Bowel Elimination

43 Questions

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Nurse Quizzes & Trivia

Questions and Answers
  • 1. 
    • A. 

      Absorptive processes are increased in the intestinal mucosa.

    • B. 

      Esophageal emptying time is increased.

    • C. 

      Changes in nerve innervation and sensation cause diarrhea.

    • D. 

      Mastication processes are less efficient.

  • 2. 
    • A. 

      Pain in the abdominal area

    • B. 

      Electrolyte and fluid loss

    • C. 

      Presence of excessive flatus

    • D. 

      Irritation of the perineal and rectal area

  • 3. 
    A 50-year-old male client is having a screening colonoscopy. The nurse instructs the client that:
    • A. 

      No special preparation is required

    • B. 

      Light sedation is normally used

    • C. 

      No metallic objects are allowed

    • D. 

      Swallowing of an opaque liquid is required

  • 4. 
    A client is to have a stool test for occult blood. The nurse is instructing the nursing assistant in the correct procedure for the test. The nursing assistant is correctly informed that:
    • A. 

      Sterile technique is used for collection

    • B. 

      Stool should be collected over a 3-day period

    • C. 

      The specimen should be kept warm

    • D. 

      A 1-inch sample of formed stool is needed

  • 5. 
    • A. 

      Vegetables

    • B. 

      Fresh fruit

    • C. 

      Whole grain breads

    • D. 

      Poached eggs and rice

  • 6. 
    The client has been admitted to an acute care unit with a diagnosis of biliary disease. The nurse suspects that the feces will appear:
    • A. 

      Bloody

    • B. 

      Pus filled

    • C. 

      Black and tarry

    • D. 

      White or clay colored

  • 7. 
    The client asks the nurse to recommend bulk-forming foods that may be included in the diet. Which of the following should be recommended by the nurse?  
    • A. 

      Whole grains

    • B. 

      Fruit juice

    • C. 

      Rare meats

    • D. 

      Milk products

  • 8. 
    The client is taking medications to promote defecation. Which of the following instructions should be included by the nurse in the teaching plan for this client?  
    • A. 

      Increased laxative use often causes hyperkalemia.

    • B. 

      Salt tablets should be taken to increase the solute concentration of the extracellular fluid.

    • C. 

      Emollient solutions may increase the amount of water secreted into the bowel.

    • D. 

      Bulk-forming additives may turn the urine pink.

  • 9. 
    • A. 

      Immediately stop the infusion

    • B. 

      Lower the height of the enema container

    • C. 

      Advance the enema tubing 2 to 3 inches

    • D. 

      Clamp the tubing

  • 10. 
    A nurse who is caring for postoperative clients on a surgical unit knows that for 24 to 48 hours postoperatively, clients who have undergone general anesthesia may experience:
    • A. 

      Colitis

    • B. 

      Stomatitis

    • C. 

      Paralytic ileus

    • D. 

      Gastrocolic reflex

  • 11. 
     For clients with hypocalcemia, the nurse should implement measures to prevent:  
    • A. 

      Gastric upset

    • B. 

      Malabsorption

    • C. 

      Constipation

    • D. 

      Fluid secretion

  • 12. 
    The client is to receive a Kayexalate enema. The nurse recognizes that this is used to: ]  
    • A. 

      Prevent further constipation

    • B. 

      Remove excess potassium from the system

    • C. 

      Reduce bacteria in the colon before diagnostic testing

    • D. 

      Provide direct antidiarrheal medication to the intestine

  • 13. 
    The appropriate amount of fluid to prepare for an enema to be given to an average-size school-age child is:   .  
    • A. 

      150 to 250 mL

    • B. 

      250 to 350 mL

    • C. 

      300 to 500 mL

    • D. 

      500 to 750 mL

  • 14. 
    • A. 

      A powder for a yeast infection

    • B. 

      Peroxide to toughen the peristomal skin

    • C. 

      A commercial deodorant around the stoma

    • D. 

      Alcohol to cleanse the stoma

  • 15. 
    Which of the following is an appropriate nursing intervention for a client with a nasogastric tube in place?  
    • A. 

      Tape the tube up and around the ear on the side of insertion.

    • B. 

      Secure the tubing to the bed by the client’s head.

    • C. 

      Mark the tube where it exits the nose.

    • D. 

      Change the tubing daily.

  • 16. 
    • A. 

      Circulatory problems make getting to the bathroom easily problematic.”

    • B. 

      The benefit you get from your food is also decreased by this condition.”

    • C. 

      “The aging process that causes the vascular problems also causes elimination problems.”

    • D. 

      “The problem it creates with blood flow also affects blood flow to the bowels and so affects elimination.”

  • 17. 
    • A. 

      “The more fiber I eat, the fewer problems I have with my bowels.”

    • B. 

      Whole grain cereal and toast for breakfast keeps my bowels moving regularly.”

    • C. 

      “My wife makes whole grain muffins; they are really good and good for me too.”

    • D. 

      “I use to have trouble with constipation until I started taking a fiber supplement.”

  • 18. 
    Which of the following statements made by an older adult reflects the best understanding of the role of fiber regarding bowel patterns?
    • A. 

      The more fiber I eat, the fewer problems I have with my bowels.”

    • B. 

      “Whole grain cereal and toast for breakfast keeps my bowels moving regularly.”

    • C. 

      My wife makes whole grain muffins; they are really good and good for me too.”

    • D. 

      “I use to have trouble with constipation until I started taking a fiber supplement.”

  • 19. 
    Which of the following statements made by an older adult reflects the best understanding of the role of fiber regarding good bowel health?    
    • A. 

      Fiber is very effective at cleaning out the bowels.”

    • B. 

      A high-fiber diet results in softer bowel movements.”

    • C. 

      Passing hard, dry stool is more uncomfortable and harder on the bowels.”

    • D. 

      “The more fiber there is in my diet, the less risk I have of developing polyps.”

  • 20. 
    The nurse is discussing food allergies with a group of mothers whose children are allergy prone. Which of the following statements made by the nurse best describes lactose intolerance?    
    • A. 

      “If milk causes diarrhea, cramps, or gas, it might be an intolerance of lactose.”

    • B. 

      “You don’t have to be allergic to dairy for it to cause you problems.”

    • C. 

      “Allergies to milk can be very dangerous, even life threatening.”

    • D. 

      Many children outgrow their intolerance of dairy lactose.”

  • 21. 
    • A. 

      “My child is allergic to milk; it makes her very gassy.”

    • B. 

      Dairy products require a special enzyme to be digested properly.”

    • C. 

      Being lactose intolerant means my child can’t tolerate dairy products.”

    • D. 

      My child gets diarrhea from dairy products because she can’t digest lactose.”

  • 22. 
    An adult client reports to the nurse that she has been experiencing constipation recently and is interested in any suggestions regarding dietary changes she might make. Which of the following suggestions provided by the nurse is most likely to minimize the client’s complaint?  
    • A. 

      Have you tried foods like prunes and bran?”

    • B. 

      You might find the new flavored bulk laxatives helpful.”

    • C. 

      What have you tried in the past that hasn’t been helpful?”

    • D. 

      “Increase your fluid intake; have some juice with breakfast.”

  • 23. 
    A client who is 2 days' postoperative reports feeling “constipated” to the nurse. The client has good bowel sounds in all four quadrants and has tolerated liquids well. Her pain is being controlled with an opioid analgesic. Which of the following interventions should the nurse try initially?
    • A. 

      Let me get you some apple juice.”

    • B. 

      Ambulating may get your bowels moving.”

    • C. 

      I’ll see about getting a different pain medication.”

    • D. 

      Your health care provider might prescribe an enema if I call.”

  • 24. 
    Which of the following statements by a client reporting constipation reflects the most informed understanding of interventions that will aid in assuming proper bowel mobility?
    • A. 

      Could it be that I need to get more exercise, even here in the hospital?”

    • B. 

      Is it true that drinking coffee often helps stimulate the bowels to work?”

    • C. 

      I guess a little high-fiber cereal might help. Can you get me some from the cafeteria?”

    • D. 

      “May I have a cup of decaffeinated tea in addition to my breakfast juice? That usually helps.”

  • 25. 
    A client is caring for her husband who recently experienced a cerebral vascular accident. She tells the home care nurse that she has been very anxious lately about all the added responsibilities. She adds that she has not been sleeping well and has had several bouts of diarrhea. Which of the following statements by the nurse focuses on the most likely cause of the gastrointestinal problem?
    • A. 

      “Have you experienced increased gas and cramping in addition to the diarrhea?”

    • B. 

      “You are under a lot of stress; that can affect your bowels and result in diarrhea.”

    • C. 

      “I suggest you get some over-the-counter medication and keep it on hand to manage those bouts.”

    • D. 

      “Have you been eating a well-balanced diet since you brought your husband home?”

  • 26. 
    A client is caring for her daughter, who recently suffered multiple fractures in an automobile accident. The client tells the home care nurse that she has been “really down since all this happened.” She adds that she has been constipated and not really interested in eating. Which of the following statements by the nurse focuses on the most likely cause of the gastrointestinal problem? 1.  “ 2.  “ 3.   4.        
    • A. 

      Actually, how long have you been constipated?”

    • B. 

      Are you eating fiber-rich foods like fruit and whole grains?”

    • C. 

      “You may be depressed; emotional depression can cause constipation.”

    • D. 

      “I suggest you get some over-the-counter mild laxative and see if that helps.”

  • 27. 
    The nurse is caring for a 19-year-old male client with a fractured left femur whose leg was pinned 36 hours ago and is now in traction. Which of the following stressors is mostly likely the cause of this client’s difficulty related to constipation?
    • A. 

      Pain related to the fracture and its repair

    • B. 

      Anxiety regarding the serious nature of the injury

    • C. 

      The need to defecate in an unfamiliar, awkward position

    • D. 

      Poor fluid intake after the accident and ensuing surgery

  • 28. 
    A 70-year-old client is discussing his recent difficulty with having regular bowel movements while on a cross-country bus tour with a senior citizens’ group. Which of the following assessment questions is directed toward the most likely cause of the problem?
    • A. 

      Did the bus stop frequently so you could get up and walk around?”

    • B. 

      Did you eat enough fiber while you were on the trip?”

    • C. 

      Do you find using public restrooms unsettling?”

    • D. 

      “Do you have any chronic bowel-related problems?”

  • 29. 
    A client who was recently diagnosed with anemia and rheumatoid arthritis reports to the nurse that she has noticed that her stool is black, and she is concerned because there is a history of colon cancer in her family. Which of the following assessment questions is most likely to provide information regarding this client’s bowel problem?
    • A. 

      What medications are you currently on?”

    • B. 

      When did you have your last colonoscopy?”

    • C. 

      Does the arthritis severely impair your mobility?”

    • D. 

      Would you like to have the stool tested for occult blood?”

  • 30. 
    Which of the following statements made by a nurse discussing the effect of an antibiotic on the gastrointestinal system reflects the best understanding of the possible occurrence of diarrhea?
    • A. 

      “The GI tract naturally rids itself of bacterial toxins by increasing peristalsis, and that causes diarrhea.”

    • B. 

      “The antibiotic is responsible for killing off the GI tract’s normal bacterial, and diarrhea is the result.”

    • C. 

      For some, antibiotics irritate the mucous lining of the intestines, causing decreased absorption and diarrhea.”

    • D. 

      When you are taking an antibiotic, your body is fighting off an infection, and peristalsis is faster and so diarrhea occurs.”

  • 31. 
    A client is reporting that the oral medication she was prescribed for her hypothyroidism does not seem to be helping. The client goes on to report that she has been experiencing tension-related headaches and constipation. She has been self-medicating with nonsteroidal antiinflammatory drugs (NSAIDs) and bulk laxatives. Which of the following assessment questions is most likely to provide information regarding this client’s concern regarding her thyroid problem?
    • A. 

      “How long have you taken Synthroid?”

    • B. 

      What other medications are you currently on?”

    • C. 

      How long have you been taking a bulk laxative?”

    • D. 

      Have you developed any other gastrointestinal symptoms?”

  • 32. 
    • A. 

      Determine if the client has been eating sufficiently, especially fiber-rich foods

    • B. 

      Determine how long it has been since the client had a normal-size, formed stool

    • C. 

      Perform a digital examination of the rectum to determine the presence of stool

    • D. 

      Call the health care provider to get a prescription for an antidiarrheal medication

  • 33. 
    The greatest risk for injury for a client who has fecal incontinence is:
    • A. 

      Perineal and rectal skin breakdown

    • B. 

      The contamination of existing wounds

    • C. 

      Falls resulting from attempts to reach the bathroom

    • D. 

      Cross-contamination into the upper gastrointestinal tract

  • 34. 
    The nurse is providing ancillary personnel with instructions regarding the proper methods to implement when caring for a client with a Clostridium difficile infection. Which of the following practices will have the greatest impact on containment of the bacteria and thus prevention of cross-contamination?
    • A. 

      Frequent in-services on transmission modes of C. difficile

    • B. 

      Practice of proper hand hygiene by all staff

    • C. 

      Appropriate handling of contaminated linen

    • D. 

      Stool cultures on all suspected carriers

  • 35. 
    • A. 

      25-year-old pregnant client

    • B. 

      66-year-old male with hypertrophied prostate disease

    • C. 

      44-year-old male client with glaucoma

    • D. 

      53-year-old female with stomach cancer

  • 36. 
    The mother of an 18-month-old male client shares with the nurse that she is trying to get her child to tell her when he needs to have a bowel movement. Which of the following statements is the most appropriate response from the nurse?
    • A. 

      I’m sure that you will be glad to have your son out of diapers."

    • B. 

      "I once heard of a child who was totally potty-trained by the time he was a year old."

    • C. 

      Development of neuromuscular control of the bowels doesn’t normally occur until a child is between 2 and 3 year of age."

    • D. 

      You will have to really be persistent about taking him to the bathroom frequently in order to be successful."

  • 37. 
    • A. 

      The client will not have to be allowed nothing by mouth (NPO) before surgery

    • B. 

      The client will be able to ambulate immediately following surgery

    • C. 

      The client will be able to eat following surgery

    • D. 

      Local or regional anesthetic often has little or no effect on bowel activity

  • 38. 
    A 44-year-old male client was placed on a daily low-dose aspirin regimen by his health care provider following a recent diagnosis of hypertension and periodic atrial fibrillation. The client is currently hospitalized with renal stones. As the nurse is admitting the client, he shares that he has been very tired. The nurse gathers additional data regarding his bowel habits. The client shares that he has recently had black, tarry stools. The nurse is most concerned that the client may have:      
    • A. 

      Colon cancer

    • B. 

      A GI bleed from the aspirin therapy

    • C. 

      Going atrial fibrillationOn

    • D. 

      Electrolyte imbalance

  • 39. 
    The nurse is counseling a 65-year-old female client on her use of mineral oil as a laxative. One of the most important things that the nurse can share with the client is how mineral oil can cause the decreased absorption of which of the following vitamins?
    • A. 

      Vitamin C

    • B. 

      Niacin

    • C. 

      Vitamin D

    • D. 

      Riboflavin

  • 40. 
    • A. 

      Consuming more low-carbohydrate fiber-rich foods like broccoli, raspberries, blackberries, and asparagus

    • B. 

      Taking a laxative when feeling constipated

    • C. 

      Try a different diet with less tendency to cause constipation

    • D. 

      Exercise more

  • 41. 
    The nurse knows that the client receiving enteral feedings is at risk for diarrhea. One of the measures that the nurse can take to minimize the risk for diarrhea in this client is:
    • A. 

      Making sure to chill the canned feeding before administering

    • B. 

      Using strict sanitation when administering the formula

    • C. 

      Not deviating from the prescribed rate of delivery for the formula

    • D. 

      Not diluting or changing the strength of the prescribed formula

  • 42. 
    Upon auscultation of the client’s abdomen, the nurse hears hyperactive bowel sounds (greater than 35 per minute). The nurse knows that this can indicate which of the following?
    • A. 

      Paralytic ileus

    • B. 

      Fecal impaction

    • C. 

      Small intestine obstruction

    • D. 

      Abdominal tumor

  • 43. 
    The health care provider has ordered a stool specimen for ova and parasites from the 43-year-old male client. The nurse knows that when collecting the specimen the stool must be:
    • A. 

      Kept on ice

    • B. 

      Kept warm

    • C. 

      Collected using sterile technique

    • D. 

      Free from urine