Question 1

What can the nurse implement to reduce episodes of fecal incontinence?

Accepted Answer

A)  Encourage intake of foods that cause mild constipation. 
B)  Use appropriate disposable garments, pads, and bed covering. 
C)  Establish a toileting schedule. 
D)  Coach the patient in Kegel exercises. 
A)  Encourage intake of foods that cause mild constipation. 
B)  Use appropriate disposable garments, pads, and bed covering. 
C)  Establish a toileting schedule. 
D)  Coach the patient in Kegel exercises. C

Question 2

Which patient would need enhanced skin care precautions?

Accepted Answer

A)  Patient who has one unformed stool after a bolus of tube feeding 
B)  Patient who has an unformed stool followed by a formed stool 3 hours later 
C)  Patient who reports cramping and nausea followed by an unformed stool 
D)  Patient who reports no abdominal discomfort but has had three unformed stools in 8 hours 
A)  Patient who has one unformed stool after a bolus of tube feeding 
B)  Patient who has an unformed stool followed by a formed stool 3 hours later 
C)  Patient who reports cramping and nausea followed by an unformed stool 
D)  Patient who reports no abdominal discomfort but has had three unformed stools in 8 hours D

Question 3

An alert, independent, 89-year-old male resident with congestive heart failure has been on Lasix for a week. Over the past 2 days he has been frequently incontinent and does not make it to the bathroom in time. He tells the nurse that he is having spasms in his lower abdomen. What type of urinary incontinence is this resident experiencing?

Accepted Answer

A)  Overflow urinary incontinence 
B)  Functional urinary incontinence 
C)  Stress urinary incontinence 
D)  Urge urinary incontinence 
A)  Overflow urinary incontinence 
B)  Functional urinary incontinence 
C)  Stress urinary incontinence 
D)  Urge urinary incontinence D

Question 4

What influences regular bowel patterns? (Select all that apply.)

Accepted Answer

A)  Level of activity 
B)  Diet 
C)  income level 
D)  Fluid intake 
E)  Lifestyle 
A)  Level of activity 
B)  Diet 
C)  income level 
D)  Fluid intake 
E)  Lifestyle

Question 5

What should be included in a plan of care for an older adult with diarrhea? (Select all that apply.)

Accepted Answer

A)  Perineal care immediately after the diarrhea episode 
B)  Application of lotion to the buttocks 
C)  Maintenance of dry linens 
D)  Patting the anal area dry rather than wiping 
E)  Leaving excoriated areas open to the air 
A)  Perineal care immediately after the diarrhea episode 
B)  Application of lotion to the buttocks 
C)  Maintenance of dry linens 
D)  Patting the anal area dry rather than wiping 
E)  Leaving excoriated areas open to the air

Question 6

What stool description would indicate constipation?

Accepted Answer

A)  Firm stool passed without difficulty every 3 days 
B)  Hard stool passed without difficulty every 2 days 
C)  Soft brown stool passed with difficulty every 2 days 
D)  Hard dry stool passed with difficulty every 3 days 
A)  Firm stool passed without difficulty every 3 days 
B)  Hard stool passed without difficulty every 2 days 
C)  Soft brown stool passed with difficulty every 2 days 
D)  Hard dry stool passed with difficulty every 3 days

Question 7

How do Kegel exercises aid in the treatment of incontinence?

Accepted Answer

A)  Increases the tone of the bladder 
B)  Reduces urinary retention 
C)  Strengthens the urinary sphincter 
D)  Sensitizes biofeedback 
A)  Increases the tone of the bladder 
B)  Reduces urinary retention 
C)  Strengthens the urinary sphincter 
D)  Sensitizes biofeedback

Question 8

What statement by the patient would indicate stress incontinence?

Accepted Answer

A)  "Lifting my grandchild makes me wet my pants." 
B)  "I frequently wet myself because I just can't get to the bathroom in time." 
C)  "My arthritis makes me so clumsy that I can't get my pants down in time." 
D)  "Every time I have a urinary infection, I experience incontinence." 
A)  "Lifting my grandchild makes me wet my pants." 
B)  "I frequently wet myself because I just can't get to the bathroom in time." 
C)  "My arthritis makes me so clumsy that I can't get my pants down in time." 
D)  "Every time I have a urinary infection, I experience incontinence."

Question 9

Which patient would require special precautions when the nurse is performing a digital rectal exam?

Accepted Answer

A)  Patient with chronic obstructive pulmonary disease (COP
D)  
B)  Patient with diabetes 
C)  Patient with Parkinson disease 
D)  Patient with congestive heart failure 
A)  Patient with chronic obstructive pulmonary disease (COP
D)  
B)  Patient with diabetes 
C)  Patient with Parkinson disease 
D)  Patient with congestive heart failure

Question 10

The patient complains of feeling the need to urinate and fullness and tenderness in the bladder area. The patient is restless and diaphoretic. What is the most appropriate initial nursing intervention?

Accepted Answer

A)  Help the patient into a warm tub bath to stimulate voiding. 
B)  Catheterize the patient. 
C)  Palpate the bladder fundus. 
D)  Place heated towels over the bladder area. 
A)  Help the patient into a warm tub bath to stimulate voiding. 
B)  Catheterize the patient. 
C)  Palpate the bladder fundus. 
D)  Place heated towels over the bladder area.

Question 11

What would be the most effective action of the nurse when assisting an 85-year-old adult with weak abdominal muscles to defecate?

Accepted Answer

A)  Encourage the use of a bedpan before getting up in the morning. 
B)  Place a footstool under the feet of the patient when seated on the toilet. 
C)  Insert a finger in the patient's rectum to stimulate the urge to defecate. 
D)  Instruct the patient to do isometric exercises to strengthen the abdominal muscles. 
A)  Encourage the use of a bedpan before getting up in the morning. 
B)  Place a footstool under the feet of the patient when seated on the toilet. 
C)  Insert a finger in the patient's rectum to stimulate the urge to defecate. 
D)  Instruct the patient to do isometric exercises to strengthen the abdominal muscles.

Question 12

The nurse is aware that an adult has the urge to urinate when the bladder has approximately _____ mL of urine in it.

Accepted Answer

The answer of The nurse is aware that an adult...

Question 13

Which patient would be most at risk for constipation?

Accepted Answer

A)  Patient taking antibiotics for an upper respiratory infection 
B)  Patient taking hormones for postmenopausal symptoms 
C)  Patient iron supplements for anemia 
D)  Patient taking nonsteroidal inhalants for chronic obstructive pulmonary disease (COP
D)  
A)  Patient taking antibiotics for an upper respiratory infection 
B)  Patient taking hormones for postmenopausal symptoms 
C)  Patient iron supplements for anemia 
D)  Patient taking nonsteroidal inhalants for chronic obstructive pulmonary disease (COP
D)

Question 14

What does the nurse expect will occur in a patient as a result of decreased fluid intake? (Select all that apply.)

Accepted Answer

A)  Fluid will be withdrawn from the stool 
B)  The stool becomes hard and dry 
C)  Less mucus is formed in the colon 
D)  Lumen of bowel constricts because of smaller bulk 
E)  Peristalsis slows 
A)  Fluid will be withdrawn from the stool 
B)  The stool becomes hard and dry 
C)  Less mucus is formed in the colon 
D)  Lumen of bowel constricts because of smaller bulk 
E)  Peristalsis slows

Question 15

Which of the following complaints would indicate a possible fecal impaction in an older adult? (Select all that apply.)

Accepted Answer

A)  Cramping 
B)  Rectal pain 
C)  Abdominal distention 
D)  Anorexia 
E)  Passing large amounts of liquid stool 
A)  Cramping 
B)  Rectal pain 
C)  Abdominal distention 
D)  Anorexia 
E)  Passing large amounts of liquid stool

Question 16

What food provides a natural laxative effect?

Accepted Answer

A)  Orange 
B)  Pineapple 
C)  Prunes 
D)  Raw apple 
A)  Orange 
B)  Pineapple 
C)  Prunes 
D)  Raw apple

Question 17

What can suppress the defecation reflex?

Accepted Answer

A)  Frequent episodes of diarrhea 
B)  Long-term use of vitamin A and vitamin B complex 
C)  Repeatedly ignoring the urge 
D)  Excessive fiber and bulk in the diet 
A)  Frequent episodes of diarrhea 
B)  Long-term use of vitamin A and vitamin B complex 
C)  Repeatedly ignoring the urge 
D)  Excessive fiber and bulk in the diet

Question 18

Which complaint by the 80-year-old resident would indicate a need for the nurse to complete a focused bowel assessment on the resident?

Accepted Answer

A)  The inability to have a bowel movement every day 
B)  Feeling pressure and fullness in the rectum but is unable to defecate 
C)  Having had one loose stool after breakfast 
D)  Ingestion and flatulence 
A)  The inability to have a bowel movement every day 
B)  Feeling pressure and fullness in the rectum but is unable to defecate 
C)  Having had one loose stool after breakfast 
D)  Ingestion and flatulence

Question 19

What age-related changes are related to constipation? (Select all that apply.)

Accepted Answer

A)  Diminished abdominal muscle tone 
B)  Reduced activity level 
C)  Inadequate fluid intake 
D)  Increased dietary fiber 
E)  Dependence on laxatives 
A)  Diminished abdominal muscle tone 
B)  Reduced activity level 
C)  Inadequate fluid intake 
D)  Increased dietary fiber 
E)  Dependence on laxatives

Question 20

What are causes of bowel and bladder elimination problems in the older adult? (Select all that apply.)

Accepted Answer

A)  Daily use of laxatives for defecation 
B)  Inability to get to adequate water 
C)  Fear of pain with defecation 
D)  Total privacy during elimination 
E)  Use of a bedpan for elimination 
A)  Daily use of laxatives for defecation 
B)  Inability to get to adequate water 
C)  Fear of pain with defecation 
D)  Total privacy during elimination 
E)  Use of a bedpan for elimination

What can the nurse implement to reduce episodes of fecal incontinence?

Which patient would need enhanced skin care precautions?

What influences regular bowel patterns? (Select all that apply.)

What should be included in a plan of care for an older adult with diarrhea? (Select all that apply.)

What stool description would indicate constipation?

How do Kegel exercises aid in the treatment of incontinence?

What statement by the patient would indicate stress incontinence?

Which patient would require special precautions when the nurse is performing a digital rectal exam?

The patient complains of feeling the need to urinate and fullness and tenderness in the bladder area. The patient is restless and diaphoretic. What is the most appropriate initial nursing intervention?

What would be the most effective action of the nurse when assisting an 85-year-old adult with weak abdominal muscles to defecate?

The nurse is aware that an adult has the urge to urinate when the bladder has approximately _____ mL of urine in it.

Which patient would be most at risk for constipation?

What does the nurse expect will occur in a patient as a result of decreased fluid intake? (Select all that apply.)

Which of the following complaints would indicate a possible fecal impaction in an older adult? (Select all that apply.)

What food provides a natural laxative effect?

What can suppress the defecation reflex?

Which complaint by the 80-year-old resident would indicate a need for the nurse to complete a focused bowel assessment on the resident?

What age-related changes are related to constipation? (Select all that apply.)

What are causes of bowel and bladder elimination problems in the older adult? (Select all that apply.)

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Activity and Exercise

Sleep and Rest

Filters

Exam 18: Elimination

What can the nurse implement to reduce episodes of fecal incontinence?

Which patient would need enhanced skin care precautions?

What influences regular bowel patterns? (Select all that apply.)

What should be included in a plan of care for an older adult with diarrhea? (Select all that apply.)

What stool description would indicate constipation?

How do Kegel exercises aid in the treatment of incontinence?

What statement by the patient would indicate stress incontinence?

Which patient would require special precautions when the nurse is performing a digital rectal exam?

The patient complains of feeling the need to urinate and fullness and tenderness in the bladder area. The patient is restless and diaphoretic. What is the most appropriate initial nursing intervention?

What would be the most effective action of the nurse when assisting an 85-year-old adult with weak abdominal muscles to defecate?

The nurse is aware that an adult has the urge to urinate when the bladder has approximately _____ mL of urine in it.

Which patient would be most at risk for constipation?

What does the nurse expect will occur in a patient as a result of decreased fluid intake? (Select all that apply.)

Which of the following complaints would indicate a possible fecal impaction in an older adult? (Select all that apply.)

What food provides a natural laxative effect?

What can suppress the defecation reflex?

Which complaint by the 80-year-old resident would indicate a need for the nurse to complete a focused bowel assessment on the resident?

What age-related changes are related to constipation? (Select all that apply.)

What are causes of bowel and bladder elimination problems in the older adult? (Select all that apply.)

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Sexuality and Aging

Care of Aging Skin and Mucous Membranes

Activity and Exercise

Sleep and Rest

Filters