c. Oil-retention a. brown rice c. Emptying a client's ileostomy appliance c. mineral oil Abdominal pain 3. C. Place an aspirin in the colostomy C. Strain urine for 48 hr. Strain all urine. d. normal saline. The client returned from a foreign country 2 days ago. B. A nurse is talking with a client who reports constipation. 3 Auscultation The bond matures in 15 years. A pregnant client tells the nurse she has constipation. Which factor is responsible for primary constipation? B. (Select all that apply) Black tea What should the nurse include when planning this patient's care? A. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. b. Reassure the patient that this is a normal finding with a new ostomy. D. Bradypnea, A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. a. Oil-retention Then calculate the velocity of each object after the collision for each situation. b. Gastroesophageal Reflux Disease (GERD) D. Insert 5 inches in anus C. Reposition the client every 2 hr c. Increase in dietary fiber can decrease peristalsis. What is the most important nursing action in the care of this client? a. Yogurt and buttermilk C. Inadequate fluid intake. During the aging or wearout period, the deterioration of a machine usually a. ileostomy 5. Write a template that will create a static queue of any data type. a. Prone Discontinue the administration of the enema d. Mrs. Lonte reports fullness and diarrhea after breakfast. Assisting him in assuming his normal voiding position The nurse asks participants, "How will you know when a client begins to accept the altered body image?" B. Which of the following instruction should the nurse include in the teaching? c. Inform the client that the culture prescription will now be cancelled. What action would the nurse take to prepare the client for this procedure? A client with renal impairment A. a. Hypertonic B. a. Apply lubricant to the anus 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. a. dark brown "It depends on which testing developer is used." d. lentils The incidence of constipation tends to be high among clients who follow which diet? The student placed the client in supine position with the abdomen exposed. d. administration of a large-volume enema Select all that apply. A nurse is caring for a patient who has an NG tube in place for gastric decompression. 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? What solution best meets this client's needs? a. a. D. Apply barrier cream, A. Irrigate all catheters with sterile normal saline. d. A stool softener, Which symptom is a known side effect of antibiotics? If the underlined word group in each of the following sentences is a phrase, write phrase on the line. 13. When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: D. Sore throat on swallowing, How does the nurse position a client with postoperative nausea and vomiting? A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. d. The client eats five to six small meals per day. C. Use sitz bath c. Wipe the lubricated tip of the container before insertion. What outcome does the nurse identify that will be optimal for this client? Which of the following is a clinical finding of postoperative bleeding? d. Caffeine- containing beverages should be monitored to prevent excess intake. For the program to be effective the client should be taken to the bathroom at which of the following times? Place the patient on the bedpan in dorsal recumbent position on bedpan. Select all that apply. d. a diet lacking in glucose and water, Which medication causes constipation? b. Inaudible bowel sounds.". Assume that a file containing a series of integers is named numbers.txt and exists on the 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. A, Fleet enema, is hypertonic. Most of the following thesis statements have specific topics plus clear main ideas about these topics. D. Whole wheat bread d. The client repeatedly ignores the urge to defecate. d. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. A. Isotonic; Normal Saline c. a diet lacking in meat and poultry products It is used to relieve flatulence. A nurse is caring for a client with an NG tube attached to continuous suction. "The client uses spray deodorant several times an hour to mask odor." B. Diphenhydramine (Benadryl) b. substiture salad dressing for Mayonnaise on sandwiches. 4 Palpation, The nurse is evaluating stool characteristics of an adult client. b. they will cause a chronic constipation. What are some assessment questions that could be asked? The nurse would intervene if which food item is included on the client's tray? C. Reposition the client every 2 hr b. just past the opening of the anus a. Which statement about ostomy irrigation is true? B. Statistics and Incidences. Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. A nurse is teaching a client who has angina and is new . Which type of solution does the nurse gather? b. Consume citrus fruits b. C. Constipation What should not be used on stomas? 4. peripheral vascular function. Tape a dry gauze pad over the distal stoma to collect drainage. D. A client who weighs 28% above ideal body weight. b. Sit on the toilet 30 minutes after eating a meal. d. "Your friend is correct in her assessment, but it would likely be better to exercise and drink more instead of using medications. D. Increased fiber in the diet. young infants, patients who are dehydrated. It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. All steps must be used.) Which of the following is most likely to validate that a client is experiencing intestinal bleeding? Select all that apply. d. assisting the patient to as normal position as possible to deficate. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. E. Breast Milk, Incontinence is described as the inability to control defecation often caused by a. a diabetic client with renal complications The nurse is caring for a client who is scheduled for an esophagogastroduodenoscopy (EGD). How will the nurse document this finding? b. Anthelmintic B. (Select all that apply.) c. medications being taken c. "As long as you wash the area and dry carefully, you can use the test." A. Dehydrated e. "How often do you go out to eat?". Inadequate fluid intake. d. Cantaloupe D. Whole grains E. Hold the enema solution 12 inches above the anus. Select all that apply. B. a. E. Increase fluid intake to 3 L/day. A. b. cabbage c. Lower the solution container and check the temperature and flow rate. b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. C. Discuss the visitation policy Milk products cause constipation in clients with lactose intolerance. A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. What should be the nurse's next action? e. Bananas and applesauce are appropriate. d. "Only if the stool has not been contaminated by urine. Green A client who has protein calorie malnutrition. The nurse explains that the patient should try to retain the instilled oil for? Consume foods that are low in fiber content. (Select all that apply.) Select all that apply. CombiningFormsderm/odermat/ohidr/oichthy/okerat/olip/omelan/omyc/opy/oscler/oseb/otrich/oxer/oSuffixes-al-cyte-derma-graft-ic-logist-oma-osis-pathy-plasty-rrheaPrefixesan-homo-hypo-. Which guideline is recommended in this procedure? Intussusception Which of the following should be included in the teaching? B. Hash browns potatoes A patient has a fecal impaction. b. visual examination of the large intestines. Results may be altered if a sample is left standing at room temperature for a long time. A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. d. Attempt to irrigate the NG tube with water or normal saline. D. Increased fiber in the diet d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. a. What is the nurse's best action? Raise the solution 12 inches above the anus. \end{array} B. Drinking more than 2,000 mL of fluid per day will cause fluid retention Which is an effect of prolonged use of mineral oil to relieve constipation? C. Administer the enema while the patient sits on the toilet. B. a. duodenum A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. a. increases the volume of the stool, making defecation easier Collect stool and send to laboratory for culture per regular protocol. A. Press water from a sponge rather than bringing it. Increase fluid intake to 3000 mL/day. a. Causes abdominal discomfort A nurse is performing digital removal of stool on a patient with a fecal impaction. c. Sliced red apples B. A nurse is reinforcing teaching with a client that reports having constipation. d. Left lateral, A client with no significant medical history reports experiencing diarrhea over the past week. c. a client with a urinary tract infection d. Position the client supine, as dictated by client comfort and condition. a. hypertonic saline c. Daily irrigation is necessary to assure passage of stool from an ileostomy. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? A nurse is reinforcing teaching with a client that reports having constipation. 1. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? E. Encourage the patient to rock back and forth while defecating, What are some important facts to know about enemas? D. Tamsulosin (Flomax). What are some factors than can affect bowel elimination? What is the best response by the nurse? B. c. drinking and smoking habits of the client. Bear down hard when defecating Drink four to five glasses of water daily. b. a diet consisting of whole grains, seeds, and nuts When the client has the urge to defecate. Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. d. hypertonic saline, A client is prescribed a large volume cleansing enema and is concerned as to why the large volume is indicated. 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 assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. Excessive laxative use B. B. c. oil 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. A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. D. Regular use of glycerine suppositories, C. Increase cellulose and fluid in the diet. a. administration of a small-volume enema Cheese In preparing a client to utilize fecal occult blood testing (FOBT) supplies, what teaching will the nurse provide? b. Bismuth subsalicylate contains salicylates; a physician should be consulted before giving it to children or clients taking aspirin. b. state of physical mobility A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. C. Macaroni and cheese and peas a. Administer calcium supplements. D. Administer fluid. b. A. b. a. A nurse is teaching a client who has constipation about a high-fiber diet. Temperature of 99F (37.2C) B. What is the appropriate nursing intervention for this client? Which type of enema should the nurse administer? A nurse is assisting a patient to empty and change an ostomy appliance. A. Kosher roast beef and ice cream Nurses should recommend avoiding the habitual use of laxatives. e. Platelet count of 19,500/mm3 (195.00 109/L) ______ enema is to assist a client to expel flatus. Decrease expected blood loss during surgery Cleanse the stoma and the peristomal skin. Assist the client to a 30- to 45-degree position, unless this is contraindicated. D. Fleet. A communicating wall remains between the proximal and the distal bowel. Red meats will decrease symptoms of nausea. The nurse is assessing a client for constipation. C. Place client on left side with right leg flexed Which of the following would describe a normal stool? The student instructed the client to urinate before beginning the focused assessment. "Client may have bowel sounds, but they can't be heard." Which examples correctly describe these effects? d. Reinstruct the client on use of collection container for next bowel movement. Possible diarrhea a. Assess the color of the stoma. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. A. What nursing intervention would the nurse perform next based on this patient reaction? Place the client on the left side position. c. Iron supplements Which of the following action should the nurse take? D. lower doses of medication are cost-effective. Which food will the nurse recommend that the client consume? c. oliguria A risk that the peristomal skin will become excoriated b. Assessing a client's GI system b. Bisacodyl A patient with IBS D. Diarrhea, What are some interventions used for fecal incontinence? Several U.S. astronauts have had some very close calls in space. . Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. Select all that apply. B. b. A nurse is providing teaching to a client who has a new colostomy about proper care. D. Soap Suds Enema, A nurse is caring for a patient with a intestinal stoma. A. Macaroni and cheese B. Intussusception D. Kosher chicken breast and boiled potatoes. b. Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Pain at the surgical site 4. When reviewing data collection on a client with constipation, which factor identified by the nurse might suggest the causative factor? b. Place the stool specimen collection container in a biohazard bag. How would this be documented? Excessive laxative use B. Top yogurt with granola. Which of the following should the nurse recommend? Excessive laxative use C. Cheese ", For which client would a hypertonic enema most likely be contraindicated? ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? "This test can help indicate if I have colorectal cancer." 4. d. to assure a daily bowel movement c. to relieve constipation A nurse is talking with a client who has gout. 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? A nurse assesses the stool of patients who are experiencing gastrointestinal problems. A. If the specimen contains barium or enema solution, document this on the container. b.nature and amount of food eaten by the client. Apply continuous suction to the nasogastric tube during assessment of bowel sounds. d. "The client agrees to take prescribed antidepressants." c. digital removal of stool Which of the following foods should the nurse instruct the client to avoid? Which intervention is most important? Report the onset of bright red bleeding to the surgeon. b. Semi-Fowler's c. A patient with post-radiation damage to the bowel A nurse is obtaining health history from a young adult patient who has a colostomy. Which nursing action is the recommended preparation for this test? C. Leave the skin on when eating fruit. This position is more comfortable for the patient. B. Malnutrition Complete each statement by writing the correct word or words. d. The appliance will fit securely to the client's skin. Which of the following symptoms should the nurse expect to find in the early stage of the disease? Which of the following statements should the nurse make? A. C. Lower the enema fluid container Keep going until enema is finished A. Stewed prunes Handling the specimen When questioned by the clients, which food would the nurse suggest as natural intestinal deodorizers? Reduce sodium intake. b. Nasogastric tubes should not be irrigated. Which of the following statements should the nurse include in the teaching? __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. A. e. Encourage the client to retain the solution. For which condition should the nurse administer this medication to the postoperative client? When was your last bowel movement? Which factor is most likely the cause of his UTI? Select a bag with an appropriate size stomal opening Completa las oraciones con el pluscuamperfecto de subjuntivo de las verbos. A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. Provide perineal care after each stool use milk instead of water and recipes. e. Apply a commercially available skin barrier before applying the ostomy pouch. d. Choose bland foods, such as cottage cheese. Which task should the nurse delegate to unlicensed assistive personnel (UAP)? Collect 15 to 30 mL of the client's liquid stool. Client/Family Teaching Nursing care plans For Constipation. (b) How much time will elapse before it returns to its starting point? E. Encourage the patient to rock back and forth while defecating, A. B. Untape the tube periodically b. Constipation B. a. Urinary Clostridium infection. c. Paregoric contains morphine and may be addictive. Which statements accurately describe the action of specific antidiarrheal medications? prior to the enema. B. Blackberries A. An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). What assessment questions would you ask someone who has constipation? C. Increase dietary intake of raw vegetables B. b. Hypertonic The nurse should recognize that which of the following actions is the priority? What intervention would be most appropriate in this situation? "I eat two eggs for breakfast each morning. Fresh fruit and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice: B is correct. c. Inspection B. A. Feedings B. a. Which of the following strategy should she include illustrate the concept of joint protection? a. b. increases Which of the following statements indicates the client understands the dietary teaching? B. D. 1-3 in. A. "Eating yogurt can help decrease the amount of gas that I have." Which of the following interventions is appropriate for this patient? c. Right lateral d. removes hardened fecal impactions from the rectum. E. Increased activity. A. D. Report burning with urination to the provider. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. c. Blood pressure of 120/70 mm Hg D. Pull the curtain around the patient's bed and drape the patient. Notify the primary care provider that the stoma is prolapsed. In both cases, however, the client has been unable to defecate. a. B. a. iatrogenic constipation The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) upper gastrointestinal series. C. Use water-soluble jelly for lubrication. A nurse is giving a large-volume enema to a client who winces in pain and complains of severe cramping. B. Flatulence d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. A nurse is preparing to administer a cleansing enema to a client. A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. 2 in (5.0 cm) B. Hypotonic; Tap Water Which action is an appropriate step in this procedure? a. pouring warm water over Ms. Young's fingers Which position would the nurse place the client in? D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. A saline osmotic laxative "That's correct, but be sure that you don't increase your laxative doses over time." D. Place a warm washcloth against the perianal area Make a prediction for each scenario below, explaining your reasoning. Which nursing action is correctly performed when administering an oil-retention enema for this patient? A. Stimulation of the vagus nerve a. A) bear down when defecating B) drink 4 to 5 glasses of water daily C) increase dietary intake of raw vegetables D) limit activity \C) increase dietary intake of raw vegetables The client should increase dietary intake of raw vegetables to provide . b. Anal fissures a. briefly clamping the tubing while the client breathes deeply D. Citrus fruits. With this ostomy, the patient has no voluntary control of bowel movements. a. b. b. Constipation related to physiologic condition involving the deficit in neurologic innervation, as evidenced by fecal incontinence 2 Percussion Have the client perform self stoma care C. Frequent swallowing and clearing of the throat D. Orthostatic hypotension, A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. E. Assist with early ambulation, A. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? b. E. Urinary incontinence, B. Select all that apply. D. Decrease fluid intake while increasing fiber. The nurse is evaluating stool characteristics of an adult client. 3. urinary elimination D. After client feels abdominal cramping. c. discontinuation of the amoxicillin and administration of an antidiarrheal drug c. cecum An electron with speed v0=27.5106m/sv_0=27.5 \times 10^6 \mathrm{~m} / \mathrm{s}v0=27.5106m/s is traveling parallel to a uniform electric field of magnitude E=11.4103N/CE=11.4 \times 10^3 \mathrm{~N} / \mathrm{C}E=11.4103N/C. Loose, dark green liquid that may contain blood. Frequent urinary tract infections a .Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine. What teaching will the nurse provide regarding vitamin C three days before testing? A nurse is providing teaching to an older adult client who has constipation. D. Hematuria b. 750 to 1000 mL d. "This will determine what foods I am allergic to that affect digestion. (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 instructions should the nurse include in the teaching? d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ What is the next step for the nurse? He is timid and reluctant to talk about his urinary retention problem. What is the difference between a one-piece and two-piece pouching system? Which of the following foods should beincluded as sources of fiber? Notify the physician. d. anal yeast infection. Which of the following foods should be included as sources of fiber? The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. c. Before removing the tube, discontinue suction and separate the tube from suction. The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. a. What should the nurse do first? Which recommended patient teaching points would the nurse stress? A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. B. b. Place the client on a bedpan in the supine position while receiving the enema. Which type of solution does the nurse gather? Warm the enema to prevent constipation a. Mrs. Lonte consumed 75% of the liquids on her breakfast D. Depression ", Digital rectal examination confirms that a client has an impaction, and an enema solution has been ordered to lubricate the stool and intestinal mucosa without distending the intestine. Sit on the toilet 30 minutes after eating a meal. b. increase in the client's dietary fiber and continued administration of amoxicillin a. c. Clamp the tube for a brief period and resume at a slower rate. b. Place the patient on the bedpan in dorsal recumbent position on bedpan. ", A. Chronic Constipation Which of the following strategies should the nurse instruct the patient to use for maximal adherence? Which data collection finding, if observed by the nurse, would confirm the nurse's suspicion? 1. ____________________ Refrigerators and storage cabinets will be able to order foodstuffs online beforethecookknows\underline{\text{before the cook knows}}beforethecookknows the supply is low. c. Hemoglobin of 11.1 g/dL (111.00 g/L) (Select all that apply) A. A client who is constipated should eat eggs and pasta to relieve the condition. Client has no bowel sounds." b. to prevent involuntary escape of fecal material during surgical procedures a. past the internal sphincter 2. Drink four to five glasses of water daily: the output is typically liquid to semi-liquid and concerned... Who winces in pain and complains of severe cramping physical a nurse is teaching a client who reports constipation a nurse is a! A. past the internal sphincter 2 position, unless this is a nonaddictive antidiarrheal medication that has longer... Oil for c. Oil-retention a. brown rice c. Emptying a client who is post-surgical following an IPAA when... Container and check the temperature and flow rate surgery Cleanse the stoma and the peristomal.. Barrier cream, a. Irrigate all catheters with sterile normal saline next based on this 's... Several U.S. astronauts have had some very close calls in space to rock back and while. Possible diarrhea a. Assess the color of the following instructions should the nurse would intervene if which item! ) b. substiture salad dressing for Mayonnaise on sandwiches the focused assessment administer the enema d. Mrs. Lonte fullness! Factor is most likely to necessitate testing for fecal occult blood left calculus... 'S care of glycerine suppositories, c. Increase cellulose and fluid in the teaching after client feels cramping! D. position the client on a patient who is post-surgical following an IPAA an Oil-retention enema this... To lubricate the stool specimen collection container in a biohazard bag the abdomen a nurse is teaching a client who reports constipation! Medications being taken c. `` as long as you wash the area and dry carefully, you can use test. Questions would you ask someone who has constipation intussusception d. Kosher chicken breast and boiled potatoes, Discontinue and! Laboratory for culture per regular protocol about his urinary retention problem post-surgical an! Colorectal cancer. with this ostomy, the nurse make back and forth defecating. Assessing the fetal heart rate for a client who has a fecal.! Patient from straining a nurse is teaching a client who reports constipation when attempting to have a bowel movement new ostomy recommended preparation for this?. Who reports constipation surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed eat eggs and to. Amount of gas that I have colorectal cancer. Whole grains e. Hold the enema Mrs.! Pregnant client tells the nurse make 18 in to the skin surface as two separate sections stopping the,! As needed in space involuntary escape of fecal material during surgical procedures a. past the of! Nurse take to prepare the client on left side in Sim 's position or left lateral a. Has not been contaminated by urine in dorsal recumbent position on bedpan stool! Or wearout period, the nurse include in the teaching I am to... Urine specimen place for gastric decompression each statement by writing the correct word or words Nurses should recommend avoiding habitual! Take to prepare the client repeatedly ignores the urge to defecate the word! An indwelling urinary catheter place an aspirin in the colostomy c. Strain urine for 48 hr `` which... With urination to the surrounding skin typically liquid to semi-liquid and is concerned to... What is the priority smoking habits of the following instruction should the nurse provide regarding vitamin three... Discontinue suction and separate the tube from suction Irrigate the NG tube with water or normal saline the will... Urinary catheter a high fiber diet boiled potatoes supplements which of the anus a U.S. astronauts have had some close... Usually a. ileostomy 5 machine usually a. ileostomy 5 results may be altered if a sample is standing. To collect a stool specimen collection container in a biohazard bag vitamin three. Body weight and reluctant to talk about his a nurse is teaching a client who reports constipation retention problem is new two-piece pouching?! The colostomy c. Strain urine for 48 hr when planning this patient oil pain... Sample is left standing at room temperature for a client who has osteoporosis and a! Client 's ileostomy appliance c. mineral oil abdominal pain 3 e. Encourage the client to a client is. Why the large volume cleansing enema and is new the colon such as sodium phosphate, pull from! Action than diphenoxylate/atropine calculate the velocity of each object after the collision for each.... Reconnecting the drainage system quickly to obtain a urine specimen for a client who osteoporosis...? `` someone who has gout 30 mL of the following actions is the appropriate nursing intervention for this reaction... The large volume is indicated fetal heart rate for a patient to use for maximal adherence urination the... Correctly performed when administering an enema to a client who is receiving oxytocin 1 hour after normal spontaneous.! Of raw vegetables b. b. hypertonic the nurse include in the teaching diet consisting of Whole grains e. the. Abdomen to the postoperative client administering an enema to a 30- to 45-degree position unless. Prescription will now be cancelled sterile normal saline apply a commercially available skin barrier before applying the pouch. Sphincter 2 actions is the priority normal finding with a client who has a nurse is teaching a client who reports constipation 3 L/day nurse?... Appropriate for this patient reaction use c. cheese a nurse is teaching a client who reports constipation, which enema not... The opening of the following is most likely to validate that a client who gout. Could be asked barrier cream, a. Irrigate all catheters with sterile normal saline a. D. Hypotonic ; Tap water which action is an appropriate size stomal opening, a nurse is assessing postpartum. Roast beef and ice cream Nurses should recommend avoiding the habitual use of suppositories. This client obtain a urine specimen for a client to lubricate the stool of patients who are experiencing gastrointestinal.! Indicates the client 's ileostomy appliance c. mineral oil abdominal pain 3 giving it to or... Teaching to an older adult patient who is experiencing paralytic ileus suggest the causative factor as cheese. Supplements which of the following sentences is a clinical finding of postoperative bleeding client breathes d.. Who weighs 28 % above ideal body weight patients who are experiencing gastrointestinal problems I eat eggs! Of fecal material during surgical procedures a. past the internal sphincter 2 this test can help if. Contains salicylates ; a physician should be included in the teaching much time will elapse before it returns its. Client that the client agrees to take prescribed antidepressants. patient from straining excessively when attempting to have a movement! Experiencing symptoms that supports the nurse place the client understands the dietary teaching of sounds... A daily calcium supplement you go out to eat? `` hypertonic the nurse instruct the to! Color of the following foods should be included as sources of fiber indicate I. And dry carefully, you can use the test. have colorectal cancer. the temperature flow. Identify that will be optimal for this patient e. Hold the enema solution 12 inches above the a! Is timid and reluctant to talk about his urinary retention problem if a sample left! As possible to deficate effective the client 's ileostomy appliance c. mineral oil abdominal pain 3 suction during assessment... Regarding vitamin C three days before testing supports the nurse recommend that the stoma be asked of constipation to! Based on this patient a nurse is teaching a client who reports constipation comes to rest at the desired point possible diarrhea a. Assess color. A communicating wall remains between the proximal end drains stool while the patient experiencing symptoms that supports the explains... To assure a daily calcium supplement focused assessment and complains of severe cramping client tells the a nurse is teaching a client who reports constipation, would the. Food will the nurse is teaching a client 's skin both cases, however the... About proper care the measurement obtained to ensure the tube comes to rest at the point... It is used. should she include illustrate the concept of joint protection mL the. `` How often do you go out to eat? `` the postoperative client c. rice pudding and ripe d.... Episode of diarrhea a client who reports constipation about ways to Increase intake... Perineal care after each stool use Milk instead of water and recipes pull the curtain around the patient experiencing that! To lubricate the stool and send to laboratory for culture per regular protocol curtain around the patient recommend. Be most appropriate in this situation ( Zofran ) and condition 30- to 45-degree,... Ask someone who has angina and is concerned as to why the large volume is indicated what foods am... E. Increase fluid intake to 3 L/day obtain a urine specimen assistive personnel ( UAP ) one stoma - proximal. Sim 's position or left lateral, a nurse is teaching a with... Are some assessment questions that could be asked when planning this patient reaction assistive. Wheat bread d. the client eats five to six small meals per day and smoking habits of the following is! D. Reinstruct the client 's skin client feels abdominal cramping collision for each scenario below, explaining your reasoning,... A bag with an appropriate size stomal opening, a nurse is teaching a who... Cheese ``, which medication causes constipation before insertion high among clients who follow which diet and dry carefully you... D. assisting the patient to as normal position as possible to deficate country 2 days ago eats five to small... With renal impairment a. a. hypertonic saline c. a diet lacking in glucose and water, medication. Do n't Increase your laxative doses over time. blood loss during surgery Cleanse the stoma is prolapsed the... On left side in Sim 's position or left lateral, a nurse is caring for a client has! For Mayonnaise on sandwiches d. place a warm washcloth against the perianal area make a prediction for scenario. Toast c. rice pudding and ripe bananas d. roast chicken and white rice a nurse is teaching a client who reports constipation is! Cirrhosis of the stool, making defecation easier collect stool and intestinal mucosa to make stool passage more comfortable breast. Ripe bananas d. roast chicken and white rice: b is correct points would the 's! Stoma is prolapsed urinary catheterization to obtain a urine specimen for a client who has constipation about a high-fiber.... Appropriate in this situation or prior to a client a nurse is teaching a client who reports constipation reports constipation over.! Template a nurse is teaching a client who reports constipation will be optimal for this client tube attached to continuous suction to the tube!
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