NR 224 Fundamentals Final Review

NR 224 Fundamentals Final Review Terms in this set (239) What is the most effective method to prevent the transfer of clostridium difficile (C. Difficile) ? HAND HYGIENE with soap and water is effective to physically remove C. difficile spores from the hands Correct answer: (Potter 1092) What is the term for the [abnormal] method used to assist in stool passage by exerting pressure to expel fecal matter through voluntary contraction of the abdominal muscles while maintaining a forced expiration against a closed airway? Correct answer: Valsalva Manuever Normal passage of bowels should be painless, passing soft formed stool Brainpower Read More 0:04 / 0:15 Which patients are at greatest risk for cardiac dysrhythmia and high blood pressure with the Valsalva manuever and MUST avoid straining to pass stool? Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound Correct answer: (Potter 1089) What is the term for a collection of hardened feces in the rectum that cannot be expelled due to unrelieved constipation? Correct answer: Fecal Impaction Where does fecal impaction occur in the colon? Correct answer: Rectum Least formed stool is present in which portion of the digestive tract? Correct answer: Ascending Colon Most formed stool is present in which portion of the digestive tract? Correct answer: Descending Colon Which position should the patient be in while administering an enema? Correct answer: Left Side-Lying or Sim's Position Which factors would contribute to stopping enema administration?