FREE AND STUDY GAMES ABOUT FOUNDATON CH.38

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FREE AND STUDY GAMES ABOUT FOUNDATON CH.38

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -74 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: The nurse is educating a new colostomy client on gas-producing foods. Which food is a gas-producing food the client may choose to avoid?

Answer:

brussels sprouts Question 2: The nurse is scheduling tests for a client who is experiencing bowel alterations.What is the most logical sequence of tests to ensure an accurate diagnosis?

Answer:

fecal occult blood test, barium studies, endoscopic examination Question 3: The nurse is inserting a rectal tube to administer a large-volume enema. Which nursing action is performed correctly in this procedure?

Answer:

Slowly and gently insert the enema tube 3 to 4 in (7.5 to 10 cm) for an adult.Question 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. How should the nurse document this condition?

Answer:

fecal impaction

Question 5: The nurse is administering a rectal suppository. How far will the nurse insert the suppository?

Answer:

past the internal sphincter Question 6: The nurse is preparing a client to receive a hypertonic enema solution. Into which position will the nurse place the client?

Answer:

Sims Question 7: The home care nurse visits a client and is reviewing the medications that the client uses. Which medication would the nurse identify as acting directly on the intestine to slow bowel motility, or to absorb excess fluid in the bowel?

Answer:

Antidiarrheal agent Question 8: The nursing instructor is having a discussion related to the gastrointestinal (GI) system. Which statements by the students would indicate that the discussion was effective?Select all that apply.

Answer:

"Movement of the colon is stimulated by the parasympathetic nervous system." "The last part of the large intestine is the rectum, not the anus." "The stool becomes hard if it remains in the large intestine too long." Question 9: A nurse assesses a client with an ostomy appliance and notes that the stoma is protruding into the bag. How should the nurse respond to this assessment finding?

Answer:

Have the client rest for half an hour and then reassess.Question 10: A cleansing enema has been ordered for the client to draw water into the bowel.Which type of solution does the nurse gather?

Answer:

hypertonic saline

Question 11: The student nurse has completed a presentation to a group of senior citizens on colorectal screening. Which statement by a participant suggests a need for further education?

Answer:

"I will have a fecal occult blood test done every 5 years." Question 12: A client wishes to increase fiber to promote more regular bowel movements.Which food will the nurse recommend that the client consume?

Answer:

brown rice Question 13: The nurse has provided instructions to a client having a fecal immunochemical test (FIT). The client states, "I am menstruating right now. Is it okay to still do the test?" What is the best response by the nurse?

Answer:

"Wait to do the test 3 days after your finish menstruating." Question 14: Which client is most likely to require interventions in order to maintain regular bowel patterns?

Answer:

a client whose neuropathic pain requires multiple doses of opioids each day

Question 15: Which statement about ostomy irrigation is true?

Answer:

For some clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of elimination.

Question 16: Which symptom is a known side effect of antibiotics?

Answer:

Diarrhea Question 17: A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. Which assessment technique would be performed last?

Answer:

Palpation

Question 18: A nurse is caring for a client with an ostomy pouch. When should the nurse ask the client to empty the pouch?

Answer:

when the pouch is one-third to one-half full Question 19: A nurse is following a health care provider's order to irrigate a client's NG tube.Which guideline is recommended in this procedure?

Answer:

Assist the client to a 30- to 45-degree position, unless this is contraindicated.Question 20: An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis?

Answer:

Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate Question 21: A client reports experiencing uncomfortable, frequent episodes of flatulence to the nurse. Which foods will the nurse recommend that the client avoid? Select all that apply.

Answer:

cucumbers lentils onions cabbage Question 22: While administering a cleansing enema, the client displays lightheadedness, nausea, and has clammy skin. The nurse would implement which priority action?

Answer:

Stop the procedure, monitor heart rate and blood pressure.Question 23: A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. Which guideline is recommended for this procedure?

Answer:

Collect 15 to 30 mL of the client's liquid stool.