N + V 384-391 Exam Latest Updated 2024
A nurse discourages the patient from straining excessively when attempting to have a bowel movement.
Which undesirable physiological response is the primary reason why straining on defecation should be
avoided?
1. Dysrhythmia
2. Incontinence
3. Fecal impaction
4. Rectal hemorrhoid - ANSWER-1. Dysrhythmia
A school nurse is planning a health class about bodily functions. Which information should be included
regarding the purpose of mucus in the gastrointestinal tract?
1. Activates digestive enzymes
2. Protects the gastric mucosa
3. Enhance gastric acidity
4. Emulsifies fats - ANSWER-2. Protects the gastric mucosa
A nurse is caring for a patient who is experiencing diarrhea. About which physiological response to
diarrhea should the nurse be most concerned?
1. Dehydration
2. Malnutrition
3. Excoriated skin
4. Emulsifies fats - ANSWER-1. Dehydration
Which statement by a patient with an ileostomy alerts the nurse to the need for further education?
1. I don't expect to have much problem with fecal odor
2. I will have to take special precautions to protect my skin around the stoma
, 3. I'm going to irrigate my stoma so I have a bowel movement every morning
4. I should avoid gas forming food like beans to limit funny noises from my stoma - ANSWER-3. I'm going
to irrigate my stoma so I have a bowel movement every morning
A primary health-care provider orders a return flow enema for an adult patient with flatulence. Which
preparing to administer this enema the nurse compares the steps of a return flow enema with cleansing
enemas. Which nursing intervention is unique to a return flow enema?
1. Lubricate the last 2 inches of the rectal tube
2. Insert the rectal tube about 4 inches into the anus
3. Raise the solution container about 12 inches above the anus
4. Lower the solution container after instilling about 150 mL of solution - ANSWER-4. Lower the solution
container after instilling about 150 mL of solution
A nurse identifies that a patient's colostomy stoma is pale. Which should the nurse do?
1. Notify the surgeon
2. Listen for bowel sounds
3. Wash the area with warm water
4. Gently massage around the stoma - ANSWER-1. Notify the surgeon
A nurse is caring for a group of patients. Which patient factor should the nurse identify as placing a
patient at risk for bowel incontinence?
1. Being ninety year old
2. Taking a sedative for sleep
3. Disoriented to time, place and person
4. Receiving multiple around the stoma - ANSWER-3. Disoriented to time, place and person
A nurse discourages the patient from straining excessively when attempting to have a bowel movement.
Which undesirable physiological response is the primary reason why straining on defecation should be
avoided?
1. Dysrhythmia
2. Incontinence
3. Fecal impaction
4. Rectal hemorrhoid - ANSWER-1. Dysrhythmia
A school nurse is planning a health class about bodily functions. Which information should be included
regarding the purpose of mucus in the gastrointestinal tract?
1. Activates digestive enzymes
2. Protects the gastric mucosa
3. Enhance gastric acidity
4. Emulsifies fats - ANSWER-2. Protects the gastric mucosa
A nurse is caring for a patient who is experiencing diarrhea. About which physiological response to
diarrhea should the nurse be most concerned?
1. Dehydration
2. Malnutrition
3. Excoriated skin
4. Emulsifies fats - ANSWER-1. Dehydration
Which statement by a patient with an ileostomy alerts the nurse to the need for further education?
1. I don't expect to have much problem with fecal odor
2. I will have to take special precautions to protect my skin around the stoma
, 3. I'm going to irrigate my stoma so I have a bowel movement every morning
4. I should avoid gas forming food like beans to limit funny noises from my stoma - ANSWER-3. I'm going
to irrigate my stoma so I have a bowel movement every morning
A primary health-care provider orders a return flow enema for an adult patient with flatulence. Which
preparing to administer this enema the nurse compares the steps of a return flow enema with cleansing
enemas. Which nursing intervention is unique to a return flow enema?
1. Lubricate the last 2 inches of the rectal tube
2. Insert the rectal tube about 4 inches into the anus
3. Raise the solution container about 12 inches above the anus
4. Lower the solution container after instilling about 150 mL of solution - ANSWER-4. Lower the solution
container after instilling about 150 mL of solution
A nurse identifies that a patient's colostomy stoma is pale. Which should the nurse do?
1. Notify the surgeon
2. Listen for bowel sounds
3. Wash the area with warm water
4. Gently massage around the stoma - ANSWER-1. Notify the surgeon
A nurse is caring for a group of patients. Which patient factor should the nurse identify as placing a
patient at risk for bowel incontinence?
1. Being ninety year old
2. Taking a sedative for sleep
3. Disoriented to time, place and person
4. Receiving multiple around the stoma - ANSWER-3. Disoriented to time, place and person
