NR 283 Alterations in Bowel Function Questions with
100% Verified Answers Latest Update
Question: The nurse administers the prescribed enema, but the client does not pass solid
fecal matter. The assessment reveals hypoactive bowel sounds, loss of appetite, nausea,
abdominal cramping, and passing small amounts of liquid stool. The client is at highest risk
for developing impaction due to .
Answer:
Fecal impaction Unrelieved constipation
Question: The nurse prepares to administer the prescribed enema. Which actions taken by
the nurse are most appropriate? Select all that apply.
Answer:
Place a waterproof pad under the client's hips and buttocks. Aim the tubing toward the
client's umbilicus. Place the container 12 inches above the anus. Insert the lubricated tip of
the tubing gently into the anal cavity.
Question: The nurse suspects the client has constipation and anticipates that an enema will
be prescribed. Match the type of enema to the correct description.
Answer:
Type of Enema Description Normal saline Exerts the same osmotic pressure as fluids in the
interstitial spaces surrounding the bowel. Hypertonic solutions Pulls fluid out of the
interstitial spaces and into the colon, resulting in distention and promoting defecation.
Soapsuds Creates intestinal irritation to stimulate peristalsis. Tap water Fluid escapes from
the bowel into the interstitial space and stimulates defecation before the fluid leaves the
bowel.
Question: Suspected Bowel Elimination Alteration Which bowel elimination alteration does
the nurse anticipate?
Answer:
Constipation
Question: When caring for a client with a Clostridium difficile (C. diff) infection, identify the
nursing actions that are appropriate and not appropriate.
Answer:
Appropriate Place the client in contact precautions. Place the client in a single occupancy
room with a dedicated toilet.
Not Appropriate Perform hand hygiene with rubbing alcohol before and after client care.
Don a mask, gloves, and a gown when entering the client's room. Restrict visitors due to the
highly infectious nature of the bacteria.
100% Verified Answers Latest Update
Question: The nurse administers the prescribed enema, but the client does not pass solid
fecal matter. The assessment reveals hypoactive bowel sounds, loss of appetite, nausea,
abdominal cramping, and passing small amounts of liquid stool. The client is at highest risk
for developing impaction due to .
Answer:
Fecal impaction Unrelieved constipation
Question: The nurse prepares to administer the prescribed enema. Which actions taken by
the nurse are most appropriate? Select all that apply.
Answer:
Place a waterproof pad under the client's hips and buttocks. Aim the tubing toward the
client's umbilicus. Place the container 12 inches above the anus. Insert the lubricated tip of
the tubing gently into the anal cavity.
Question: The nurse suspects the client has constipation and anticipates that an enema will
be prescribed. Match the type of enema to the correct description.
Answer:
Type of Enema Description Normal saline Exerts the same osmotic pressure as fluids in the
interstitial spaces surrounding the bowel. Hypertonic solutions Pulls fluid out of the
interstitial spaces and into the colon, resulting in distention and promoting defecation.
Soapsuds Creates intestinal irritation to stimulate peristalsis. Tap water Fluid escapes from
the bowel into the interstitial space and stimulates defecation before the fluid leaves the
bowel.
Question: Suspected Bowel Elimination Alteration Which bowel elimination alteration does
the nurse anticipate?
Answer:
Constipation
Question: When caring for a client with a Clostridium difficile (C. diff) infection, identify the
nursing actions that are appropriate and not appropriate.
Answer:
Appropriate Place the client in contact precautions. Place the client in a single occupancy
room with a dedicated toilet.
Not Appropriate Perform hand hygiene with rubbing alcohol before and after client care.
Don a mask, gloves, and a gown when entering the client's room. Restrict visitors due to the
highly infectious nature of the bacteria.
