BSN 206 - Adaptive Quiz - NGN - Bowel Elimination Exam
With Complete Solutions
The nurse on the medical unit is caring for a male client, 54 years old, who developed
Clostridium difficile (C. difficile or C. diff) after treatment with antibiotics for a severe
infection. The client is experiencing explosive foul-smelling diarrhea. Client reports that
orange juice makes it worse, even though he likes the taste. - ANSWER Nutritional
- Offer bland, low-residue foods
- Avoid gas-producing foods
Elimination
- Obtain a bedside commode
- Apply skin barrier ointment
Fluid and Electrolytes
- Request an intravenous (IV) infusion
- Monitor for dehydration
Infection Control
- Wash hands with soap and water
- Place on contact isolation precautions
, Click to highlight the findings related to a bowel elimination problem that would require
follow-up from the nurse. - ANSWER 1. reports needing to have a bowel movement but has
been unable to do so for the last 3 days.
2. stool that is seeping from the rectum
3. states that her appetite has decreased.
4. She feels bloated
5. Abdomen distended with hypoactive bowel sounds.
For each assessment finding, click to indicate whether findings from this client's assessment
are generally associated with constipation, fecal impaction, or flatus.
Each row must have at least one, but may have more than one, response option selected. -
ANSWER Unable to have a bowel movement for the last 3 days
- Constipation
- Fecal Impaction
Decreased appetite
- Constipation
With Complete Solutions
The nurse on the medical unit is caring for a male client, 54 years old, who developed
Clostridium difficile (C. difficile or C. diff) after treatment with antibiotics for a severe
infection. The client is experiencing explosive foul-smelling diarrhea. Client reports that
orange juice makes it worse, even though he likes the taste. - ANSWER Nutritional
- Offer bland, low-residue foods
- Avoid gas-producing foods
Elimination
- Obtain a bedside commode
- Apply skin barrier ointment
Fluid and Electrolytes
- Request an intravenous (IV) infusion
- Monitor for dehydration
Infection Control
- Wash hands with soap and water
- Place on contact isolation precautions
, Click to highlight the findings related to a bowel elimination problem that would require
follow-up from the nurse. - ANSWER 1. reports needing to have a bowel movement but has
been unable to do so for the last 3 days.
2. stool that is seeping from the rectum
3. states that her appetite has decreased.
4. She feels bloated
5. Abdomen distended with hypoactive bowel sounds.
For each assessment finding, click to indicate whether findings from this client's assessment
are generally associated with constipation, fecal impaction, or flatus.
Each row must have at least one, but may have more than one, response option selected. -
ANSWER Unable to have a bowel movement for the last 3 days
- Constipation
- Fecal Impaction
Decreased appetite
- Constipation
