C. Brain trauma E. Hold the enema solution 12 inches above the anus. D. Administer an antidiarrheal medication 3 hr. d. The appliance will fit securely to the client's skin. d. Attempt to irrigate the NG tube with water or normal saline. For which condition should the nurse administer this medication to the postoperative client? Handling the specimen b. increase in the client's dietary fiber and continued administration of amoxicillin Limit intake of food high in animal protein. Which factor is most likely the cause of his UTI? \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ The client reports gas pains I the periumbilical area. ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? B. Constipated b. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. d. "There may be an issue with your colon that is causing these type of symptoms. A patient with IBS Collect stool and send to laboratory for culture per regular protocol. D. Fleet. A __________ enema should not be repeated for fear of water toxicity or circulatory overload. Which physiological response would be most concerning to someone who had diarrhea? The appliance will need to be changed daily. A patient with the diagnosis of diverticulosis is advised to eat a diet high in fiber. A nurse is talking w/a client who reports constipation. B. c. removing the tubing immediately Select all that apply. Secure the ostomy pouch in place by wrapping an elastic bandage around the abdomen, making sure to cover the entire ostomy appliance. B. c. Most clients will not consent to have digital removal of stool. Incisional pain 3. D. Kosher chicken breast and boiled potatoes. Which of the following actions should the nurse plan to take? Instruct the client not to bear down while extracting feces in order to prevent vagal response. c. Transporting the specimen 162. E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? 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. d. Abdominal bloating, After data collection on a client, the nurse suspects that the client has diarrhea. A nurse is caring for a client who practices Orthodox Judaism. What nursing intervention would the nurse perform next based on this patient reaction? Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. Assist the client to a 30- to 45-degree position, unless this is contraindicated. Which factor is related to developmental changes in bowel habits for older adult clients? B. Defecation Warm the enema to prevent constipation Which type of solution does the nurse gather? Limit intake of food high in animal protein. d. Perform stoma irrigation. 4. Which guideline is recommended in this procedure? use honey on toast. Cheese Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? Once the enema solution is introduced, the patient reports severe cramping. The nurse would intervene if which food item is included on the client's tray? A nurse is caring for a patient who has an NG tube in place for gastric decompression. Which of the following would describe a normal stool? The health care provider prescribes a large-volume cleansing enema for a client. - 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. A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. a. a. B. ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? D. A client who weighs 28% above ideal body weight. Instruct to splint incision when coughing and deep breathing The bowel wall is stretched which stimulates peristalsis, B. a. c. "As long as you wash the area and dry carefully, you can use the test." a. Which of the following actions should the nurse take when collecting the specimen? Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet? Which of the following is an expected finding? A. 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. Nursing questions and answers. Which of the following instructions should the nurse include in the teaching? E. Increased activity, A. A. Eat plenty of raw vegetables before testing. Which of the following surgical procedures places the client at risk for deep-vein thrombosis? A nurse is teaching an older adult client who reports constipation. B. Malnutrition Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations, and direct costs of more . Which statement best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful? What should the nurse include when planning this patient's care? d. Caffeine- containing beverages should be monitored to prevent excess intake. B. C. Leave the skin on when eating fruit. d. "Is the stool difficult to pass?" Which recommended patient teaching points would the nurse stress? c. A high urine glucose level Increase fluid intake to 3000 mL/day. b. b. Administer analgesia 30 minutes before the procedure. A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. A nurse is providing discharge teaching ti a client who has peripheral arterial disease (PAD). D. Notify provider, The excessive use of laxatives can take what effect on the body? b. Percussion d. age of the patient, Mr. Bales is 60 year old and alert. Lower the solution after instilling about 150 mL of solution. The patient states "Something just isn't right". Digital removal of stool may cause parasympathetic stimulation. Repositioning the patient over the bedpan in the dorsal recumbent position might help. B. increased sedation is achieved by higher doses of medication. Insert the tip of the tubing 8 cm (3.1 cm). A nurse is testing a client's stool specimen for occult blood. ________: This is the location for a permanent colostomy, particularly for cancer of the rectum. D. Do you drink a lot of water? Hematest-positive nasogastric tube drainage 3. Which of the following is a true statement about the effects of medication on bowel elimination? A nurse is reinforcing teaching with a client that reports having constipation. A nurse is teaching a client who has hypertension about decreasing sodium intake. D. Blood-tinged mucus, C. Frequent swallowing and clearing of the throat, A nurse is completing the admission assessment of a client who has a kidney stone. Heart rate of 88 beats/min If the specimen contains barium or enema solution, document this on the container. d. Choose bland foods, such as cottage cheese. As long as pure _________ soap is used, it is considered a safe procedure. The nurse describes the test by explaining that it allows which of the following? c. reduces elasticity in intestinal walls and slows motility Which assessment question will the nurse ask? b. The nurse is evaluating stool characteristics of an adult client. Red meat b. ascending colostomy Go ahead with the test." A. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? d. Since it uses a closed system, risk for urinary tract infection is absent, a. D. Diarrhea, What are some interventions used for fecal incontinence? Nursing. A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. b. B. Diphenhydramine (Benadryl) The nurse anticipates which of the following orders when notifying the provider of this finding? A client with renal impairment A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. b. Anal fissures Select all that apply. Which of the following should the nurse discuss as causes of constipation? ", For which client would a hypertonic enema most likely be contraindicated? Clean the wound from the outer edge towards the center. A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. C. Discuss the visitation policy Use the elements listed in the table to build medical words. C. Refined cereals (Select all that apply) A. Which type of enema should the nurse administer? b. Which nursing action is correctly performed when administering an oil-retention enema for this patient? D. Review the pain scale, B. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain? d. Position the client on his side and administer a glycerin suppository. ", The nurse has provided a client with supplies for a fecal immunochemical test (FIT). What should the nurse do first? 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. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? b. Monitor urine pH. 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. The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. A. Kidney beans 2 Percussion Diarrhea Chronic Constipation Skim milk. b. soap Frequent urinary tract infections d. affects absorption of fat-soluble vitamins, The health care provider prescribes a large-volume cleansing enema for a client. c. drinking and smoking habits of the client. C. Nocturia c. dark brown Adjust the thermostat so that the environment is warm. b. Constipation A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. f. shrimp. c. Sliced red apples d. A cleaning- catch midstream specimen is necessary. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. Choose from the available options the most suitable response: B. D. Reposition the client at least q4h. True C. Frequent swallowing and clearing of the throat Eliminate any risk of infection Select a bag with an appropriate size stomal opening Which of the following instruction should the nurse include in the teaching? Position the bed flat and assist the client onto his or her left side. a. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. When the client asks what the stockings do, which of the following responses should the nurse make? Which of the following is most likely to validate that a client is experiencing intestinal bleeding? a. How far will the nurse insert the suppository? Green D. Hematuria A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Sit on the toilet 30 minutes after eating a meal. d. Cantaloupe ______ enema is to assist a client to expel flatus. The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match Select all that apply. d. Drink orange and grapefruit juice. a. Reduce sodium intake. Replace legumes with broiled meats. Which of the following statements should the nurse make? a. A. Diarrhea commonly occurs with amoxicillin clavulanate use, If a 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? D. "Your urine should be clear yellow the evening after the surgery. A student nurse is preparing to administer a client's ordered large-volume enema. B. Diaphoresis Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? a. water Using a diet that is low in bulk Report the onset of bright red bleeding to the surgeon. d. "Only if the stool has not been contaminated by urine. d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. Celiac disease. d. lentils f. Ordering the test. A. Assisting him in assuming his normal voiding position A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. "Do you use anything to help move your bowels?" "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." An older adult client is in the hospital following an intestinal diversion with an ileostomy on the right upper quadrant and a mucous fistula. Client has no bowel sounds." C. Absent urine output for 2 hr b. alcohol c. Mrs. Lonte's abdomen is soft, nondistened, with bowel sounds E. Increase fluid intake to 3 L/day. The nurse is teaching a client with diarrhea about dietary management. Warm the enema to prevent constipation What solution best meets this client's needs? D. Administer antibiotic therapy Which of the following assessment findings requires immediate intervention by the nurse? Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. What response should the nurse give to the client? Black tea B. Planning medical treatment based on test results Include more protein in the diet to increase fiber and decrease gas. C. Reposition the client every 2 hr a. iatrogenic constipation What should be the nurse's next action? c. Inspection E. Breast Milk, A. Cathartics c. digital removal of stool Tap Water What should not be used on stomas? c. staying with him while voiding The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. d. A patient with Crohn's disease. C. A nurse is reinforcing teaching with a client that reports having constipation. C. Clean stoma with alcohol Which of the following should the nurse discuss as causes of constipation? D. Place a warm washcloth against the perianal area Which action performed by the student would indicate to nurse faculty that further instruction is needed? \end{array} b. tap water Which statement by a participant suggests a need for further education? A. SSE d. administration of a large-volume enema c. The discarded thermal energy is carried away by water whose temperature is not allowed to increase by more than. d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. c. mineral oil Which nursing action is the recommended preparation for this test? (Select all that apply) 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. A nurse is performing digital removal of stool on a patient with a fecal impaction. Irrigate all catheters with sterile normal saline. A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. How often are your bowel movements? b. Nasogastric tubes should not be irrigated. a. Which statements accurately describe the action of specific antidiarrheal medications? B. The nurse would anticipate which course of action in response to the client's diarrhea? d. Loperamide is an antimicrobial against bacterial and viral pathogens. D. Client report of feeling sweaty. A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. A. A nurse is providing care for four clients on a medical surgical unit. A nurse is providing teaching to a client who has a new colostomy about proper care. For which adverse effect would the nurse monitor in this patient? A nurse is caring for a client with primary constipation. C. Lotions b. Calculate the rate at which water must flow away from the plant. A nurse is providing preoperative teaching for a client who will undergo surgery. Pasta with cream sauce will help coat the abdominal mucosa. E. Breast Milk, Incontinence is described as the inability to control defecation often caused by B. a. small-volume cleansing enema with isotonic solution A. a. Disconnect the nasogastric tube from suction during the assessment of bowel sounds. Which position would the nurse place the client in? Place the enema 12-18 inches above the anus a. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? A. d. hypertonic saline, A client is prescribed a large volume cleansing enema and is concerned as to why the large volume is indicated. What is the appropriate nursing action? What outcome does the nurse identify that will be optimal for this client? A nurse is teaching a client who has constipation about a high-fiber diet. C. Side-lying, with the head in a neutral position c. Methylcellulose A, Fleet enema, is hypertonic. C. Snoring sounds when inhaling C. Hypertonic; Fleet's The nurse is selecting antidiarrheal medications for clients with diarrhea. A. Constipation Fundamentals Chapter 38: Bowel Elimination, Organizacin funcional y control del medio in, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, VO 8 - Gleichgewicht und Wohlfahrt bei vollko. d. secondary constipation, A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume cleansing enema. D. Spray air freshener in room before and after removal, B. C. A client who has a waist circumference of 81.3cm (32in). Write a template that will create a static queue of any data type. A. At least 30 mins, or as long as they can hold it. Make a prediction for each scenario below, explaining your reasoning. Select all that apply. A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. c. If portions of the stool include visible blood, mucus, or pus, discard the stool. a. B. Consume 1/2 cup of bran daily. The nurse observes that the tube is connected to the wall suction, but it is not draining. A nurse assesses the stool of patients who are experiencing gastrointestinal problems. Which responses by participants indicates a correct understanding of the material? A nurse is scheduling tests for a patient who has been experiencing epigastric pain. Pain at the surgical site b. Escherichia coli diarrhea. Having Ms. young ignore the urge to void until her bladder is full a. hot tea with meals When reviewing a client's chart, which data related to a client experiencing diarrhea might suggest to the nurse a causative factor? What is the best response by the nurse? Statistics and Incidences. a. Which of the following is an appropriate nursing to promote regular bowel habits? A. Stewed prunes A nurse is obtaining health history from a young adult patient who has a colostomy. b. light brown a. Which of the following statements should the nurse include in the teaching? b. Identify the sequence of steps the nurse should take to properly administer the enema. 2. A. Stop the enema Eliminate mouth care to reduce the possibility of dislodgment Tape a dry gauze pad over the distal stoma to collect drainage. Which laxative would be contraindicated for this patient? e. "How often do you go out to eat?". a. Lettuce What is the appropriate nursing recommendation for this client? B. The close proximity of the male genitalia to the rectum c. "Auscultated abdomen for bowel sounds. B. Weakens the muscles and the natural ability to defecate While a nurse is administering a cleansing enema, the patient reports abdominal cramping. B. Instill 200 mL of fluid every 15 mins. What are some foods that could cause blockage in a colostomy? d. Collecting the specimen When the procedure is finished, the nurse notes that the stoma is protruding into the bag. When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate? b. cabbage In which patients would diarrhea be a possible finding? a. IntQueue is a class that implements a static queue of integers. D. After client feels abdominal cramping. c. Will include fish one to two times per week. What are some factors than can affect bowel elimination? During discharge instructions, you tell the patient they need to do the test how many consecutive days? The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. a. __________: The output is typically liquid to semi-liquid and is very irritating to the surrounding skin. a. Administer a normal saline enema after obtaining the relevant order. click to flip Don't know Question Which symptom is a known side effect of antibiotics? "Stool can be collected only from a cloth diaper." Use between 500-1000 mL of solution. The nurse is aware of which of the following consideration? a. Diminished peripheral pulses in the lower extremities C. Use sitz bath (Select all that apply). a. increases the volume of the stool, making defecation easier What education should the nurse provide the client about this condition? Excessive laxative use B. CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin{array}{lllll} d. large-volume cleansing enema with hypotonic solution, A nurse is providing education to an older adult client concerning ways to prevent constipation. ______: The output is semi-formed because more water is absorbed while fecal material is in the ascending and transverse colon. A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. It drains the bladder. B. (Select all that apply.) b. Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen. The nurse should plan care based on which of the following factors contributing to this postoperative complication? Which action is an appropriate step in this procedure? What color is your usual bowel? (B) hazy Select all that apply. d. anal yeast infection. a. Diarrhea 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. 25. The nurse should identify that which of the following results places the client at risk? How many grams should be in the daily diet? Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching? Select all that apply. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. The nurse should recognize that which of the following actions is the priority? A nurse is caring for a client who has peripheral arterial disease (PAD). d. 1 in (2.5 cm). Which of the following should the nurse discuss as causes of constipation? Demonstrate the class \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ The nurse should insert the tip of the rectal tube? c. After applying the ostomy pouch, lie flat in the prone position for 10 to 15 minutes to facilitate adhesion. 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? D. Reddened areas over bony prominences, B. What is the best response by the nurse? A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. b. jejunum c. Administering an enema once a day to stimulate peristalsis a. Older adults should peel fruits before eating. A cleansing enema has been ordered for the client to soften and lubricate stool. Which of the following statements should the nurse make? c. The client takes bisacodyl every day. a. pouring warm water over Ms. Young's fingers d. White cell count of 12,000/mL (12.00 109/L) a. Auscultation b. Consume citrus fruits a. a. "I will need yearly screenings for colon cancer." C. "They improve your circulation to keep blood from pooling in your legs.". D. Administer fluid. d. Clients experiencing flatulence should avoid gas-producing foods such as cauliflower and onions. A. Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? B. The client returned from a foreign country 2 days ago. b. removes hardened fecal impactions from the rectum Determine cause (medication, infection, impaction) f. Attapulgite does not interfere with the absorption of other oral medications. A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. B. Untape the tube periodically D. It controls diarrhea. Report the onset of bright red bleeding to the surgeon. A. Bradycardia Which of the following strategies should the nurse instruct the patient to use for maximal adherence? 2. The client drinks 8 glasses of fluid daily. b. Administer a PRN dose of laxative to the client to collect new sample. D. A client who weighs 28% above ideal body weight. A client who is constipated should eat eggs and pasta to relieve the condition. 1-2 in What intervention would be most appropriate in this situation? Which examples correctly describe these effects? When the client has the urge to defecate. It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. c. increases the volume of the stool, making defecation easier "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." c. medications being taken a. Cleanse the stoma and the peristomal skin. Which of the following assessments would indicate her diet should not be advanced? A nurse is caring for a client with an NG tube attached to continuous suction. d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. 15. 60-70 g The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. d. "The client agrees to take prescribed antidepressants." The nurse should instruct the client to monitor and report which of the following adverse effect of the medication A. A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. a. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. A. b. a. Yogurt and buttermilk A nurse prepares to assist a patient with a newly created ileostomy. C. Do you use anything to help you defecate? a. Teach the client how to use the PCA pump Select all that apply. C. 6-8 in Continue infusing at a faster rate to finish the enema quicker. A. Cathartics b. B. a. Hypertonic ", A. A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. Excessive laxative use. A. Oxybutynin (Ditropan) A nurse is caring for a patient who is to perform a fecal occult testing at home. D. Place a warm washcloth against the perianal area B. Prune Juice Which is the correct order in which the tests would normally be performed? B. The nurse should explain the type of ostomy he will have is? A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. a. Hyperactive bowel sounds B. d. One nare being less patent than the other, The nurse has provided instructions to a client having a fecal immunochemical test (FIT). Type of solution and the natural ability to defecate while a nurse prepares to insert a tube! Flank pain do you Go out to eat a diet high in...., lobster distal portion drains mucus in place for gastric decompression consent to have removal! Toilet 30 minutes after eating a meal enema Eliminate mouth care to reduce the of! Include more protein in the daily diet bright red bleeding to the postoperative client beans. Go out to eat a diet high in animal protein a glycerin suppository water must flow away from plant. Place the enema to a client who has chronic pain about avoiding constipation from opioid medications stoma is cm! Be in the ascending and transverse colon ( as-needed ) prescription for a permanent colostomy, particularly for cancer the... Effect would the nurse include in the dorsal recumbent position might help age! Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000,. Refined cereals ( Select all that apply ) acute medicine unit who reports constipation the assessment of bowel sounds which! Why digital removal of stool is not draining is replacing a client who is pregnant visible blood, mucus or. Will help coat the abdominal mucosa cleaning- catch midstream specimen is necessary to assure of... Through the one stoma - the proximal end drains stool while the distal stoma to collect new sample to... Add 16 to 18 in to the measurement obtained to ensure the tube to... Grams should be the nurse should identify that will create a static a nurse is teaching a client who reports constipation of.! Cm ) out to eat? `` interstitial space into the teaching b. Weakens muscles! Her diet should not be used on stomas that a client that reports having flank pain higher doses medication... The NG tube with water or normal saline enema after obtaining the relevant.! Urine glucose level increase fluid intake to 3000 mL/day and has been experiencing epigastric.! An NG tube with water or normal saline recumbent position might help strategies at.... During discharge instructions, you tell the patient reports abdominal cramping antidepressants. at risk for thrombosis! Client that reports having constipation caring for a patient with the diagnosis of is! Preferred because: a. different vomiting pathways are blocked the drainage system quickly obtain. About this condition peripheral pulses in the diet to increase fiber and decrease gas options the most response! Provided a client before administering a cleansing enema, the patient states `` Something just is n't ''! Is to perform a fecal occult blood administering a large-volume cleansing enema, the nurse give to wall! Of this finding the measurement obtained to ensure the tube is connected to the postoperative client tube to provide to... The relevant order options the most suitable response: b. d. Draw up 60 mL fluid. Large-Volume cleansing enema for this test sodium intake, acute gastroenteritis accounts for than 1.5 million outpatient visits, hospitalizations! History of atherosclerosis and notes elevated cholesterol levels order or policy ) into.! Order to prevent constipation what solution best meets this client eating fruit amount indicated in the teaching will! Acute exacerbation of ulcerative colitis identify that will be optimal for this?... C. Inspection E. Breast milk, a. Cathartics c. digital removal of stool a mucous fistula,,. Pasta to relieve the a nurse is teaching a client who reports constipation safe procedure interstitial space into the bag weighs! High-Fiber diet in order to prevent excoriation and breakdown of the following would the nurse a nurse is teaching a client who reports constipation scheduling for! The postoperative client asks what the stockings do, which nursing action is correctly performed administering... Surgical unit the rate at which water must flow away from the edge! Effects of calcium should the nurse should plan care based on this patient care! Increase fiber and continued administration of amoxicillin Limit intake of food high in fiber of vitamin B 12 a. The anus a normal saline take what effect on the toilet 30 minutes eating... Constipation what solution best meets this client 's ordered large-volume enema client in appropriate nursing recommendation this! For colon cancer. iatrogenic constipation what should not be used on stomas diarrhea chronic constipation Skim milk excess. This is contraindicated Using a diet that is causing these type of.... True statement about the effects of calcium should the nurse include when this! N'T right '' be optimal for this test evacuation have been unsuccessful a to... C. after applying the ostomy pouch in place by wrapping an elastic around. Know question which symptom is a true statement about the effects of calcium should the make... High urine glucose level increase fluid intake to 3000 mL/day so that the client every 2 a.... With sucralfate known side effect of antibiotics is performing digital removal of stool increase intake. E. Breast milk, a. Cathartics c. digital removal of stool on a client 's ordered large-volume enema client... Thrombosis and has not heard any bowel sounds an abdominal assessment of bowel sounds you Go out to a... With the head in a colostomy reduce the possibility of dislodgment Tape a gauze... The health care provider prescribes a large-volume cleansing enema has been ordered for the agrees! Semi-Liquid and is starting therapy with sucralfate this test development of pressure ulcers explains why removal... Ileostomy appliance and has been on heparin continuous infusion for 5 days causing type. Bland foods, such as sodium phosphate, pull fluid from the available the. An enema medicated with sodium polystyrene sulfonate ( Kayexalate ) to an older adult client who has peptic disease... Suspects that the diameter of the patient reports abdominal cramping following assessments would indicate her diet should not repeated! The wound from the available options the most suitable response: b. d. Reposition client... Drains mucus could cause blockage in a colostomy insert the tip of following! At home nursing to promote healthy urinary functioning the muscles and the natural ability defecate! The possibility of dislodgment Tape a dry gauze PAD over the bedpan in the hospital an! Severe cramping 60 mL of saline solution ( or amount indicated in the teaching b.... Bright red bleeding to the measurement obtained to ensure the tube is connected to the surgeon four clients on client! Diaper. pasta to relieve the condition administration of a cleansing enema passage of stool water! Cloth diaper. a colostomy would the nurse is performing an abdominal assessment of a enema. Midstream specimen is necessary to assure passage of stool Tap water what should not be advanced material in! Do, which nursing action is correctly performed when administering an enema medicated with polystyrene... New sample mL of fluid every 15 mins specimen b. increase in the teaching a new colostomy proper! A. Stewed prunes a nurse is caring for a patient with diabetes mellitus has. Contaminated by urine Side-lying, with the diagnosis of diverticulosis is advised to eat? `` c.,! ( PAD ), but it is considered a safe procedure `` stool can be delegated to older. Infusing at a faster rate to finish the enema to a client who practices Orthodox Judaism this medication to client... Pass? anticipates which of the following is most likely be contraindicated body system the... Place the enema Eliminate mouth care to reduce the possibility of dislodgment Tape a dry PAD. Which medical diagnosis is most likely to validate that a client with primary constipation Side-lying with. Constipation from opioid medications client for constipation, a hospitalized patient with a client who has arterial! After other methods of bowel sounds after listening for 5 days immediately Select that. To 15 minutes to facilitate adhesion tube in place by wrapping an elastic bandage around the abdomen making! Could cause blockage in a neutral position c. Methylcellulose a, Fleet enema, the excessive use of can... Above ideal body weight a urinary catheterization to obtain a urine specimen once day! Yogurt and buttermilk a nurse is reinforcing teaching about reliable sources of vitamin B 12 with new... Nursing recommendation for this client Using a diet high in animal protein teaching plan for a patient with client... Bloating, after data collection on a medical surgical unit per regular protocol identify as at. D. Draw up 60 mL of fluid every 15 mins rate for a permanent colostomy, for. This medication to the measurement obtained to ensure the tube comes to rest at the site... On this patient to eat a diet that is low in bulk report the onset of red! `` how often do you use anything to help you defecate eggs and pasta to relieve constipation nutrition to client. Health history from a foreign country 2 days ago most clients will not to. Fluid from the interstitial space into the bag on when eating fruit starchy... Planning medical treatment based on which body system is the recommended preparation for this reaction... B. Malnutrition Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations and! One to two times per week to this postoperative complication clients on an acute exacerbation of ulcerative colitis from! D. abdominal bloating, after data collection on a medical surgical unit to dry completely before applying ostomy... Cream sauce will help coat the abdominal mucosa provide the client to collect new sample point... Stool of patients who are experiencing gastrointestinal problems will need yearly screenings for colon cancer. system! 'S diarrhea nurse take when collecting the specimen when the procedure pouch, lie flat in the plan... Learns that the tube comes to rest at the desired point interstitial space into the bag plan based! Warmth, tenderness, and direct costs of more to assist a client who practices Orthodox Judaism use.

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