Chapter 30: Promoting Bowel Elimination

Chapter 30: Promoting Bowel Elimination

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse has assessed that a patient’s stool has changed from brown to dark black and sticky. The nurse suspects:

ANS:   D

Occult or old blood is suspected when stool changes from a normal brown appearance to a dark black color with a sticky appearance.

DIF:    Cognitive Level: Analysis                  REF:    p. 574              OBJ:    Theory #2

TOP:    Stool Characteristics                          KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

2. The nurse has documented that a patient has had two episodes of steatorrhea, which means that the character of the stool is:

ANS:   B

Steatorrhea is defined as stools with abnormally high fat content that are usually frothy, foul smelling, and float on water.

DIF:    Cognitive Level: Comprehension      REF:    p. 574              OBJ:    Theory #2

TOP:    Terminology                                       KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

3. The nurse should plan interventions to combat constipation in a patient:

ANS:   C

A patient who is undergoing barium radiograph studies is more prone to constipation than are the other patients.

DIF:    Cognitive Level: Application             REF:    p. 575              OBJ:    Theory #3

TOP:    Abnormal Characteristics of Stool    KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

4. An older adult patient who routinely takes the bulk forming laxative psyllium (Metamucil) is counseled by the home health nurse that in order to prevent constipation and possible fecal impaction, this patient should be sure to take:

ANS:   C

A large amount of fluid should be taken to prevent constipation and fecal impaction when using a product with psyllium.

DIF:    Cognitive Level: Comprehension      REF:    p. 576

OBJ:    Clinical Practice #1                            TOP:    Abnormal Characteristics of Stool

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

5. A patient calls the nurse at the health clinic and reports that since his trip to Mexico, he has been experiencing diarrhea. The nurse suggests he try the antidiarrheal drug:

ANS:   B

Loperamide (Imodium) is an antidiarrheal; the rest are used to prevent or treat constipation.

DIF:    Cognitive Level: Comprehension      REF:    p. 576              OBJ:    Theory #1

TOP:    Medication for Diarrhea                     KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies