Deck 14: Elimination

Question 1

During an assessment,the patient states that his bowel movements cause discomfort because the stool is hard and difficult to pass.As the nurse,you make which of the following suggestions to assist the patient with improving the quality of his bowel movement? (Select all that apply.)

A) Increase fiber intake.
B) Increase water consumption.
C) Decrease physical exercise.
D) Refrain from alcohol.
E) Refrain from smoking.

Answer 1

Increase fiber intake.
Increase water consumption.

Question 2

A primary prevention tool used for colon cancer screening is

A) abdominal x-rays.
B) blood, urea, and nitrogen (BUN) testing.
C) serum electrolytes.
D) occult blood testing.

Answer 2

occult blood testing.

Question 3

When conducting a health history assessment,the nurse would want to know what important information about the patient's elimination status? (Select all that apply.)

A) Recent changes in elimination patterns
B) Changes in color, consistency, or odor of stool or urine
C) Time of day patient defecates
D) Discomfort or pain with elimination
E) List of medications taken by patient
F) Patient's preferences for toileting

Answer 3

Recent changes in elimination patterns
Changes in color, consistency, or odor of stool or urine
Discomfort or pain with elimination
List of medications taken by patient

Question 4

The nurse is listening for bowel sounds in a postoperative patient.The bowel sounds are slow,as they are heard only every 3 to 4 minutes.The patient asks the nurse why this is happening.The best response from the nurse would be which of the following?

A) "Anesthesia during surgery and pain medication after surgery may slow peristalsis in the bowel."
B) "Some people have a slower bowel than others, and this is nothing to be concerned about."
C) "The foods you eat contribute to peristalsis, so you should eat more fiber in your diet."
D) "Bowel peristalsis is slow because you are not walking. Get more exercise during the day."

Question 5

You are caring for a patient who has suffered a spinal cord injury.You are concerned about the patient's elimination status.As the nurse,your primary concern is to

A) speak with the patient's family about food choices.
B) establish a bowel and bladder program for the patient.
C) speak with the patient about past elimination habits.
D) establish a bedtime ritual for the patient.

Question 6

A patient who was diagnosed with senile dementia has become incontinent of urine.The patient's daughter asks the nurse why this is happening.The best response by the nurse is:

A) "The patient is angry about the dementia diagnosis."
B) "The patient is losing sphincter control due to the dementia."
C) "The patient forgets where the bathroom is located due to the dementia."
D) "The patient wants to leave the hospital."

Question 7

The process of digestion is important for every living organism for the purpose of nourishment.Where does most digestion take place in the body?

A) Large intestine
B) Stomach
C) Small intestine
D) Pancreas