Question 1

Which of the following complaints 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 B

Question 2

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

Accepted Answer

300

Question 3

Which statement by the patient would indicate a need for further instruction regarding prevention of constipation?

Accepted Answer

A)  "I eat bran flakes or oatmeal every day to add bulk to my diet." 
B)  "Since I started eating three servings of fruit a day, I haven't been constipated." 
C)  "I'm never constipated. I take a gentle laxative every night." 
D)  "My daily walks have kept my bowels working regularly." 
A)  "I eat bran flakes or oatmeal every day to add bulk to my diet." 
B)  "Since I started eating three servings of fruit a day, I haven't been constipated." 
C)  "I'm never constipated. I take a gentle laxative every night." 
D)  "My daily walks have kept my bowels working regularly." C

Question 4

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 5

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 6

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 7

What can a nurse do to encourage a normal bowel movement in an older adult?

Accepted Answer

A)  Encourage the patient to decrease fluid intake. 
B)  Provide a warm beverage at breakfast. 
C)  Administer a mild laxative at bedtime. 
D)  Provide a warm shower each morning. 
A)  Encourage the patient to decrease fluid intake. 
B)  Provide a warm beverage at breakfast. 
C)  Administer a mild laxative at bedtime. 
D)  Provide a warm shower each morning.

Question 8

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 9

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 10

What are the broad general causes of bowel incontinence? (Select all that apply.)

Accepted Answer

A)  Inability to recognize defecation urge related to mental impairment 
B)  Inability to respond to defecation urge related to immobility 
C)  Inflammatory bowel disease 
D)  Increased fiber in the diet 
E)  Unexpected defecation when passing gas 
A)  Inability to recognize defecation urge related to mental impairment 
B)  Inability to respond to defecation urge related to immobility 
C)  Inflammatory bowel disease 
D)  Increased fiber in the diet 
E)  Unexpected defecation when passing gas

Question 11

The nurse explains that a diet low in fiber results in a small stool that

Accepted Answer

A)  moves rapidly through the intestines. 
B)  becomes excessively dry. 
C)  overstimulates the defecation reflex. 
D)  contributes to frequent bowel movements. 
A)  moves rapidly through the intestines. 
B)  becomes excessively dry. 
C)  overstimulates the defecation reflex. 
D)  contributes to frequent bowel movements.

Question 12

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 13

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

Question 14

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 15

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 16

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 diagnosis would best apply to this resident?

Accepted Answer

A)  Impaired urinary elimination 
B)  Functional urinary incontinence 
C)  Stress urinary incontinence 
D)  Urge urinary incontinence 
A)  Impaired urinary elimination 
B)  Functional urinary incontinence 
C)  Stress urinary incontinence 
D)  Urge urinary incontinence

Question 17

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 18

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 19

What conditions could result in constipation related to pain? (Select all that apply.)

Accepted Answer

A)  Hemorrhoids 
B)  Anal fissures 
C)  Reduction of bowel mucus 
D)  Diminished abdominal muscle tone 
E)  Slowed peristalsis 
A)  Hemorrhoids 
B)  Anal fissures 
C)  Reduction of bowel mucus 
D)  Diminished abdominal muscle tone 
E)  Slowed peristalsis

Question 20

What can the nurse implement to reduce episodes of bowel 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.

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

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

Which statement by the patient would indicate a need for further instruction regarding prevention of constipation?

Which patient would be most at risk for constipation?

What food provides a natural laxative effect?

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

What can a nurse do to encourage a normal bowel movement in an older adult?

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 statement by the patient would indicate stress incontinence?

What are the broad general causes of bowel incontinence? (Select all that apply.)

The nurse explains that a diet low in fiber results in a small stool that

How do Kegel exercises aid in the treatment of incontinence?

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

What stool description would indicate constipation?

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

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

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

What conditions could result in constipation related to pain? (Select all that apply.)

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

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 for 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

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

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

Which statement by the patient would indicate a need for further instruction regarding prevention of constipation?

Which patient would be most at risk for constipation?

What food provides a natural laxative effect?

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

What can a nurse do to encourage a normal bowel movement in an older adult?

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 statement by the patient would indicate stress incontinence?

What are the broad general causes of bowel incontinence? (Select all that apply.)

The nurse explains that a diet low in fiber results in a small stool that

How do Kegel exercises aid in the treatment of incontinence?

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

What stool description would indicate constipation?

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

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

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

What conditions could result in constipation related to pain? (Select all that apply.)

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

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 for 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