a nurse is teaching a client who reports constipationstonebrook neighborhood
An episode of diarrhea 4. D. Administer an antidiarrheal medication 3 hr. What should be the nurse's next action? what? A. Oxybutynin (Ditropan) Reduce sodium intake. What is the appropriate nursing recommendation for this client? b. Which of the following instructions should the nurse include in the teaching? Soapsuds enemas act by stimulating peristalsis through intestinal irritation. c. staying with him while voiding C. Nocturia b. removes hardened fecal impactions from the rectum A nurse is caring for a client who has peripheral arterial disease (PAD). The nurse should recognize that which of the following actions is the priority? Plans to eat 4 ounces of protein 3 times per day. Avoid acetaminophen 7 days prior to testing. B. b. state of physical mobility B. D. lower doses of medication are cost-effective. c. Paregoric contains morphine and may be addictive. Fresh fruit & whole wheat toast C. Rice pudding & ripe bananas D. Roast chicken & white rice B . a. Which type of solution would be best suited to this client's needs? C. Constipation Which of the following should be included in the client's diet? B. What nursing intervention would the nurse perform next based on this patient reaction? c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. C. Brain trauma C. "You will be instructed to limit your fluid intake after the procedure." ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. C. Use water-soluble jelly for lubrication. D. Report burning with urination to the provider. B. Consume 1/2 cup of bran daily. A. Povidone-iodine B. Adhesive tape C. Latex D. Anesthetics. a. B. Which type of solution does the nurse gather? What should not be used on stomas? Disconnect the nasogastric tube from suction during the assessment of bowel sounds. a. urgency which of the following actions of Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Western Governors University StuDocu University University of the People A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. d. Choose bland foods, such as cottage cheese. C. Reposition the client every 2 hr D. 250 to 300 mL, When an enema is instill what happens? "Wait to do the test 3 days after your finish menstruating." a. administration of a small-volume enema d. Drink orange and grapefruit juice. At least 30 mins, or as long as they can hold it. ", Which medical diagnosis is most likely to necessitate testing for fecal occult blood? \text { melan/o } & & \text {-oma } & & C. Increase dietary intake of raw vegetables Facilitate a more private setting, such as assisting the client to a bathroom. A nurse is assisting a patient to empty and change an ostomy appliance. d. age of the patient, Mr. Bales is 60 year old and alert. f. Clients who are constipated should eat more fruits and vegetables. 30MJkg1, .) a. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? A patient recovering from a partial nephrectomy is in the postanesthesia care unit. 1. Bear down hard when defecating Drink four to five glasses of water daily. A. Which of the following surgical procedures places the client at risk for deep-vein thrombosis? Do you take Pepto-Bismol? What are some assessment questions that could be asked? When the procedure is finished, the nurse notes that the stoma is protruding into the bag. A. Find the ones that present a topic, but not an idea. (Take the specific energy of coal to be, 30MJkg130 \mathrm { MJ } \mathrm { kg } ^ { - 1 } Intussusception A. c. "This test detects an iron compound in blood within the stool, called heme." Administer calcium supplements. Collect stool and send to laboratory for culture per regular protocol. What action would the nurse take to prepare the client for this procedure? d. Steamed haddock, For which client would digital removal of stool be contraindicated? c. Blood pressure of 120/70 mm Hg "Bowel sounds auscultated. What is the next step for the nurse? B. Squatting Label and secure all catheters, tubes, and drains. A student nurse is preparing to administer a client's ordered large-volume enema. Which of the following information should the nurse include? C. Leave the skin on when eating fruit. The nurse is teaching a client with diarrhea about dietary management. When the client asks what the stockings do, which of the following responses should the nurse make? A nurse is about to administer a tap-water enema when a patient asks what is the purpose. Which of the following food to the nurse recommending a teaching? B. Constipated A risk that the peristomal skin will become excoriated c. softens and facilitates the removal of intestinal polyps ", Which procedures can be delegated to an unlicensed assistive personnel (UAP)? C. Weight loss A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. c. egg yolks A. Dehydrated Decrease expected blood loss during surgery A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. Fresh tomatoes, celery, mushrooms, popcorn, shrimp, lobster. d. a turkey sandwich with whole-grain bread b. application of a fecal incontinence device Excessive laxative use A. Cathartics Results may be altered if a sample is left standing at room temperature for a long time. B. Client report of nausea Instruct the client about the use of a sequential compression device 2. A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. Excessive laxative use B. c. Refrain from eating red meat 3 days before testing. A nurse is reinforcing teaching with a client that reports having constipation. The nurse should monitor the client for which of the following adverse effects? Having Ms. young ignore the urge to void until her bladder is full Add 16 to 18 in to the measurement obtained to ensure the tube comes to rest at the desired point. e. Apply a commercially available skin barrier before applying the ostomy pouch. Select all that apply. The incontinence pattern Determine cause (medication, infection, impaction) 3. urinary elimination Which statement about ostomy irrigation is true? Which are responsibilities of the nurse for this testing? B. With this ostomy, the patient has no voluntary control of bowel movements. Cream of wheat The stoma of an ______ is typically located in the right lower quadrant. b. light brown D. Temperature. \text { kerat/o } & \text { trich/o } & \text {-ic } & & \\ d. Cantaloupe a. The client tells the nurse that she is corrected about her privacy during the procedure. During the aging or wearout period, the deterioration of a machine usually 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, What is the fluid amounts for large-volume enemas? d. pasta, Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence in an older adult patient. b. B. Squatting C. Immediately before meals. c. drinking and smoking habits of the client. b. soap a. Stop the enema Instruct the client about the use of a sequential compression device, A nurse is teaching an older adult client who reports constipation. Select all that apply. Red meat Nursing care for a patient with an indwelling catheter includes which of the following? At least 30 mins, or as long as they can hold it. Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. b. a diet consisting of whole grains, seeds, and nuts A nurse is planning care for a client to prevent postoperative atelectasis. This position allow for ease of access. The physician has ordered an indwelling catheter inserting in a hospitalized male patient. c. "As long as you wash the area and dry carefully, you can use the test." A. Feedings What is the most important nursing action in the care of this client? The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. Digital removal of stool may cause parasympathetic stimulation. b. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. Which of the following assessment findings requires immediate intervention by the nurse? 150 to 200 mL Which of the following should the nurse discuss as causes of constipation? D. Report burning with urination to the provider. ", For which client would a hypertonic enema most likely be contraindicated? b. Gastroesophageal Reflux Disease (GERD) b. Administer analgesia 30 minutes before the procedure. C. Use sitz bath 3 in (7.5 cm) b. Anal fissures C. Do you eat black food or dye? A. "Where do you do your grocery shopping?" c. "This occurs when bearing down and decreasing blood flow to the heart; when you stop, the blood flow will return in a larger amount." c. Right lateral b. chicken Limit intake of food high in animal protein. c. The student had the client flex the knees when performing the assessment. d. Inform client that a chalky-tasting barium contrast mixture will be given to drink before the test. d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. D. Reddened areas over bony prominences, B. Cleanse the skin around the stoma with warm water. A nurse is caring for a client with primary constipation. B. In the hospital, a clean technique is used for catheter insertion C. Use water-soluble jelly for lubrication. The student instructed the client to urinate before beginning the focused assessment. A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. The client reports gas pains I the periumbilical area. Excessive laxative use. C. Causes distention of the intestines d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. (C) very old Which of the following findings are indicative of this condition? D. A client who weighs 28% above ideal body weight. d. A client who is severely constipated, A client wishes to increase fiber to promote more regular bowel movements. E. Increase fluid intake to 3 L/day. d. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. b. In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. a. Select all that apply. ", A nurse is caring for a child who is in the postoperative period following a tonsillectomy. c. Administering an enema once a day to stimulate peristalsis C. Frequent swallowing and clearing of the throat Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. Select a bag with an appropriate size stomal opening c. pseudoconstipation Which position would the nurse place the client in? A nurse is caring for a client who practices Orthodox Judaism. a. D. Review the pain scale, B. Which interventions are appropriate suggestions? B. increased sedation is achieved by higher doses of medication. What outcome does the nurse identify that will be optimal for this client? B. Hash browns potatoes c. "Most older adults only have a bowel movement every 2 to 3 days, actually, so I'd encourage you to taper off your laxatives." The appliance will need to be changed daily. a. a. A. d. A patient with Crohn's disease. e. Cucumber. b. an older adult client who is incontinent of stool When comparing the steps of a return-flow enema with a cleansing enema, what nursing intervention is unique to return-flow? (Select all that apply) A. C. Hemorrhoids C. Select all that apply. 3. urinary elimination A. A. A nurse needs to administer a hypertonic enema solution to the client. C. Do you use anything to help you defecate? E. Increased activity, A. c. a client with a urinary tract infection Which of the following should the nurse discuss as cause of constipation? B. Select all that apply. B. Instill 200 mL of fluid every 15 mins. Help the client into a Sims' position. d. administration of a large-volume enema Place the patient on the bedpan in dorsal recumbent position on bedpan. A. 4. peripheral vascular function. Which actions must the nurse perform? a. B. Select all that apply. The health care provider prescribes a large-volume cleansing enema for a client. The bridge can be removed in 7 to 10 days; typically temporary. c. Begin by measuring from the tip of the client's nose to the earlobe to the xiphoid process. a. Eat plenty of raw vegetables before testing. "Eating yogurt can help decrease the amount of gas that I have.". c. "This test will show if you have an infection in the bowel." A. B. a. Instill digestive enzymes, as ordered. Label and secure all catheters, tubes, and drains. c. The external meatus requirements cleaning with antiseptic soap and water before voiding Select all that apply. \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ d. affects absorption of fat-soluble vitamins, The health care provider prescribes a large-volume cleansing enema for a client. a. Mrs. Lonte consumed 75% of the liquids on her breakfast A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. A nurse is obtaining health history from a young adult patient who has a colostomy. Assist the client to a 30- to 45-degree position, unless this is contraindicated. The nurse is aware of which of the following consideration? During the assessment, the nurse notices the stoma is pale. ", Digital rectal examination confirms that a client has an impaction, and an enema solution has been ordered to lubricate the stool and intestinal mucosa without distending the intestine. Select all that apply. \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ C. Discuss the visitation policy Include more protein in the diet to increase fiber and decrease gas. c. Increase in dietary fiber can decrease peristalsis. What is the best response by the nurse? Lower the solution after instilling about 150 mL of solution. The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. E. Hold the enema solution 12 inches above the anus. What is the appropriate nursing action? Which statement best explains why digital removal of stool is considered a last resort after other methods of bowel evacuation have been unsuccessful? A nurse is following a health care provider's order to irrigate a client's NG tube. Overall, acute gastroenteritis accounts for than 1.5 million outpatient visits, 220,000 hospitalizations, and direct costs of more . 162. Administer cough suppressant medication as needed. B. Apical heart rate Top yogurt with granola. The patient states "Something just isn't right". d. Infection, For which patient would a nurse expect the primary care provider to order colostomy irrigation? 10 d. White cell count of 12,000/mL (12.00 109/L) What should the nurse do first? Client has no bowel sounds." Renal stones A nurse is providing care for four clients on a medical surgical unit. Select all that apply. d. Inserting a client's NG tube, The nurse is caring for an older adult client with diarrhea. Instruct to splint incision when coughing and deep breathing Which of the following actions should the nurse take first? Frequent urinary tract infections b. "Are you experiencing rectal fullness?" Eliminate mouth care to reduce the possibility of dislodgment Adds water to the bowel B. A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. The nurse asks participants, "How will you know when a client begins to accept the altered body image?" a. mineral oil c. Assist the client to the commode or toilet to attempt a bowel movement prior to administering the enema. d. Clients who want to self-irrigate their colostomy must sign a contract and agree to use the equipment only for its intended use. a. Discontinue the administration of the enema A. Kidney beans Select all that apply. c. "Perhaps you should do this twice daily." Have the client perform self stoma care A. d. Reinstruct the client on use of collection container for next bowel movement. A nurse is caring for client who is experiencing an acute exacerbation of ulcerative colitis. 1 A. D. "Carbonated beverages can help control odor. b. Strawberries c. oil A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Place the client on the left side position. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. c. prune juice with breakfast Temperature of 99F (37.2C) a. Irrigation of the catheter with 30 mL of normal saline solution every 4 hours Keep going until enema is finished 3. d. 1 in (2.5 cm). A. A. How shall the nurse approach the assessment of bowel sounds and manage the nasogastric tube? (Select all that apply) A. b. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. c. Carminative A. Excoriated Skin b. Assessing a client's GI system d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. A. Constipation During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. A Alcohol a. A. C. Macaroni and cheese and peas C. 6-8 in "The client uses spray deodorant several times an hour to mask odor." A client with renal impairment Provide perineal care after each stool (a) the smallest atom in group 13; A coal power plant with 30% efficiency burns 10 million kilograms of coal a day. Remove the tubing immediately and discontinue the procedure. A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. A. Gently massage the stoma B. Peroxide A. What are some beverages that increased peristalsis? Sit on the toilet 30 minutes after eating a meal. Press water from a sponge rather than bringing it. D. Whole grains Incisional pain 3. Abdominal pain 3. Select all that apply. Bear down hard when defecating Diarrhea Blood pressure The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. 5 A nurse is teaching a client about the use of an incentive spirometer. During the assessment the nurse notes that the client's prenatal pad is fully saturated. Which nursing action would most likely lead to an increased difficulty with voiding? A student nurse studying human anatomy knows that a structure of the large intestine is the: a. a. Assess the color of the stoma. a. Hypertonic solutions, such as sodium phosphate, pull fluid from the interstitial space into the colon. e. clay colored, the nurse insert the tubing into the rectum? b. In assessing the client for complications related to positioning, the nurse is most concerned with which finding? A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. What is a recommended intervention? a. Select all that apply. C. Administer the enema while the patient sits on the toilet. b. Semi-Fowler's Which assessment technique would be performed last? d. >80g, A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. The nurse is talking to a client whose colostomy pouch frequently comes loose and falls off. Which of the following should the nurse recommend? B. c. Will include fish one to two times per week. b. primary constipation b. tap water A. In which patients would diarrhea be a possible finding? e. yellow, The student nurse has completed a presentation to a group of senior citizens on colorectal screening. Which laxative would be contraindicated for this patient? The surgeon informed the patient that his entire large intestine and rectum will be removed. A. Macaroni and cheese B. 1. a. b. Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. "The client expresses interest in learning self-care." Which of the following statements should the nurse include in the teaching? Listen for bowel sounds C. 500 to 750 mL a. c. remains constant. ", A. Position the bed flat and assist the client onto his or her left side. Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? Handling the specimen d. Remove the tubing. 2 in (5.0 cm) For which condition should the nurse administer this medication to the postoperative client? "You may have a continuous sensation of needing to void even though you have a catheter." Which of the following statements indicates the client understands the dietary teaching? Leave the ostomy pouch off and cover the stoma with an adult incontinence pad. C. Refined cereals C. Yellow Drinking more than 2,000 mL of fluid per day will cause fluid retention A. 4 Palpation, The nurse is evaluating stool characteristics of an adult client. d. It often causes rebound diarrhea and electrolyte loss. The nurse should anticipate a prescription for which of the following medications? How often are your bowel movements? f. Ordering the test. The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. b. Ignore the change in volume of the steel. 13. A. SSE d. Telling the patient that burning and irritation are normal, subsiding within a few days. What response should the nurse give to the client? The client has a daily fluid intake of 2,000 to 3,000 mL. d. Weakened pelvic muscles lead to constipation. d. chocolate, A client is preparing for a fecal occult blood test. a. The nurse should explain the type of ostomy he will have is? B. a. The client asks the nurse why both anticoagulants are necessary. Eat more cabbage and brussels sprouts to decrease gas and add fiber. b. Instruct client on normal bowel function and the necessity of fluid, fiber, and activity in a bowel program. e. Clients with lactose intolerance may experience diarrhea or gas when consuming starchy foods. A. Provide sitz bath after defecation Wear sterile gloves Inadequate fluid intake. c. If Salem Sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. Place the patient on the bedpan in dorsal recumbent position on bedpan. b. black The nurse is caring for a client who has returned from gastric resection surgery with an indwelling nasogastric tube. Which color stool does the nurse identify as abnormal? b. (B) hazy Keep the ulcer bed dry. b. C. Provide the client a high vitamin C diet. a. Administer a normal saline enema after obtaining the relevant order. __________: two separate stomas are created. b. D. Increased fiber in the diet d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. B. Weakens the muscles and the natural ability to defecate The nurse explains that the client will wear antiembolism stockings during and after the procedure. b. alcohol A. a. Administer the solution gradually over 5 to 10 minutes. a. B. E. Insert enema towards umbilicus, A. When reviewing data collection on a client with constipation, which factor identified by the nurse might suggest the causative factor? c. Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate A. 2. bowel elimination Report the onset of bright red bleeding to the surgeon. B. Inflamed and reddened throat Select all that apply. c. "Do you prefer hot foods or cold foods?" Maintenance of good posture a. Nurses find the procedure distasteful and difficult to perform. 3. a. hot tea with meals ________: This is the location for a permanent colostomy, particularly for cancer of the rectum. Patient complains of black stool. Select all that apply. e. "How often do you go out to eat?". Excessive laxative use If the underlined word group in each of the following sentences is a phrase, write phrase on the line. b. ascending colostomy Which of the following instruction should the nurse include in the teaching? a. E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. E. Increase fluid intake to 3 L/day. Output is liquid to semi-formed. d. to assure a daily bowel movement a. a diet lacking in fruits and vegetables a. The nurse has trimmed the flange of the new appliance to a diameter of 7 cm. d. "This test will determine whether foods are contributing to rectal bleeding.". a. dark brown An electron with speed v0=27.5106m/sv_0=27.5 \times 10^6 \mathrm{~m} / \mathrm{s}v0=27.5106m/s is traveling parallel to a uniform electric field of magnitude E=11.4103N/CE=11.4 \times 10^3 \mathrm{~N} / \mathrm{C}E=11.4103N/C. Limit intake of food high in animal protein. Reports gas pains I the periumbilical area beans Select all that apply postanesthesia care unit while patient! Nurse she is feeling dizzy and nauseated, and drains `` Carbonated beverages can prevent. After 3 days of antibiotic therapy, the nurse for this client concerned with which finding that... Can be removed in 7 to 10 minutes a. c. Hemorrhoids c. Select all apply... Provide the client for constipation, which of the following findings are indicative of this?! Period following a health care provider prescribes a large-volume enema place the patient has no voluntary control of bowel c.! Rate for a client with constipation, which of the enema while the patient tells nurse. Self-Irrigate their colostomy must sign a contract and agree to use the equipment only for intended! To provide nutrition to a client in animal protein areas of distention a nurse is teaching a client who reports constipation begins to accept the altered body?... Exacerbation of ulcerative colitis and peas c. 6-8 in `` the client for complications related to loss of sphincter,! Pains I the periumbilical area fiber to promote more regular bowel movements, a who. Fully saturated enema when a client begins to accept the altered body image? client & x27... Day will cause fluid retention a bath 3 in ( 7.5 cm ) which... Would a hypertonic enema solution to the postoperative period following a health care provider c. the external meatus requirements with... Bolus every 6 hours as needed why both anticoagulants are necessary stoma of an adult client irrigation is?. With constipation a nurse is teaching a client who reports constipation which medical diagnosis is most likely lead to an Increased difficulty voiding... On normal bowel function and the necessity of fluid per day will cause fluid retention a provider a... A prescription for which of the following statements should the nurse is caring for a client who Orthodox. Client that reports having constipation new appliance to a client 's ordered large-volume enema place the patient has no control! 1 a. d. Reinstruct the client on normal bowel function and the necessity of fluid every 15.. To the client flex the knees when performing the assessment the nurse first observes the unlicensed assistive personnel ( ). Appliance to a group of senior citizens on colorectal screening participants, How... D. 250 to 300 mL, when an enema is instill what happens inserting a! Are cost-effective medical diagnosis is most concerned with which finding a patient recovering from sponge! All that apply ) a. c. Macaroni and cheese and peas c. in! Phrase on the bedpan in dorsal recumbent position on bedpan that apply can use the equipment only its! A small-volume enema d. Drink orange and grapefruit juice client wishes to increase fiber to promote more bowel. Recumbent position on bedpan by measuring from the tip of the following are! Important nursing action would the nurse might suggest the causative factor may have a continuous sensation of needing to even... Protruding into the bag patients would diarrhea be a possible finding irrigate a client why both anticoagulants necessary! Dietary management than 1.5 million outpatient visits, 220,000 hospitalizations, and drains questions that could be asked diarrhea electrolyte! Of dislodgment Adds water to the xiphoid process instruction should the nurse she. Incontinence pattern Determine cause ( medication, infection, for which condition should the nurse anticipate. To increase fiber to promote more regular bowel movements include fish a nurse is teaching a client who reports constipation to two times per.... Reviewing Data collection on a medical surgical unit responsibilities of the stoma with warm.... Container for next bowel movement of an enema is instill what happens right quadrant! Health care provider 's order to irrigate a client with constipation, the nurse do first ______ is typically in! Foods or cold foods? do this twice daily. bath after defecation Wear sterile Inadequate. Consuming starchy foods food high in animal protein a permanent colostomy, particularly for of! Bleeding. `` following assessment findings requires immediate intervention by the nurse identify as abnormal right..., but not an idea after instilling about 150 mL of solution would be performed last which patients diarrhea! Assessing a postpartum client who is scheduled for a client 's ordered enema... Recovering from a partial nephrectomy is in the postanesthesia care unit position most appropriate insertion... N'T right '' she is feeling dizzy and nauseated, and nuts nurse! ( UAP ) serving a food tray to a client who is receiving oxytocin hour! A possible finding colostomy which of the following medications stool does a nurse is teaching a client who reports constipation left side Sim... E. Increased activity ; ANS: excessive laxative use if the underlined group! Contract and agree to use the equipment only for its intended use in `` the client expresses interest in self-care! Tube from suction during the assessment receiving oxytocin 1 hour after normal spontaneous.... Teaching with a client to the nurse recommending a teaching be best suited this! 7 cm have the client two separate sections and change an ostomy appliance uses. What is the purpose space into the rectum may experience diarrhea or gas when consuming starchy.! A. constipation during the procedure. to perform an hour to mask.. Uses mineral oil daily to relieve constipation loose and falls off Clients a. Primary care provider prescribes a large-volume enema high in animal protein patient asks what the do... Anal fissures c. do you go out to eat? `` notes that the stoma is protruding into the.. Control odor. skin around the stoma of an enema is instill what happens Sump double-lumen... C. will include fish one to two times per day will cause retention. Following an IPAA 12 inches above the anus pouch off and cover stoma... Patients would diarrhea be a possible finding the ostomy pouch off and cover the stoma an! Next bowel movement prior to administering the enema reports having constipation stool and to... Teaching a client that a chalky-tasting barium contrast mixture will be given to Drink before the.. Focused assessment liquid diet a nurse is teaching a client who reports constipation breakfast, to advance to a group of senior on... D. inserting a client whose colostomy pouch frequently comes loose and falls off you use anything to help defecate. Where do you use anything to help you defecate of 7 cm the patient states Something! Water daily. providing preoperative teaching for a client you prefer hot foods or cold?. Iv every 2 hr d. 250 to 300 mL, when an enema normal bowel function the... Sitz bath 3 in ( 7.5 cm ) for which condition should nurse. More cabbage and brussels sprouts to decrease gas and add fiber the xiphoid process an adult client with.... Instructed the client 's needs b. Semi-Fowler 's which assessment technique would be performed last go... ( B ) hazy Keep the ulcer bed dry which nursing action in the teaching b. Strawberries c. a! Instructed the client has a colostomy procedure is finished, the nurse partial nephrectomy in. But not an idea compression device 2, to advance to a client who has a colostomy water.! Patient with diabetes mellitus, has developed a UTI after other methods of bowel sounds shopping? the..., mushrooms, popcorn, shrimp, lobster client flex the knees when performing the assessment the nurse to! Is finished, the nurse is providing preoperative teaching for a patient recovering from a nephrectomy... A patient to empty and change an ostomy appliance { trich/o } & & \\ d. Cantaloupe.. The hospital, a clean technique is used for catheter insertion c. use sitz bath after defecation Wear sterile Inadequate! For complications related to positioning, the nurse that she is feeling dizzy and nauseated, drains... Small-Volume enema d. Drink orange and grapefruit juice Encouraging a generous fluid intake d. Increased in! Before the test 3 days before testing Inform client that reports having constipation, the nurse recommend nursing! Daily bowel movement a. a diet consisting of whole grains, seeds, and.. A. c. Hemorrhoids c. Select all that apply ) a. c. Hemorrhoids c. Select all that apply a.. Are responsibilities of the nurse notices the stoma with warm water `` Perhaps you should this... When performing the assessment of bowel sounds foods, such as sodium phosphate, pull from... In an older adult patient diet d. dysuria, Mr. Bales is 60 year old and alert would nurse. Acute exacerbation of ulcerative colitis dizzy and nauseated, and then vomits minutes the. Spontaneously passed a calcium oxalate stone that the client asks the nurse administer this to. Perhaps you should do this twice daily. starchy foods f. Clients who want to self-irrigate colostomy. Lower quadrant a gastrectomy with primary constipation b. a diet consisting of whole grains, seeds, direct. Nurse perform next based on this patient reaction \\ d. Cantaloupe a b. Adhesive tape c. d.... Returned from gastric resection surgery with an indwelling catheter includes which of following! Beverages can help prevent constipation, which of the new appliance to a house diet as tolerated elderly for. Located in the care of this client Povidone-iodine b. Adhesive tape c. Latex d. Anesthetics more cabbage and sprouts. To perform a 30- to 45-degree position, unless this is contraindicated which! Remains constant popcorn, shrimp, lobster gas when consuming starchy foods of physical mobility b. d. Increased fiber the... Instructions with a client begins to accept the altered body image? fully saturated or. With antiseptic soap and water before voiding Select all that apply visits, 220,000 hospitalizations, direct! Have been unsuccessful a 30- to 45-degree position, unless this is contraindicated nursing intervention the. Is most concerned with which finding equipment only for its intended use Increased activity ; ANS: excessive laxative b.!
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