Bowel Elimination Chapter 29 Questions and Answers 100% Pass
Bowel Elimination Chapter 29 Questions and Answers 100% Pass When changing a diaper, the nurse observes that a 2-day-old infant has passed a green-black, tarry stool. What should the nurse do? a)Notify the provider immediately. b)Do nothing; this is normal. c)Give the baby sterile water until the mother's milk comes in. d)Apply a skin barrier cream to the buttocks to prevent irritation. B The nurse should do nothing; this is normal. During the first few days of life, a term newborn passes green-black, tarry stools known as meconium. Stools transition to a yellow-green color over the next few days. After that, the appearance of stools depends on the feedings the newborn receives. Sterile water does nothing to alter this progression. Meconium stools are more irritating to the buttocks than other stools because they are so sticky and the skin usually must be rubbed to cleanse it. Considering normal developmental and physical maturation in children, for which age would a goal of "Achieves bowel control by the end of this month" be most realistic? a)18 months b)3 years c)4 years d)5 years B Between ages 2 and 3 years, a child can typically control defecation, thereby making toilet training possible. Nevertheless, some children, especially boys, may not achieve consistent bowel control until somewhat later. The nurse educates a patient about the primary risk factors for irritable bowel syndrome. Which behavior by the patient would be evidence of learning? The patient: a)Reduces her intake of gluten-containing products b)Does not consume foods that contain lactose c)Consumes only four cups of caffeinated coffee per day d)Takes measures to reduce her stress level D Stress is a primary factor in the development of irritable bowel syndrome. Other risk factors include caffeine consumption and lactose intolerance; however, they are not primary risk factors. Celiac disease is associated with gluten intake. A patient is diagnosed with an intestinal infection after traveling abroad. The nurse should encourage the intake of which food to promote healing? a)Yogurt b)Pasta c)Oatmeal d)Broccoli A Although the patient may have diarrhea, the goal is not to stop the diarrhea, but to eliminate the pathogens from the digestive tract. The active bacteria in yogurt stimulate peristalsis and promote healing of intestinal infections. Pasta is a low-fiber food that slows peristalsis. It does not promote healing of intestinal infections. Oatmeal stimulates peristalsis, but it does not promote healing of intestinal infections. Broccoli stimulates gas production; it is ineffective against intestinal infections. A nurse is teaching wellness to a women's group. The nurse should explain the importance of consuming at least how much fluid to promote healthy bowel function (assume these are 8-ounce glasses)? a)3 to 4 glasses a day b)5 to 6 glasses a day c)7 to 8 glasses a day d)9 to 10 glasses a day C A minimum of 7 to 8 glasses of fluid should be consumed
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