NURS 2009 Exam 2 Question and Answer
[2026] | UPDATED ACTUAL Exam | A+
Verified
• factors effecting bowel elimination -✓✓ age, physical activity/immobility, diet/fluid
intake, personal habits/routine, psychological factors, pain, position during defecation,
surgery/anesthesia, pregnancy, diagnostic tests, medications
• Physical assessment for bowel elimination -✓✓ mouth, abdomen, rectum
• Nursing diagnosis bowel elimination problems -✓✓ constipation related to (
inactivity/opioid use/medication), diarrhea related to (food poisoning, medication),
nausea, knowledge deficit (nutrition, activity)
• Cleansing enema types -✓✓ tap water, normal saline, hypertonic solution, soapsuds
• fleets enema -✓✓ most common, stimulates peristalsis
• Kayexalate enema -✓✓ resin, used to decrease K level, absorbs K into colon and
replaces it with sodium, K gets eliminated w stool and lowers the K levels temporarily
• Enema adminstration -✓✓ Not sterile, wear gloves, SIMS position
• SIMS position can stimulate what -✓✓ vagal nerve, lowering heart rate for a few
seconds
• What to do if enemas fail to remove impaction -✓✓ digital removal (finger), last resort
for severe constipation, requires an order from provider
• What to write on label of bowel specimen samples -✓✓ Pt. name, date, time, your
initials(nurse), type of collection, stool specimen
• Ostomies -✓✓ - Used for bowel diversion
- Surgically created opening (stoma) in the abdominal wall where part of intestine is
pulled to outside of abdomen wall to allow fecal matter to pass,
- Can be temporary or permanent
• The closer the ostomy to the ______, the more formed stool -✓✓ rectum
• Stoma -✓✓ the pulled through part of intestine on the abdomen (the opening), should
be real pink/red and moist/shiny.
, • Double barrel ostomy -✓✓ bowel is surgically severed and both ends are brought
through the abdomen
• colostomy -✓✓ creation of an artificial opening into the colon
• ileostomy -✓✓ creation of an artificial opening into the ileum
• What is the most common patient issue with ostomies -✓✓ body image
• Kidneys -✓✓ filter/excrete, regulate fluid balance, remove waste products from
bloodstream, create urine
• Average output of urine for adults -✓✓ 2200-2500 mL in 24 hours
• For specific I&Os, you do what daily? -✓✓ weight, same clothes, no shoes, same
scale, make them void before weights
• Urgency -✓✓ immediate and strong desire to void
• Hesitancy -✓✓ delayed start of urine stream
• Nocturia -✓✓ voiding @ night, having to wake up to void
• Retention -✓✓ not completely emptying the bladder
• Dysuria -✓✓ painful/difficult urination, can be from inflammation of
urethra/pylonephritis (kidney infection), STD, UTI, or prostatitis
• polyuria -✓✓ excessive urination
• Dribbling -✓✓ leakage of urine, usually caused by prostatitis in males, weak pelvic
muscles, UTIs
• Frequency -✓✓ voiding over 8 times, or every 2 hours
• oliguria -✓✓ not putting out as much as you're taking in (output not = input)
• hematuria -✓✓ blood in urine
• What does retention increase risk of? -✓✓ infection
• Mictruition -✓✓ urination
[2026] | UPDATED ACTUAL Exam | A+
Verified
• factors effecting bowel elimination -✓✓ age, physical activity/immobility, diet/fluid
intake, personal habits/routine, psychological factors, pain, position during defecation,
surgery/anesthesia, pregnancy, diagnostic tests, medications
• Physical assessment for bowel elimination -✓✓ mouth, abdomen, rectum
• Nursing diagnosis bowel elimination problems -✓✓ constipation related to (
inactivity/opioid use/medication), diarrhea related to (food poisoning, medication),
nausea, knowledge deficit (nutrition, activity)
• Cleansing enema types -✓✓ tap water, normal saline, hypertonic solution, soapsuds
• fleets enema -✓✓ most common, stimulates peristalsis
• Kayexalate enema -✓✓ resin, used to decrease K level, absorbs K into colon and
replaces it with sodium, K gets eliminated w stool and lowers the K levels temporarily
• Enema adminstration -✓✓ Not sterile, wear gloves, SIMS position
• SIMS position can stimulate what -✓✓ vagal nerve, lowering heart rate for a few
seconds
• What to do if enemas fail to remove impaction -✓✓ digital removal (finger), last resort
for severe constipation, requires an order from provider
• What to write on label of bowel specimen samples -✓✓ Pt. name, date, time, your
initials(nurse), type of collection, stool specimen
• Ostomies -✓✓ - Used for bowel diversion
- Surgically created opening (stoma) in the abdominal wall where part of intestine is
pulled to outside of abdomen wall to allow fecal matter to pass,
- Can be temporary or permanent
• The closer the ostomy to the ______, the more formed stool -✓✓ rectum
• Stoma -✓✓ the pulled through part of intestine on the abdomen (the opening), should
be real pink/red and moist/shiny.
, • Double barrel ostomy -✓✓ bowel is surgically severed and both ends are brought
through the abdomen
• colostomy -✓✓ creation of an artificial opening into the colon
• ileostomy -✓✓ creation of an artificial opening into the ileum
• What is the most common patient issue with ostomies -✓✓ body image
• Kidneys -✓✓ filter/excrete, regulate fluid balance, remove waste products from
bloodstream, create urine
• Average output of urine for adults -✓✓ 2200-2500 mL in 24 hours
• For specific I&Os, you do what daily? -✓✓ weight, same clothes, no shoes, same
scale, make them void before weights
• Urgency -✓✓ immediate and strong desire to void
• Hesitancy -✓✓ delayed start of urine stream
• Nocturia -✓✓ voiding @ night, having to wake up to void
• Retention -✓✓ not completely emptying the bladder
• Dysuria -✓✓ painful/difficult urination, can be from inflammation of
urethra/pylonephritis (kidney infection), STD, UTI, or prostatitis
• polyuria -✓✓ excessive urination
• Dribbling -✓✓ leakage of urine, usually caused by prostatitis in males, weak pelvic
muscles, UTIs
• Frequency -✓✓ voiding over 8 times, or every 2 hours
• oliguria -✓✓ not putting out as much as you're taking in (output not = input)
• hematuria -✓✓ blood in urine
• What does retention increase risk of? -✓✓ infection
• Mictruition -✓✓ urination
