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Test #4 - Bowel Elimination Questions With Complete Solutions
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Test #4 - Bowel Elimination Questions With Complete Solutions
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Test #4 - Bowel Elimination Questions With CompleteSolutions
_____ enema to a client who has very high levels of potassium
Correct Answers Sodium polystyrene sulfate
_____ to cleanse the client's bowel; often used in preparation of
surgery Correct Answers Hypertonic fluid solution
______ enema is to assist a client to expel flatus. Correct
Answers Carminative
__________: The output is typically liquid to semi-liquid and is
very irritating to the surrounding skin. Correct Answers
Ascending colon (right abdomen).
__________: two separate stomas are created. Both ends of the
bowel are brought through the abdomen to the skin surface as
two separate sections. Typically, the distal colon is not removed
but bypassed. The proximal stoma, which is functional, diverts
feces to the abdominal wall. Correct Answers Double-barrel
colostomy
_________: is typically created as an emergency procedure to
relieve an intestinal obstruction or perforation. A
communicating wall remains between the proximal and the
distal bowel. It has two openings through the one stoma - the
proximal end drains stool while the distal portion drains mucus.
The bridge can be removed in 7 to 10 days; typically temporary.
Correct Answers A transverse loop colostomy
,________: This is the location for a permanent colostomy,
particularly for cancer of the rectum. The stoma is typically
located on the lower left quadrant of the abdomen, and the
output is formed. Correct Answers Sigmoid colon (left lower
abdomen).
________: This location is used for a temporary ostomy, with
the stoma constructed as a loop. Output is liquid to semi-formed.
Correct Answers Transverse colon (mid-abdomen).
______: The output is semi-formed because more water is
absorbed while fecal material is in the ascending and transverse
colon. Correct Answers Descending colon (left upper
abdomen).
A _________ is a urinary diversion that allows urine to exit the
body after removal of a diseased or damaged section of the
urinary tract. Correct Answers urostomy
A __________ enema should not be repeated for fear of water
toxicity or circulatory overload. Correct Answers tap water
A nurse discourages a patient from straining excessively when
attempting to have a bowel movement. What physiological
response primarily may be prevented by avoiding straining on
defecation?
A. Incontinence
B. Dysrhythmias
C. Fecal impaction
D. Rectal hemorrhoids Correct Answers B. Dysrhythmias
, A nurse is about to administer a tap-water enema when a patient
asks what is the purpose. The nurse responds with?
A. It is used to relieve flatulence.
B. It drains the bladder.
C. It empties the bowel.
D. It controls diarrhea. Correct Answers C. It empties the
bowel.
A nurse is administering a cleansing enema to a client who is
scheduled for a diagnostic procedure. Which of the following
action should the nurse take? Correct Answers Insert the tip of
the tubing 8 cm (3.1 cm)
A nurse is administering an enema medicated with sodium
polystyrene sulfonate (Kayexalate) to an older adult patient who
has hyperkalemia. The nurse should insert the tip of the rectal
tube?
A. 4 to 5 in
B. 1-2 in
C. 6-8 in
D. 1-3 in. Correct Answers A. 4 to 5 in
A nurse is caring for a client who has a fecal impaction. Before
digital removal of the mass, which of the following types of
enemas should the nurse plan to administer to soften the feces?
Correct Answers Oil retention
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