Graded A+
A patient who was diagnosed with senile dementia has become incontinent of
urine. The patient's daughter asks the nurse why this is happening. What is the
nurse's best response? - Correct answer-patient is losing sphincter control due to
the dementia
The nurse is caring for a patient who has suffered a spinal cord injury and is
concerned about the patient's elimination status. What is the nurse's best action? -
Correct answer-Establish a bowel and bladder program for the patient
The process of digestion is important for every living organism for the purpose of
nourishment. Where does most digestion take place in the body? - Correct answer-
The small intestine
The nurse is listening for bowel sounds in a postoperative patient. The bowel
sounds are slow as they are heard only every 3-4 minutes. The patient asks the
nurse why this is happening. What is the nurse's best response? - Correct answer-
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,"Anesthesia during surgery and pain medication after surgery may slow peristalsis
in the bowel"
What is a primary prevention tool used for color cancer screening? - Correct
answer-occult blood testing
During an assessment, the patient states that his bowel movements cause
discomfort because the stool is hard and difficult to pass. As the nurse, you make
which of the following suggestions to assist the patient with improving the quality
of his bowel movement? - Correct answer--increase fiber intake
-increase water consumption
When conducting a health history assessment, the nurse would want to know what
most important information about the patient's elimination status? - Correct
answer-- Recent changes in elimination patterns
-Changes in color, consistency, or odor of stool or urine
-Discomfort or pain with elimination
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, -List of medications taken by patient
The nurse is assigned a group of patients. Which patient finding would the nurse
identify as a factor leading to increased risk for impaired gas exchange? - Correct
answer-hemoglobin of 8.5 g/dL
The nurse is reviewing the patient's arterial blood gas results. The PaO2 is 96 mm
Hg, pH is 7.20, PaCO2 is 55 mm Hg, and HCO3 is 25 mEq/L. What might the
nurse expect to observe on assessment of this patient? - Correct answer-
disorientation and tremors
The nurse would identify which patient condition as a problem of impaired gas
exchange secondary to a perfusion problem? - Correct answer-peripheral arterial
disease of the lower extremities
The nurse is assessing a patient's differential white blood cell count. What
implications would this test have on evaluating the adequacy of a patient's gas
exchange? - Correct answer-an elevation of the total white cell count indicates
generalized inflammation
The acid-base status of a patient is dependent on normal gas exchange. Which
patient would the nurse identify as having an increased risk for the development of
respiratory acidosis? - Correct answer-chronic lung disease with increased carbon
dioxide retention
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