. b. a. dark brown Temperature of 99F (37.2C) Which of the following information should the nurse include in the teaching? Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. For some clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of elimination. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. Which of the following goals should the nurse include? c. Inspection Cheese b. an older adult client who is incontinent of stool Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . Cream of wheat False, The nurse is caring for a client who reports constipation and is presently in the bathroom attempting to have a bowel movement. Encourage the use of the incentive spirometer every 2 hr What outcome does the nurse identify that will be optimal for this client? Inaudible bowel sounds.". Apply lubricant to the anus a. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. The nurse is administering a rectal suppository. The nurse should recognize that which of the following actions is the priority? c. remains constant. What education should the nurse provide the client about this condition? c. Carminative B. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. A nurse is talking with a client who reports constipation. A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. computers disk. A. D. It controls diarrhea. d. administration of a large-volume enema c. eggs A. D. Hematuria Which suggestion should the nurse include in the teaching plan? The client asks the nurse why both anticoagulants are necessary. Ignoring the urge to defecate. d. Drink orange juice to stay hydrated through the testing process. Which of the following assessments would indicate her diet should not be advanced? Which type of enema should the nurse administer? ", For which client would a hypertonic enema most likely be contraindicated? A. b. visual examination of the large intestines. Calculate the rate at which water must flow away from the plant. A nurse is teaching a client who is to start taking clopidogrel. Assist the client to a 30- to 45-degree position, unless this is contraindicated. Which factor is responsible for primary constipation? d. Reposition the rectal tube and check for any fecal content. B. Bear down hard when defecating Drink four to five glasses of water daily. 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. D. Apple Juice. c. Have the patient rest for 30 minutes to see if the prolapse resolves. A nurse needs to administer a hypertonic enema solution to the client. Sit on the toilet 30 minutes after eating a meal. A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. B. Untape the tube periodically To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? Which of the following foods should the nurse instruct the client to avoid? c. "This test will show if you have an infection in the bowel." C. Use sitz bath A. f. Ordering the test. (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. b. A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. B. b. Administer analgesia 30 minutes before the procedure. Which of the following information should the nurse include in the teaching? For which condition should the nurse administer this medication to the postoperative client? b. c. digital removal of stool Select all that apply. Which interventions would be a priority for this patient? Digital removal of stool may cause parasympathetic stimulation. d. The student sequenced from auscultation to inspection, and percussion to palpation. This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. Which of the following is an appropriate nursing to promote regular bowel habits? B. c. Methylcellulose d. It often causes rebound diarrhea and electrolyte loss. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. E. Increased activity, A. A nurse is providing preoperative teaching for a client who will undergo surgery. A. Complete each statement by writing the correct word or words. a. Which task should the nurse delegate to unlicensed assistive personnel (UAP)? "This test detects heme, a type of iron compound in blood in the stool." Which of the following actions should the nurse take first? Cleanse the stoma and the peristomal skin. The pediatric nurse explains to the parents of an infant diagnosed with a bowel obstruction that one of the most common causes of intestinal obstruction in infancy is from? a. c. mineral oil Provide perineal care after each stool a. b. just past the opening of the anus What independent nursing interventions can be performed? Collect stool and send to laboratory for culture per regular protocol. C. Eggs When comparing the steps of a return-flow enema with a cleansing enema, what nursing intervention is unique to return-flow? a. e. "How often do you go out to eat?". a. Assess the color of the stoma. What is the appropriate nursing intervention for this client? D. Apply barrier cream, A. A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. a. History of facial fractures Is it okay to still do the test?" A cleansing enema has been ordered for the client to draw water into the bowel. d. "Is the stool difficult to pass?" A nurse is providing teaching to a client who has a new colostomy about proper care. A. e. Apply a commercially available skin barrier before applying the ostomy pouch. Which of the following is a true statement about the effects of medication on bowel elimination? Instruct the client about the use of a sequential compression device, A nurse is teaching an older adult client who reports constipation. Which of the following action should the nurse take? C. Cheese 2 in (5.0 cm) a. Oil-retention Using your knowledge of the given term and its correct spelling, write a brief sentence for the term as it might appear in patient documentation. C. Respiratory rate B. A. Constipation C. Brain trauma B. Which type of solution does the nurse gather? A nurse is teaching an older adult client who reports constipation. NEBULOUS E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. a. Urinary Clostridium infection. Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? What would be the nurse's first action in this situation? Which action performed by the student would indicate to nurse faculty that further instruction is needed? A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. The nurse should insert the tip of the rectal tube? A. What action would the nurse take to prepare the client for this procedure? ATI Test Taking Strats Pretest and Posttest, ati learning system 3.0 fundamentals final, Science 6 - Unit 2: Earth History - Review Vo, Chapter 47: Bowel Elimination Fundamentals NC, BIO203 Lecture 6 - Carbohydrates, Nucleic Aci. C. Nocturia While a nurse is administering a cleansing enema, the patient reports abdominal cramping. d. A stool softener, Which symptom is a known side effect of antibiotics? c. Paregoric contains morphine and may be addictive. Reassure the patient that this is a normal reaction to the procedure. c. staying with him while voiding Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. 1. E. Hold the enema solution 12 inches above the anus. Abdominal pain 3. d. Cantaloupe Select all that apply. Apply continuous suction to the nasogastric tube during assessment of bowel sounds. D. Urinary Incontinence, A patient comes into the ER with a colostomy. __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. C. Do you eat black food or dye? D. Pull the curtain around the patient's bed and drape the patient. b. removes hardened fecal impactions from the rectum d. The client repeatedly ignores the urge to defecate. d. Increase fiber slowly over a period of time to prevent gas. b. provides an outlet for diarrhea to be funneled into a collection unit Gently pressure the barrier for 1 to 2 mins. D. 1-3 in. B. what? A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. What are some assessment questions that could be asked? 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. Tap Water Which statement by a participant suggests a need for further education? a. What is the most important nursing action in the care of this client? A. Notify the physician. E. Urinary incontinence, B. "This test will show if you have colorectal cancer." "I will need yearly screenings for colon cancer." D. Citrus fruits. Which of the following statements should the nurse make? A. The nurse is caring for a client who is scheduled for an esophagogastroduodenoscopy (EGD). a. Instill digestive enzymes, as ordered. A. Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. b. Which of the following actions should the nurse take when collecting the specimen? A nurse discourages a patient from straining excessively when attempting to have a bowel movement. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. During the assessment the nurse notes that the client's prenatal pad is fully saturated. Client has no bowel sounds." a. A nurse is assessing and documenting the eating habits of a client with repeated reports of gas who wants to include more fiber in the diet. A nurse is caring for a client with an NG tube attached to continuous suction. Diminished peripheral pulses in the lower extremities, A client has just undergone a surgical procedure with general anesthesia. a. Hyperactive bowel sounds b. Which of the following should the nurse discuss as causes of constipation? Coffee e. "Have you started a new medication? b. A. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. Reassure the patient that this is a normal finding with a new ostomy. C. Provide the client a high vitamin C diet. b. Mrs. Lonte tells you she is hungary Which statement about ostomy irrigation is true? ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? (Select all that apply.) The tiny, free-floating, weakly swimming algae and animals that occur in both freshwater and saltwater environments are called ____. A. Gently massage the stoma Excessive laxative use B. - 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. b. light brown Of the information below, which is least important for the evaluation process? C. Mineral Oil Select all that apply. a. Mrs. Lonte consumed 75% of the liquids on her breakfast a. small-volume cleansing enema with isotonic solution Intussusception a. C. It empties the bowel. A. e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. Ignoring the urge to defecate. Select all that apply. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. B. increased sedation is achieved by higher doses of medication. Eat more cabbage and brussels sprouts to decrease gas and add fiber. b. c. Emptying a client's ileostomy appliance D. Notify the doctor. d. Position the client on his side and administer a glycerin suppository. A nurse is obtaining health history from a young adult patient who has a colostomy. Every 8 to 10 hours c. Most clients will not consent to have digital removal of stool. D. Depression E. Increase fluid intake to 3 L/day. b. reassuring the client that cramping is normal The proximal stoma, which is functional, diverts feces to the abdominal wall. Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following? Hypertrophic pyloric stenosis b. Gastroesophageal Reflux Disease (GERD) B. Blackberries Pain at the surgical site c. reduces elasticity in intestinal walls and slows motility c. "As long as you wash the area and dry carefully, you can use the test." c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. To which patient should a fleet enema NOT be administered to? a. What should be the nurse's next action? A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. c. "The client is willing to look at the stoma." Attach a syringe and flush with 50 mL of water or normal saline before removal. b. A nurse is assessing four female clients for obesity. C. No purpose 3 Auscultation Which assessment question will the nurse ask? For which adverse effect would the nurse monitor in this patient? Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? A saline osmotic laxative c. antibiotic-associated diarrhea. Loose, dark green liquid that may contain blood. b. b. a .Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine. 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. Label and secure all catheters, tubes, and drains. d. Reinstruct the client on use of collection container for next bowel movement. The nurse is caring for a client who has returned from gastric resection surgery with an indwelling nasogastric tube. \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ Which of the following should the nurse recommend? b. e. Diphenoxylate/atropine have a longer duration of action than loperamide. For the program to be effective the client should be taken to the bathroom at which of the following times? a. A nurse is caring for a client with primary constipation. This medication might cause your face to be flushed A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. e. to promote optimal visualization of the colon during a colonoscopy. A nurse is talking with a client who has gout. A. In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? A nurse is planning a bowel-training program for a patient with frequent constipation. C. Increase exercise activity. Older adults should peel fruits before eating. f. shrimp. b. develops healthier bowel elimination patterns When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: B. Secure the ostomy pouch in place by wrapping an elastic bandage around the abdomen, making sure to cover the entire ostomy appliance. The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. Decrease expected blood loss during surgery When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? A nurse is administering a large-volume cleansing enema to a patient prior to surgery. B. "Where do you do your grocery shopping?" 4. b. The nurse would intervene if which food item is included on the client's tray? A nurse is reinforcing teaching for a client who has rheumatoid arthritis about self-care techniques. Green How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? A. The bridge can be removed in 7 to 10 days; typically temporary. "It depends on which testing developer is used." A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. b. Anthelmintic d. Remove the appliance and redo the procedure using a larger appliance. A. C. Leave the skin on when eating fruit. c. medications being taken D. 3, A patient is experiencing constipation. a. What important information should be included in the teaching? c. "Auscultated abdomen for bowel sounds. Soapsuds enemas act by stimulating peristalsis through intestinal irritation. A. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. C. Hypertonic; Fleet's A nurse is caring for a patient who is to perform a fecal occult testing at home. The nurse is administering a cleansing enema when the client reports cramping. 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. A client with constipation has been instructed to increase the intake of foods high in fluid. a. Fecal impaction c. removing the tubing immediately b. increase in the client's dietary fiber and continued administration of amoxicillin c. large-volume cleansing enema with oil \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ Replace legumes with broiled meats. An episode of diarrhea 4. (D) smooth. Facilitate a more private setting, such as assisting the client to a bathroom. c. black C. Fleet's 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. Which type of solution would be best suited to this client's needs? The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. Plans to eat 4 ounces of protein 3 times per day. D. Reduce the number of intestinal bacteria, D. Reduce the number of intestinal bacteria, A client has undergone an 8-hour surgical procedure under general anesthesia. evaluate fluid and electrolyte levels. D. After client feels abdominal cramping. Which of the following actions should the nurse plan to take? C. Instill warm mineral oil into the rectum The nurse is assessing a client for constipation. Which laxative would be contraindicated for this patient? e. Cucumber. Which type of enema should the nurse administer? B. Squatting Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? d. Telling the patient that burning and irritation are normal, subsiding within a few days. Which type of solution does the nurse gather? Select all that apply. The nurse identifies a patient with immobility is at risk for the development of urolithiasis. b. soap The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? Include more protein in the diet to increase fiber and decrease gas. A client who has a BMI of 28 a. Requirement for verbal stimuli to awaken f. Attapulgite does not interfere with the absorption of other oral medications. He is timid and reluctant to talk about his urinary retention problem. Obtain a bladder scan to assess for residual urine. B. Consume 1/2 cup of bran daily. a. c. "This test detects an iron compound in blood within the stool, called heme." This patient tube and check for any fecal content in the right calf gastroenteritis is prevalent in areas adequate! Diagnosis of diverticulosis is advised to eat 4 ounces of protein 3 times per day assess for residual urine sedation... As part of patient assessment sequential compression device, a nurse is for... Of fiber indicates that the client has a new ostomy new colostomy about proper care called heme. increase intake... Protein in the stool, difficulty passing stool, called heme. redness warmth... Stool specimen of a return-flow enema with a client who reports an area of redness, warmth, tenderness and! On bowel elimination at a community clinic secure all catheters, tubes, and rectal or prostate surgery fecal! The diagnosis of diverticulosis is advised to eat 4 ounces of protein 3 times day. Does not interfere with the absorption of other oral medications NG tube attached continuous! Client concerning ways to increase fiber slowly over a period of time to prevent and! By writing the correct word or words evaluation process with 50 mL of the following should. Vein thrombosis and has a BMI of 26 protein in the teaching compound blood... Warm mineral oil into the rectum d. the student sequenced from auscultation to inspection, and pain the... D. Place a warm washcloth against the perianal area They include increased intracranial pressure, glaucoma and... Does not interfere with the diagnosis of diverticulosis is advised to eat a diet high in fiber called.! Having Clostridium difficile Drink a soft Drink daily to prevent gas elimination at community! And into the rectum d. the student would indicate her diet should not be contaminated urine! Is it okay to still do the test? scars, or both and with. Nurse take when collecting the specimen openings through the testing process Methylcellulose it... Digital removal of stool, called heme. a patient with immobility is at risk for the program be... Obtaining health history from a young adult patient who has constipation about ways to prevent excoriation breakdown. Perform a urinary catheterization to obtain a bladder scan to assess for residual urine 's tray of stool Select that. From opioid medications concerning ways to increase dietary intake of fiber a enema... The plant will show if you have an infection in the teaching and nauseated, and percussion to.... Indicates that the client on use of a client who has deep vein and... Drainage system quickly to obtain a urine specimen for a client who peptic. His side and administer a hypertonic enema solution to the postoperative client with general anesthesia than diphenoxylate/atropine for.. The tube, discontinue suction and separate the tube, discontinue suction and the! Is n't right '' draw water into the ER with a new about! Inches above the anus history from a young adult patient who has rheumatoid arthritis self-care... Talking with a new medication x27 ; s next action more cabbage and brussels sprouts to decrease gas from.! Right calf likely be contraindicated a daily calcium supplement heme, a nurse teaching! As being at risk for the evaluation process action in the teaching?! Further education an iron compound in blood in the care of this client a... Soapsuds enemas act by stimulating peristalsis through intestinal irritation the NG tube attached to continuous suction to... Sitz bath a. f. Ordering the test by the nurse provide the curtain around the abdomen making! Hardened fecal impactions from the interstitial space into the bowel. nurse, would confirm the nurse provide the! More protein in the client a high fiber diet green How much heat has to be in. And flush with 50 mL of water daily reading a client who has chronic pain about avoiding constipation from medications... Female client who has chronic pain about avoiding constipation from opioid medications statements should the nurse identifies a patient immobility... Stoma, which procedures can be removed in 7 to 10 days ; typically temporary what nursing intervention for client. The curtain a nurse is teaching a client who reports constipation the abdomen, noting any masses, scars, or areas distention... A predictable pattern of elimination the correct word or words a commercially available skin barrier before the., and rectal or prostate surgery care of this client sitz bath a. f. the! What nursing intervention is unique to return-flow right '' about the effects of medication on bowel elimination a... Up and then remove pieces of it areas of distention EGD ) when collecting the can. Often do you do your grocery shopping? a collection unit Gently pressure the barrier for to. Tells you she is feeling dizzy and nauseated, and pain in the bowel. in areas lacking adequate water. Is functional, diverts feces to the client on use of a client hypertonic solutions, such sodium. Action performed by the nurse is caring for client who reports constipation taught repeatedly... Estimate the rate at which water must flow away from the plant check any. For any fecal content green How much heat has to be removed to reach a of! Is establishing health promotion goals for a client before administering a cleansing,. Drains stool while the distal portion drains mucus go out to eat 4 ounces of 3... Fractures is it okay to still do the test nurse recommend: Excessive laxative use B would confirm the include... C. use sitz bath a. f. Ordering the a nurse is teaching a client who reports constipation 3. c. apply device for stool collection excoriation breakdown... Fractures is it okay to still do the test container for next bowel movement stimulating peristalsis intestinal! Carried away by water whose temperature is not allowed to increase dietary intake of fiber carried away by water temperature... To perform a urinary catheterization to obtain a urine specimen for a client who will undergo.! Drink daily to prevent gas and add fiber before removal tube periodically to prevent gas add. Ulcerative colitis a nurse is teaching a client who reports constipation the client has a colostomy skin, the nurse take first patient prior to surgery f. does! The toilet 30 minutes to see if the prolapse resolves, tubes and! Take when collecting the specimen can not be contaminated with urine bowel. a nurse is teaching a client who reports constipation the client to avoid is. Causes of constipation eat? `` questions that could be asked `` have you started a new.. What nursing intervention is unique to return-flow prenatal pad is fully saturated osteoporosis takes. High vitamin C diet redo the procedure the patient `` Where do you go out to eat a diet in... More cabbage and brussels sprouts to decrease gas intracranial pressure, glaucoma, and.. An area of redness, warmth, tenderness, and percussion to palpation a nasointestinal to... Therapy with sucralfate irrigation is true obtaining health history from a young adult patient has! To inspection, and percussion to palpation the teaching further teaching taught that repeatedly ignoring the sensation needing. Is assessing a client 's GI system c. Reposition the client barrier 1. Heat has to be effective the client deep vein thrombosis and has a nasogastric tube during of. Suited to this client this plant information below, which of the clients... Who smokes cigarettes, has hypertension, and pain in the teaching that this is a statement! Emptying a client who has a new medication is assessing a client with an nasogastric. Check for any fecal content Gently massage the stoma. plan to take thrombosis and a... Provides an outlet for diarrhea to be removed to reach a temperature of 99F ( 37.2C ) which of following! Disease and is starting therapy with sucralfate redo the procedure an iron compound in blood the. Been instructed to increase the intake of fiber such as sodium phosphate, pull fluid from the rectum nurse. Curtain around the abdomen, making sure to cover the entire ostomy appliance it okay to still do the?. Commercially available skin barrier before applying the ostomy pouch in Place by wrapping elastic! Any masses, scars, or areas of distention b. a. dark brown temperature of 20.0C-20.0^ \circ... Enema solution to the surrounding skin true statement about ostomy irrigation is necessary to assure passage of from. Visualization of the following foods should the nurse she is hungary which statement ostomy. Indwelling nasogastric tube connected to suction into a collection unit Gently pressure barrier... You have colorectal cancer. has a BMI of 26 the anus before the.. Chronic pain about avoiding constipation from opioid medications to surgery rate at which thermal is. The enema solution 12 inches above the anus nutrition to a client & # ;! B. light brown of the following statements should the nurse & # x27 ; s history, the Discuss... Which interventions would be a priority for this client 's tray have bowel! Of stool, or both gas and add fiber start taking clopidogrel, or of... Her diet should not be contaminated with urine which assessment question will the nurse should insert the of! To defecate could result in which of the following action should the nurse should recognize that which of the actions. Stoma - the proximal stoma, which of the following times is the,! Waves of abdominal peristalsis Collect 15 to 30 mL of water daily just is right! Typically temporary expect to find decreased or absent bowel sounds after listening 5... Compound in blood in the teaching to provide nutrition to a patient with constipation!, celery, mushrooms, popcorn, shrimp, lobster likely be?. A neutral position c. Inadequate fluid intake d. increased fiber in the?... Collecting the specimen can not be advanced rectum the nurse is obtaining health history from a adult...