Nurs 404 Bowel elimination (Well-enlightened)

The nurse should do which of the following when placing a bedpan under an immobilized patient? A. Lift the patient's hips off the bed and slide the bedpan under the patient B. After positioning the patient on the bedpan, elevate the head of the bed to a 45-degree angle C. Adjust the head of the bed so it is lower than the feet and use gentle but firm pressure to push the bedpan under the patient D. Have the patient stand beside the bed and then have him or her sit on the bedpan on the edge of the bed correct answers B Elevating the head of the bed allows the patient the most normal and comfortable position for defecation on a bedpan. A patient has not had a bowel movement for 4 days. Now she has nausea and severe cramping throughout her abdomen. On the basis of these findings, what should the nurse suspect? A. An intestinal obstruction B. Irritation of the intestinal mucosa C. Gastroenteritis D. A fecal impaction correct answers A Absence of bowel movement, nausea, cramping, and possibly vomiting are characteristic of an intestinal obstruction During the administration of a warm tap-water enema, the patient complains of cramping abdominal pain that he rates 6 out of 10. What is the first thing the nurse should do? A. Stop the instillation B. Ask the patient to take deep breaths to decrease the pain C. Add soapsuds to the enema D. Tell the patient to bear down as he would when having a bowel movement correct answers A When a patient complains of pain during an enema, the instillation should be stopped, and an assessment done before discontinuing or resuming the procedure. The nurse is teaching the patient to obtain a specimen for fecal occult blood testing using fecal immunochemical (FIT) testing at home. How does the nurse instruct the patient to collect the specimen? A. Three fecal smears from one bowel movement B. One fecal smear from an early-morning bowel movement C. One fecal smear from three separate bowel movements D. Three fecal smears when blood can be seen in the bowel movement correct answers C Samples from three separate bowel movements decrease the risk of a false-negative or a false-positive result. When a patient has fecal incontinence as a result of cognitive impairment, it may be helpful to teach caregivers to do which of the following interventions? A. Cleanse the skin with antibacterial soap and apply talcum powder to the buttocks B. Use diapers and heavy padding on the bed C. Initiate bowel or habit training program to promote continence