Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 31- Bowel Elimination
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is caring for a client with an abdominal injury at a health care facility. The client tells the nurse that he passed dark, tarry stool. Which of the following nursing actions is appropriate when a client reports possible blood in the stool? | |
| A) | Save a sample of the stool in a container. | |
| B) | Perform a screening test on a stool sample. | |
| C) | Perform a digital-rectal examination. | |
| D) | Send the client to radiology for a colonoscopy. | |
| Ans: | B | |
| Feedback: | ||
| The nurse should independently perform a screening test on the stool samples to determine the presence of blood. Saving the sample does not provide assessment data. A digital rectal examination is not indicated and the physician, not the nurse, may order more specific laboratory or diagnostic tests. | ||
| 2. | A nurse is preparing a discharge note for an elderly client with constipation. Which of the following suggestions should the nurse write in the client’s discharge note to facilitate healthy bowel elimination habits? | |
| A) | Drink 8 to 10 glasses of liquid daily. | |
| B) | Limit physical activity in the early morning. | |
| C) | Use laxatives and enemas regularly. | |
| D) | Eat several small meals each day rather than three large meals. | |
| Ans: | A | |
| Feedback: | ||
| The nurse should suggest the client drink 8 to 10 glasses of liquid daily for good bowel elimination. Laxatives and enemas can be habit-forming. It is unnecessary to limit physical activity or eat several meals each day. | ||
| 3. | A nurse is caring for a client with pseudoconstipation. Which of the following is associated with pseudoconstipation in a client? | |
| A) | Insufficient fluid intake | |
| B) | Adequate intake of fibrous foods | |
| C) | Overuse of suppositories | |
| D) | Large bowel obstructions | |
| Ans: | C | |
| Feedback: | ||
| Pseudoconstipation is also referred to as perceived constipation. Overuse of suppositories and enemas is associated with this problem in which the person believes himself or herself to be constipated. Obstruction or inadequate fluid intake is associated with actual, rather than perceived, constipation. Fiber intake does not lead to pseudoconstipation. | ||
| 4. | A nurse is caring for a client who has a large, hardened mass of stool interfering with defecation, making it impossible for the client to pass feces voluntarily. The nurse recognizes that this client has what condition? | |
| A) | Fecal impaction | |
| B) | Iatrogenic constipation | |
| C) | Fecal incontinence | |
| D) | Secondary constipation | |
| Ans: | A | |
| Feedback: | ||
| The client has fecal impaction because the large, hardened mass of stool is interfering with defecation. Iatrogenic constipation occurs as a consequence of other medical treatment. Secondary constipation is a consequence of a pathologic disorder. Fecal incontinence is the inability to control the elimination of stool. | ||
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