BSN206 / BSN 206 Foundations of
Nursing Fundamentals Hallmark
Exam (Elimination Sherpaths)
(Latest Update )
Questions with Verified Answers |
100% Correct | Grade A -
Nightingale
Terms in this set (62)
Quiz_________________?
Which cue is irrelevant for a patient with constipation?
Expels hard, pebble-like stools
Does not like to exercise
Has an abnormal serum creatinine level
Eats low-fiber foods -
Answer☑
Has an abnormal serum creatinine level
Having an abnormal serum creatinine level is an irrelevant cue for constipation; it is not a factor or
contributing factor to the patient's constipation.
Quiz_________________?
Which relevant cues would the nurse share with the health care provider when consulting about a
patient who has developed constipation? Select all that apply.
1
,Bed linens are soiled with stool.
Graphic record shows no stool in 2 days.
Patient strains while trying to have a bowel movement.
Patient reports urgency and abdominal cramping.
Decreased bowel sounds auscultated. -
Answer☑
Graphic record shows no stool in 2 days.
The graphic record provides strong evidence supporting constipation and is a relevant cue to discuss
with the health care provider.
Patient strains while trying to have a bowel movement.
Straining while trying to have a bowel movement is a relevant cue to discuss with the health care
provider.
Quiz_________________?
Which patient is at risk for developing an impaction?
One who is immobile
One who is lactose intolerant
One who is infected with Clostridium difficile
One who is receiving enteral feedings -
Answer☑
One who is immobile
The patient who is immobile is at risk for developing an impaction.
Rationale: The patient who is lactose intolerant is at risk for developing flatus, not an impaction. The
patient who is infected with Clostridium difficile is at risk for diarrhea, not an impaction. The patient
who is receiving enteral feedings is at risk for diarrhea, not an impaction.
Quiz_________________?
2
,Which cause would the nurse consider if the patient is experiencing flatulence?
Unconsciousness
Loss of nerve sensation
Inability of anal sphincters to work properly
Action of bacteria on chyme -
Answer☑
Action of bacteria on chyme
Action of bacteria on chyme occurs with flatulence because it is a by-product of digestion.
Quiz_________________?
Which question would the nurse ask to gather cues about drug-related issues for bowel elimination?
"Are you using any herbal supplements?"
"Do you have any bloating or gas?"
"When did this start?"
"Where is the pain?" -
Answer☑
"Are you using any herbal supplements?"
Asking about herbal supplements is a drug-related question for bowel elimination.
Quiz_________________?
Which finding would the nurse categorize as an expected finding for an abdominal assessment?
Presence of visible peristaltic waves
Nonprotruding midline umbilicus
Asymmetrical abdomen
Ascites -
Answer☑
Nonprotruding midline umbilicus
A nonprotruding midline umbilicus is an expected finding.
3
, Quiz_________________?
Which information would the nurse share with the patient about how blood can be detected in a guaiac
test?
A small amount of feces is applied to a special medium for growing microorganisms.
The stool sample is exposed to a special chemical that changes color when blood is present.
Feces is placed on a slide and visualized under a microscope, noting any blood.
Stool is viewed under special lighting, showing reddish streaks if blood is present. -
Answer☑
The stool sample is exposed to a special chemical that changes color when blood is present.
A guaiac test uses a stool sample exposed to a special chemical that changes color when blood is
present.
Quiz_________________?
Which action by the new nurse while performing an abdominal assessment would cause the charge
nurse to intervene?
Auscultates before palpates
Turns off the nasogastric suction while auscultating
Palpates a pulsating midline mass
Communicates with the patient in a matter-of-fact manner -
Answer☑
Palpates a pulsating midline mass
The charge nurse would intervene because this is an incorrect action by the new nurse. If a pulsating
midline mass is observed, the nurse would not palpate. This could be an aneurysm (weak, bulging area in
an artery). Palpating this mass may cause the aneurysm to burst, causing bleeding.
Quiz_________________?
Which action would the nurse take when performing an abdominal assessment?
Interviews the patient after the physical assessment
Palpates the area of pain last
Percusses the abdomen routinely
4
Nursing Fundamentals Hallmark
Exam (Elimination Sherpaths)
(Latest Update )
Questions with Verified Answers |
100% Correct | Grade A -
Nightingale
Terms in this set (62)
Quiz_________________?
Which cue is irrelevant for a patient with constipation?
Expels hard, pebble-like stools
Does not like to exercise
Has an abnormal serum creatinine level
Eats low-fiber foods -
Answer☑
Has an abnormal serum creatinine level
Having an abnormal serum creatinine level is an irrelevant cue for constipation; it is not a factor or
contributing factor to the patient's constipation.
Quiz_________________?
Which relevant cues would the nurse share with the health care provider when consulting about a
patient who has developed constipation? Select all that apply.
1
,Bed linens are soiled with stool.
Graphic record shows no stool in 2 days.
Patient strains while trying to have a bowel movement.
Patient reports urgency and abdominal cramping.
Decreased bowel sounds auscultated. -
Answer☑
Graphic record shows no stool in 2 days.
The graphic record provides strong evidence supporting constipation and is a relevant cue to discuss
with the health care provider.
Patient strains while trying to have a bowel movement.
Straining while trying to have a bowel movement is a relevant cue to discuss with the health care
provider.
Quiz_________________?
Which patient is at risk for developing an impaction?
One who is immobile
One who is lactose intolerant
One who is infected with Clostridium difficile
One who is receiving enteral feedings -
Answer☑
One who is immobile
The patient who is immobile is at risk for developing an impaction.
Rationale: The patient who is lactose intolerant is at risk for developing flatus, not an impaction. The
patient who is infected with Clostridium difficile is at risk for diarrhea, not an impaction. The patient
who is receiving enteral feedings is at risk for diarrhea, not an impaction.
Quiz_________________?
2
,Which cause would the nurse consider if the patient is experiencing flatulence?
Unconsciousness
Loss of nerve sensation
Inability of anal sphincters to work properly
Action of bacteria on chyme -
Answer☑
Action of bacteria on chyme
Action of bacteria on chyme occurs with flatulence because it is a by-product of digestion.
Quiz_________________?
Which question would the nurse ask to gather cues about drug-related issues for bowel elimination?
"Are you using any herbal supplements?"
"Do you have any bloating or gas?"
"When did this start?"
"Where is the pain?" -
Answer☑
"Are you using any herbal supplements?"
Asking about herbal supplements is a drug-related question for bowel elimination.
Quiz_________________?
Which finding would the nurse categorize as an expected finding for an abdominal assessment?
Presence of visible peristaltic waves
Nonprotruding midline umbilicus
Asymmetrical abdomen
Ascites -
Answer☑
Nonprotruding midline umbilicus
A nonprotruding midline umbilicus is an expected finding.
3
, Quiz_________________?
Which information would the nurse share with the patient about how blood can be detected in a guaiac
test?
A small amount of feces is applied to a special medium for growing microorganisms.
The stool sample is exposed to a special chemical that changes color when blood is present.
Feces is placed on a slide and visualized under a microscope, noting any blood.
Stool is viewed under special lighting, showing reddish streaks if blood is present. -
Answer☑
The stool sample is exposed to a special chemical that changes color when blood is present.
A guaiac test uses a stool sample exposed to a special chemical that changes color when blood is
present.
Quiz_________________?
Which action by the new nurse while performing an abdominal assessment would cause the charge
nurse to intervene?
Auscultates before palpates
Turns off the nasogastric suction while auscultating
Palpates a pulsating midline mass
Communicates with the patient in a matter-of-fact manner -
Answer☑
Palpates a pulsating midline mass
The charge nurse would intervene because this is an incorrect action by the new nurse. If a pulsating
midline mass is observed, the nurse would not palpate. This could be an aneurysm (weak, bulging area in
an artery). Palpating this mass may cause the aneurysm to burst, causing bleeding.
Quiz_________________?
Which action would the nurse take when performing an abdominal assessment?
Interviews the patient after the physical assessment
Palpates the area of pain last
Percusses the abdomen routinely
4
