Chapter 29. Bowel Elimination

Chapter 29. Bowel Elimination

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____       1.   When changing a diaper, the nurse observes that a 2-day-old infant has passed a green-black, tarry stool. What should the nurse do?

1)

Notify the provider immediately.

2)

Do nothing; this is normal.

3)

Give the baby sterile water until the mother’s milk comes in.

4)

Apply a skin barrier cream to the buttocks to prevent irritation.

 

 

ANS:       2

The nurse should do nothing; this is normal. During the first few days of life, a term newborn passes green-black, tarry stools known as meconium. Stools transition to a yellow-green color over the next few days. After that, the appearance of stools depends upon the feedings the newborn receives. Sterile water does nothing to alter this progression. Meconium stools are more irritating to the buttocks than other stools because they are so sticky and the skin usually must be rubbed to cleanse it. However, meconium leads to skin breakdown like a watery stool does.

 

PTS:    1                      DIF:    Moderate        REF:    p. 968

KEY:   Nursing process: Interventions | Client need: HPM | Cognitive level: Application

 

 

 

____       2.   Considering normal developmental and physical maturation in children, for which age would a goal of “Achieves bowel control by the end of this month” be most realistic?

1)

18 months

2)

3 years

3)

4 years

4)

5 years

 

 

ANS:       2

Between ages 2 and 3 years, a child can typically control defecation, thereby making toilet training possible. Nevertheless, some children, especially boys, may not achieve consistent bowel control until somewhat later.

 

PTS:    1                      DIF:    Moderate        REF:    pp. 968-969

KEY:   Nursing process: Planning | Client need: HPM | Cognitive level: Comprehension

 

 

 

____       3.   The nurse educates a patient about the primary risk factors for irritable bowel syndrome. Which behavior by the patient would be evidence of learning? The patient:

1)

Reduces her intake of gluten-containing products.

2)

Does not consume foods that contain lactose.

3)

Consumes only two servings of caffeinated beverages per day.

4)

Takes measures to reduce her stress level.

 

 

ANS:       4

Stress is a primary factor in the development of irritable bowel syndrome. Other risk factors include caffeine consumption and lactose intolerance; however, they are not primary risk factors. Celiac disease is associated with gluten intake.

 

PTS:    1                      DIF:    Moderate        REF:    p. 969

KEY:   Nursing process: Evaluation | Client need: PHSI | Cognitive level: Application

 

 

 

____       4.   Which of the following goals is appropriate for a patient with a nursing diagnosis of Constipation? The patient increases the intake of:

1)

Milk and cheese.

2)

Bread and pasta.

3)

Fruits and vegetables.

4)

Lean meats.

 

 

ANS:       3

The nurse should encourage the patient to increase his intake of foods rich in fiber because they promote peristalsis and defecation, thereby relieving constipation. Low-fiber foods, such as bread, pasta, and other simple carbohydrates, as well as milk, cheese, and lean meat, slow peristalsis.

 

PTS:    1                      DIF:    Moderate        REF:    p. 978

KEY:   Nursing process: Planning | Client need: PHSI | Cognitive level: Application

 

 

 

____       5.   A patient is diagnosed with an intestinal infection after traveling abroad. The nurse should encourage the intake of which food to promote healing?

1)

Yogurt

2)

Pasta

3)

Oatmeal

4)

Broccoli

 

 

ANS:       1

Although the patient may have diarrhea, the goal is not to stop the diarrhea, but to eliminate the pathogens from the digestive tract. The active bacteria in yogurt stimulate peristalsis and promote healing of intestinal infections. Pasta is a low-fiber food that slows peristalsis. It does not promote healing of intestinal infections. Oatmeal stimulates peristalsis, but it does not promote healing of intestinal infections. Broccoli stimulates gas production; it is ineffective against intestinal infections.

 

PTS:    1                      DIF:    Moderate        REF:    p. 969

KEY:   Nursing process: Interventions | Client need: PHSI | Cognitive level: Application