Update ) Fundamentals:
Patient Care | Test Review
Questions & Answers | 100%
Correct | Grade A - Chamberlain
Question:
Can a UAP perform a fecal occult blood test?
Answer:
yes
Question:
Diarrhea assessment findings
Answer:
-Abdominal pain
-Cramping
-Frequency of stools (more than 3/day)
-Hyperactive bowel sounds or sensations
-Loose or liquid stools
-Urgency
,Question:
Priority diarrhea nursing diagnosis
Answer:
-Impaired tissue injury
-Risk for bleeding
-Deficient fluid volume
-Hypernatremia
-Hypovolemia
Question:
Diarrhea interventions
Answer:
-Have patient keep a diary that includes:
-time of day
-defecation
-defecation stimulus
-feces consistency/amount/frequency
-Avoid using medications that slow peristalsis.
-Give antidiarrheal drugs as ordered.
-Avoidance of stimulants (e.g., caffeine, carbonated beverages). High fiber
diet as tolerated.
,Question:
Constipation assessment findings
Answer:
-Passage of dry, hard stool
-Passage of liquid fecal seepage
-Infrequent passage of stool
-Frequent but nonproductive desire to defecate
-Straining at stools
-Nausea and vomiting
-Anorexia
-Abdominal distention
Question:
Constipation primary nursing diagnosis
Answer:
-Acute pain
-Anxiety
-Fatigue
-Impaired tissue (skin) integrity
-Risk for injury
, Question:
Constipation nursing interventions
Answer:
-Encourage the patient to take in fluid 2000 to 3000 mL/day, if not
contraindicated medically.
-Urge patient for some physical activity and exercise. Consider isometric
abdominal and gluteal exercises.
-Digitally eliminate the fecal impaction.
-Discuss with a dietitian about dietary sources of fiber.
-Stool softeners (e.g., Colace)
Question:
Constipation causes
Answer:
-Opioid medications
-Low intake of fluid
-Immobility
-Slow GI motility
-Stress/depression
-Neurogenic disorders
Low fiber diet