BowelElimination

Question 1

nursing diagnoses related to bowel elimination

Answer 1

diarrhea
Bowel incontenience 
Constipation
decreased fiber in diet
decrease fluid intake
inactivity 
delaying defecation when urge is present
abuse of lax
use of constipation meds
change in routine
pain associated with defection

Question 2

A nurse is assessing the bowel elimination patterns of hospitalized clients. Which nursing actions related to the assessment process are performed correctly?

Answer 2

• The nurse places the client in the supine position with the abdomen exposed.
• The nurse uses a warmed stethoscope to listen for bowel sounds in all abdominal quadrants.
• The nurse notes the character of bowel sounds, which are normally high-pitched, gurgling, and soft.

Question 3

The nurse inspects the stool of clients admitted to the hospital with abdominal distress. Which statements accurately describe the normal characteristics of stool and special considerations for observation?

Answer 3

• The rapid rate of peristalsis in the breastfed infant causes the stool to be yellow.
• Antacids in the diet cause the stool to be whitish.
• A gastrointestinal obstruction may result in a narrow, pencil-shaped stool.

Question 4

action of tap water

Answer 4

distends intestine, increases peristalsis, soften stool

Question 5

normal saline

Answer 5

distends intestine, increases peristalsis, soften stools

Question 6

soap

Answer 6

distends intestine, irritates intestinal mucosa, softens stool

Question 7

hypertonic

Answer 7

distends intestine, irritates intestinal mucosa, sodium retention

Question 8

oil

Answer 8

lubricates stool and intestinal mucosa

Question 9

barium causes

Answer 9

constipation

Question 10

normal bowel sounds

Answer 10

which are normally high-pitched, gurgling, and soft

Question 11

A nurse is giving an enema to a client who doubles over in pain with severe cramping. What intervention would be appropriate in this situation?

Answer 11

Lower the solution container and check the temperature and flow rate.

Question 12

A nurse is providing home care for a client with fecal incontinence. Which suggestions should the nurse give the client and his family when managing fecal incontinence

Answer 12

• Ask the client to use moisture-proof undergarments.
• Ask the client to monitor the pattern of incontinence.
• Ask the client to eat nutritious foods regularly.

Question 13

A nurse is giving an enema to a client who doubles over in pain with severe cramping. What intervention would be appropriate in this situation?

Answer 13

Lower the solution container and check the temperature and flow rate.

Question 14

The nurse is administering magnesium sulfate to a patient with constipation. What mechanism of action would the nurse expect from this drug?

Answer 14

Drawing water into the intestines to stimulate peristalsis

Question 15

decreased bowl sounds are commonly associated with

Answer 15

peritonitis, paralytic ileus and or prolonged immpobility