Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold
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Chapter 18: Elimination
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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. |
ANS: B
Warm beverages at breakfast frequently stimulate the urge to defecate.
DIF: Cognitive Level: Comprehension REF: p. 289 OBJ: 6
TOP: Promoting Normal Elimination KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| 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 |
ANS: D
Constipation is defined as a hard, dry stool that is difficult to pass.
DIF: Cognitive Level: Application REF: p. 290 OBJ: 1
TOP: Constipation KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| 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.” |
ANS: C
Long-term laxative use may cause the body to become so dependent on laxatives that the patient is unable to have a normal elimination pattern without medication.
DIF: Cognitive Level: Application REF: pp. 290-291 OBJ: 3
TOP: Constipation Prevention KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | moves rapidly through the intestines. |
| b. | becomes excessively dry. |
| c. | overstimulates the defecation reflex. |
| d. | contributes to frequent bowel movements. |
ANS: B
Small stools move slowly because of the understimulation of peristalsis. The stool becomes dry and leads to infrequent defecation and constipation.
DIF: Cognitive Level: Comprehension REF: p. 290 OBJ: 1
TOP: Dietary Fiber KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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