Davis- Chapter 29- Bowel Elimination Exam Questions With Verified Answers

Davis- Chapter 29- Bowel Elimination Exam Questions With Verified Answers Stanley is recovering from knee surgery and has not had a bowel movement for 3 days. The nurse places him on the bathroom toilet rather than having him use the bedside commode or a bedpan. 1. promotes 2. inhibits - answer1. promotes Clients are often challenged with constipation while hospitalized as a result of medications, surgery, and inactivity. Allowing a more "natural" environment can promote normal bowel habits. The nurse assists Martha to the restroom and leaves the door open a crack so she can be heard if she needs help. 1. promotes 2. inhibits - answer2. inhibits Privacy is important to promote normal bowel movements; this should include closing doors, pulling curtains, and having visitors step out of the room. Although having the door open is helpful to the nurse, it is not helpful for the client. A better alternative would be to close the door but check back often, provide a call light, or stand outside the door to hear Martha ask for help. Jeremy has a digestive disorder that causes a lot of gas. He is in a semiprivate room and mentions how disturbing it must be for his roommate. The nurse sprays some odor-reducing product and leaves it with Jeremy to use as needed. 1. promotes 2. inhibits - answer1. promotes The embarrassment of the smell of flatus and stool can prevent clients from eliminating, causing them to become distended, constipated, impacted, and uncomfortable. Identifying the need for an odor-eliminating spray is the nurse's role. Bonita tells the nurse she needs to use the restroom. The nurse cannot find adequate help to get Bonita out of bed so she is placed on a bedpan. 1. promotes 2. inhibits - answer2. inhibits The most natural position for elimination is sitting upright on a toilet. When the client is not able to ambulate to the bathroom, a commode chair placed at the client's bedside can be used. A bedpan should be used only if the client is unable to get out of bed. The nurse has an order to deliver an enema to a constipated client. The nurse enters the room and slides the lunch tray to the side, explaining there is an order for an enema. 1. promotes 2. inhibits - answer2. inhibits Timing is an important part of normal bowel function. By interrupting the meal for this procedure, the timing is poor. A better option is to discuss the order for the enema after the client has finished eating so the nurse does not disturb his or her meal or appetite. Joe is constipated and asking for a snack. The nurse offers an apple or orange. 1. promotes 2. inhibits - answer1. promotes Foods high in fiber promote peristalsis and bowel elimination. Daily fiber intake should be 25 to 30 grams of fiber to attract water to the stool. Good choices include fresh fruits, vegetables, whole-grain foods, legumes, and water. Clay is constipated, so the nurse suggests increasing his water intake to 1 liter per day.