BNMN502 MCQ Questions and Answers|
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The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to
catheterisation for this patient would be to Place a uridome.
Urinary retention is Is the inability to fully empty the bladder after voiding or a complete
inability to urinate despite effect
To help promote normal defecation and prevent discomfort, ideally the nurse should place the
patient on a bedpan in which position Sitting, raise patient to 30 degrees, knees bent
The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days
when the patient - The inability to pass a stool for several days, despite a repeated urge
to defecate.
- Continuous oozing of diarrhoeal stool develops, impact ion should be suspected.
- The liquid portion of faeces located higher in the colon seeps around the impacted mass.
- Loss of appetite, abdominal distension and cramping, and rectal and rectal pain may
accompany the condition..
- Faecal impaction may have faecal matter in the sigmoid or descending colon which you may be
able to palpate on the left lower abdominal region.
An elderly patient states that she is worried because she has not had a bowel movement each
day. The nurse's best response concerning defecation patterns for elderly people would be
Older adults are prone to developing constipation because of the interaction of a number
of factors:
- Physiological - lack of fibre in diet, poor fluid intake, poor dentition
, - Functional - decrease in mobility due to chronic joint disease, increase in sedentary lifestyle,
ignoring the urge to defecate, poor lifelong bowel habits
- Mechanical - any condition that slows peristalsis or obstructs the colon/rectum
- Psychological - depression, confusion, stress, avoidance (ie in a shared room/ward in hospital),
recent environmental change.
- Systemic - any condition that alters the physiology of the gastrointestinal tract
- Pharmacological - numerous medications that slow peristalsis, alter absorption or change the
physiology of the gastrointestinal tract e.g. antidepressants, opioids, antacids, sedatives,
overuse of laxatives
What is a normal finding on palpation of the abdomen? - Abdomen is Non tender and
soft no guarding with light palpation
- Normal tenderness of xiphoid, aorta, caecum sigmoid colon and ovaries with deep palpation.
- No palpable masses and umbilicus free or swelling, bulges or masses on deep palpation
When inspecting a client's abdominal contour, the nurse observes the abdomen to be swollen
and distended. The nurse describes and documents this as Ascites
1. A young adult male who comes to the clinic complaining of diarrhoea and vomiting is
suspected of having gastroenteritis. On auscultation the nurse would identify that the patient's
bowel sounds are Hyperactive
Ascites is defined as Accumulation of fluid in the peritoneal cavity, causing swelling OR
fluid in the abdomen causes generalised protuberance, bulging flanks, and exerted umbilicus OR
effusion (inflow of watery fluid) in the abdominal cavity; abdominal bloating
The nurse is performing a musculoskeletal assessment with a patient. Plantar flexion of the
ankle involves requesting the client to Extending the foot at the ankles (toes downward)
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The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to
catheterisation for this patient would be to Place a uridome.
Urinary retention is Is the inability to fully empty the bladder after voiding or a complete
inability to urinate despite effect
To help promote normal defecation and prevent discomfort, ideally the nurse should place the
patient on a bedpan in which position Sitting, raise patient to 30 degrees, knees bent
The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days
when the patient - The inability to pass a stool for several days, despite a repeated urge
to defecate.
- Continuous oozing of diarrhoeal stool develops, impact ion should be suspected.
- The liquid portion of faeces located higher in the colon seeps around the impacted mass.
- Loss of appetite, abdominal distension and cramping, and rectal and rectal pain may
accompany the condition..
- Faecal impaction may have faecal matter in the sigmoid or descending colon which you may be
able to palpate on the left lower abdominal region.
An elderly patient states that she is worried because she has not had a bowel movement each
day. The nurse's best response concerning defecation patterns for elderly people would be
Older adults are prone to developing constipation because of the interaction of a number
of factors:
- Physiological - lack of fibre in diet, poor fluid intake, poor dentition
, - Functional - decrease in mobility due to chronic joint disease, increase in sedentary lifestyle,
ignoring the urge to defecate, poor lifelong bowel habits
- Mechanical - any condition that slows peristalsis or obstructs the colon/rectum
- Psychological - depression, confusion, stress, avoidance (ie in a shared room/ward in hospital),
recent environmental change.
- Systemic - any condition that alters the physiology of the gastrointestinal tract
- Pharmacological - numerous medications that slow peristalsis, alter absorption or change the
physiology of the gastrointestinal tract e.g. antidepressants, opioids, antacids, sedatives,
overuse of laxatives
What is a normal finding on palpation of the abdomen? - Abdomen is Non tender and
soft no guarding with light palpation
- Normal tenderness of xiphoid, aorta, caecum sigmoid colon and ovaries with deep palpation.
- No palpable masses and umbilicus free or swelling, bulges or masses on deep palpation
When inspecting a client's abdominal contour, the nurse observes the abdomen to be swollen
and distended. The nurse describes and documents this as Ascites
1. A young adult male who comes to the clinic complaining of diarrhoea and vomiting is
suspected of having gastroenteritis. On auscultation the nurse would identify that the patient's
bowel sounds are Hyperactive
Ascites is defined as Accumulation of fluid in the peritoneal cavity, causing swelling OR
fluid in the abdomen causes generalised protuberance, bulging flanks, and exerted umbilicus OR
effusion (inflow of watery fluid) in the abdominal cavity; abdominal bloating
The nurse is performing a musculoskeletal assessment with a patient. Plantar flexion of the
ankle involves requesting the client to Extending the foot at the ankles (toes downward)
