CH 38 bowel elimination exam question/answer
graded A+ 2024/2025
The student nurse is administering a large-volume enema to a client. The client reports
abdominal cramping. What should the student nurse do first?
a. Stop the administration of the enema and notify the physician.
b. Stop the administration of the enema momentarily. - ✔️✔️b. Cramping and discomfort
are common complaints during enema administration so there is no need to notify the
physician.
A client has been given fecal occult blood test (FOBT) testing supplies. What teaching
will the nurse provide about the purpose for this test?
a. "This test detects heme, an iron compound in blood within the stool."
b. "This test will help determine whether you have an infectious process in the
intestines." - ✔️✔️a
The nurse is providing health teaching for four clients. Which client will the nurse teach
that should consider a colonoscopy screening?
a. 33-year-old client who reports painful elimination
b. 50-year-old client with a family history of polyps - ✔️✔️b
The nurse is teaching a client with a new ostomy about skin care to preserve tissue
integrity at the stomal site. Which teaching will the nurse provide regarding cleansing
the stoma?
a.Use water and mild soap.
b. Use water only. - ✔️✔️a . Water only will not provide cleansing
A client wishes to increase fiber to promote more regular bowel movements. Which food
will the nurse recommend that the client consume?
a. egg yolks
b.brown rice - ✔️✔️b. The nurse will recommend brown rice, a food that is high in dietary
fiber.
A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume
cleansing enema. What result would contraindicate the safe administration of an
enema? Select all that apply.
1.Hemoglobin of 11.1 g/dL (111.00 g/L)
2. Platelet count of 19,500/mm3 (195.00 ×109/L)
3.Anal fissures - ✔️✔️2-3 A platelet count of less than 20,000/mL (20.00 ×109/L) may
seriously compromise the client's ability to clot blood. The presence of an anal fissure
would similarly contraindicate an enema due to the risk for trauma, infection, and
bleeding.
graded A+ 2024/2025
The student nurse is administering a large-volume enema to a client. The client reports
abdominal cramping. What should the student nurse do first?
a. Stop the administration of the enema and notify the physician.
b. Stop the administration of the enema momentarily. - ✔️✔️b. Cramping and discomfort
are common complaints during enema administration so there is no need to notify the
physician.
A client has been given fecal occult blood test (FOBT) testing supplies. What teaching
will the nurse provide about the purpose for this test?
a. "This test detects heme, an iron compound in blood within the stool."
b. "This test will help determine whether you have an infectious process in the
intestines." - ✔️✔️a
The nurse is providing health teaching for four clients. Which client will the nurse teach
that should consider a colonoscopy screening?
a. 33-year-old client who reports painful elimination
b. 50-year-old client with a family history of polyps - ✔️✔️b
The nurse is teaching a client with a new ostomy about skin care to preserve tissue
integrity at the stomal site. Which teaching will the nurse provide regarding cleansing
the stoma?
a.Use water and mild soap.
b. Use water only. - ✔️✔️a . Water only will not provide cleansing
A client wishes to increase fiber to promote more regular bowel movements. Which food
will the nurse recommend that the client consume?
a. egg yolks
b.brown rice - ✔️✔️b. The nurse will recommend brown rice, a food that is high in dietary
fiber.
A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume
cleansing enema. What result would contraindicate the safe administration of an
enema? Select all that apply.
1.Hemoglobin of 11.1 g/dL (111.00 g/L)
2. Platelet count of 19,500/mm3 (195.00 ×109/L)
3.Anal fissures - ✔️✔️2-3 A platelet count of less than 20,000/mL (20.00 ×109/L) may
seriously compromise the client's ability to clot blood. The presence of an anal fissure
would similarly contraindicate an enema due to the risk for trauma, infection, and
bleeding.
