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15 Cards in this Set
- Front
- Back
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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) Chinese B) Alcohol C) Eggs D) Pasta |
B) Alcohol
All the foods listed as such alcohol have a constipating effect |
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Which of the following is a true statement about the effects of medication on bowel illumination?
A) Diarrhea commonly occurs with amoxicillin clavulanate use B) Anticoagulants cause a white discoloration of the stool C) Narcotic analgesics increased Gastrointestinal mobility D) Iron salts in pair digestion and cause a green store |
A) Diarrhea commonly occurs with amoxicillin clavulanate use
Anticoagulants may result in the store having a pink to red to black appearance, whereas iron salts also cause a black stool. |
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Mr. Jay has a fecal impaction. The nurse correctly administers an oil-retention Enema by doing which of the following?
A) Administering a large volume solution 500 to 1000 ml B) Mixing milk and molasses and equal parts for an enema C) Instructing the patient to retain the enema for at least 30 seconds D) Administering the enema while the patient is sitting on a toilet |
C) Instructing the patient to retain the enema for at least 30 seconds
The usual amount of solution administered with a retention Enema is 150 to 200 mL for an adult. The milk and molasses mixture is a carminative enema That helps to expel flats, As does the Harrison flush procedure |
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As the nurse prepares to assist Mrs. P with her newly created Ileostomy, She is aware of which of the following?
A) An appliance will not be required on the continual basis B) The size of the stoma stabilizes within two weeks C) Irrigation is necessary for regulation D) Fecal drainage will be liquid |
D) Fecal drainage will be liquid
And appliance is usually required on a continual basis because the fecal drainage is liquid. Stomas size usually stabilizes within 4 to 6 weeks, and Ileostomy Irrigation is not necessary because fecal matter is liquid |
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Which class of laxative acts by causing the stool to absorb water and swell?
A)Bulk-forming B)Emollient C)Lubricant D)Stimulant |
A)Bulk-forming
Emollients Lubricate the stool; Lubricants soften the stool, making it easier to pass: and Stimulants promotes peristalsis by irritating the intestinal mucosa or stimulating nerve ending in the intestinal wall |
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Mr. T is nervous about a colonoscopy scheduled for tomorrow. The nurse describes the test by explaining that it allows which of the following?
A) Visual examination of the esophagus and stomach B) Visual examination of the large intestine C) Radiographic examination of the large intestine D) Fluoroscopic examination of the small intestine |
B) Visual examination of the large intestine
An esophagogastroduodenoscopy Allows visual examination of the esophagus and stomach. The radiographic examination of the large intestine refers to a barium enema, and a fluoroscopic Examination of the small intestines refers to an upper gastrointestinal series |
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A bowel training program includes which of the following?
A) Using a diet that is low in bulk B) Decreasing fluid intake to 1000 mL C) Administering an enema once a day to stimulate peristalsis D) Allowing ample time for Evacuation |
D) Allowing ample time for Evacuation
For a bowel training program to be effective, the patient must have ample time for evacuation usually 20 to 30 minutes. Fluid intake is increased to 2500 to 3000 mL, food high in bulk is recommended as part of the program: and a daily enema is not administered in bowel training program. A cathartic Suppository maybe use 30 minutes before the patients usually defecation time to stimulate peristalsis |
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Your patient complains of an excessive flatulence. When reviewing your patients dietary intake, which foods, if eaten regularly, would you identify as possibly responsible?
A) Meet B) Cauliflower C) Potatoes D) Ice cream |
B) Cauliflower
Cauliflower is a gas producing food that relates in flatulence |
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A barium Enema should be done before an upper gastrointestinal series because of which of the following?
A) Retained barium may cloud the colon B)barium Can cause lower Gastrointestinal bleeding C) The physicians orders are in that sequence D)barium Is absorbed readily in the lower intestine |
A) Retained barium may cloud the colon
The barium And I'm should always perceive the upper gastrointestinal series because retained barium from the latter may take several days to pass through the gastrointestinal tract and may cloud anatomic detail on the barium enema studies |
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Nurses should recommend avoiding the habitual use of laxatives. Which of the following is the rationale for this?
A) They will cause a fecal impaction B) They will cause chronic constipation C) They change the pH of the Gastrointestinal track D) They inhibit the intestinal enzymes |
B) They will cause chronic constipation
Habitual use of laxatives is the most common cause of chronic constipation |
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When explaining the action of a hyper tonic solution enema, the nurse incorporates which of the following as the basis for action?
A) bowel mucosa irritations B) Diffusion of water out of colon C) Osmosis of water into colon D) Softening of fecal contents |
C) Osmosis of water into colon
Hypertonic solutions draw water into the colon a By osmosis that's stimulating the defecation reflex. Orrills solutions soften fecal contents, and soup solutions distend the intestines and irritate the bowel mucosa |
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Which of the following are included in the nursing plan of care to prevent adverse effects when caring for patients with a nasogastric tube in place for gastric decompression's? Select all that apply.
A) Irrigation with Saline B) Measure the length of exposed tube C) Measure the pH of the aspirated tube contents D) Administer frequent oral hygiene |
A,B,C,D
After checking placement, NGT should be Irrigated with 30 to 60 mL of normal saline to maintain patency. The frequency is determined by facility policy, medical order, and nursing judgment. The length of the exposed tubes should be measured after insertion and routinely thereafter, as part of the assessment to verify placement and ensure the tube has not dislodged. Measuring the pH of aspirated two contents is one way to validate to placement in the intestinal tract. The other methods is to visually Assess aspirate to confirm gastric contents. Patients with NGTs Often experience discomfort related to irritation to nasal and throat mucosa And drying of the mucous membranes. Frequent oral hygiene should be administered as well as applying lubricant to the lips |
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During removal of a fecal impaction, which of the following could occur Because of vaginal stimulation?
A) Bradycardia B)Atelectasid C) Tachycardia D) Cardiac tamponade |
A) Bradycardia
Removing a fecal impaction manually may result in stimulation of the vaginal nerve and resulting bradycardia |
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Which of the following would be a common nursing diagnosis for patient with an ileostomy?
A) Disturbed body image B) Constipation C) Delayed growth and development D) Excess fluid volume |
A) Disturbed body image
Constipation does not occur with the Ileostomy because the drainage is liquid. Growth and development are not affected by the formation of an Ileostomy. Excess fluid Byam is unlikely to occur because the drainage is liquid and probably continual |
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Which of the following is an appropriate nursing action to promote regular bowel habits?
A) Encourage the patient to avoid moving his bowels until a certain time of day B) Encourage the patient to avoid excess fluid intake and too much fiber C) Avoid strenuous exercise to limit stress on the abdominal muscles and impair peristalsis D) Assisting the patient to a normal position as possible to defecate |
D) Assisting the patient to a normal position as possible to defecate
Sitting upright on a toilet or commode promotes defecation. If the patient must use a bedpan, raise the head of the bed 30 to 45°. Patient should be encouraged to move their bowels at their usual time of the day. However, the patient should not be encouraged to put off defecation if the urge arises before or after their usual time. Patient should be encouraged to consume 2000 to 3000 mL of fluid, preferably water, and increase fiber, to promote regular defecation. Regular exercise improves gastrointestinal activities and aids in defecation http://quizlet.com/14572733/ch-38-bowel-elimination-taylor-nclex-flash-cards/ |
