Potter & Perry Chapter 47: Bowel Elimination Questions and Answers Already Passed

Potter & Perry Chapter 47: Bowel Elimination Questions and Answers Already Passed *Which of the following nursing actions do you take after placing a bedpan under an immobilized pt?* A. Lift the pt's hips off the bed and slide the bedpan under the pt B. After positioning the pt on the bedpan, elevate the head of the bed to a 45-defree angle C. Adjust the head of the bed so it is lower than the feet and use gently but firm pressure to push the bedpan under the pt D. Have the pt stand beside the bed and then have him or her sit on the bedpan on the edge of the bed *Answer: B* Rationale: Elevating the head of the bed allows the patient the most normal and comfortable position for defecation on a bedpan. *A pt has not had a bowel movement for 4 days. Now she has nausea and severe cramping throughout her abdomen. On the basis of these findings, what do you suspect is wrong with the pt?* A. An intestinal obstruction B. Irritation of the intestinal mucosa C. Gastroenteritis D. A fecal impaction *Answer: A* Rationale: Absence of bowel movement, nausea, cramping, and possibly vomiting are characteristic of an intestinal obstruction. *During the administration of a warm tap-water enema, a pt complains of cramping abd pain that he rates 6 out of 10. What is your priority nursing intervention?* A. Stop the instillation B. Ask the pt to take deep breaths to decrease the pain C. Add soapsuds to the enema D. Tell the pt to bear down as he would when having a bowel movement *Answer: A* Rationale: When a patient complains of pain during an enema, you need to stop the instillation and conduct an assessment before discontinuing or resuming the procedure. *Which instructions do you include when educating a person with chronic constipation? (Select all that apply)* A. Increase fiber and fluids in the diet B. Use a low-volume enema daily C. Avoid gluten in the diet D. Take laxatives twice a day E. Exercise for 30 minutes every day F. Schedule time to use the toilet at the same time every day G. Take probiotics 5x a week *Answer: A, E, F* Rationale: These are steps a patient needs to take to resolve chronic problems with constipation before considering regular laxative or enema use. *Which skills do you teach a pt with a new colostomy before discharge form the hospital? (Select all that apply)* A. How to change the pouch B. How to empty the pouch C. How to open and close the pouch D. How to irrigate the colostomy E. How to determine if the ostomy is healing appropriately *Answer: A, B, C, E* Rationale: The patient must be able to do these tasks to successfully manage his or her colostomy when going home. *Which of the following cause C. difficile infection? (Select all that apply)* A. Chronic laxative use B. Contact with C. difficile bacteria C. Overuse of antibiotics D. Frequent episodes of diarrhea caused by food intolerance E. Inflammation of the bowel *Answer: B & C* Rationale: These are the two main causes of C. difficile infection.