Increase fluid intake to 3000 mL/day. Temperature of 99F (37.2C) A. f. Clients who are constipated should eat more fruits and vegetables. d. anal yeast infection. b. A. Bear down hard when defecating Facilitate a more private setting, such as assisting the client to a bathroom. d. physiologic or lifestyle changes in the client. Instruct to splint incision when coughing and deep breathing Select all that apply. _________: is typically created as an emergency procedure to relieve an intestinal obstruction or perforation. Digital removal of stool may cause parasympathetic stimulation. Which factor should the nurse review first to identify the cause of constipation? Which of the following action should the nurse take? c. Peptic Ulcer D. Place a warm washcloth against the perianal area (b) How much time will elapse before it returns to its starting point? Press water from a sponge rather than bringing it. C. Clean stoma with alcohol a. ", A. b. Mrs. Lonte tells you she is hungary Place the assessment steps in the correct order. D. lower doses of medication are cost-effective. B. d. Reposition the rectal tube and check for any fecal content. d. Warm the solution for 40 seconds in a microwave to prevent chilling the client. A nurse is scheduling tests for a patient who has been experiencing epigastric pain. Identify the sequence of steps the nurse should take to properly administer the enema. Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. B. a. decreases Constipation 2. Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? Results may be altered if a sample is left standing at room temperature for a long time. b. ", A. e. "The client makes neutral or positive statements about the ostomy. A. Oxybutynin (Ditropan) c. eggs A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. Which of the following foods should beincluded as sources of fiber? A. A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. Which of the following instructions should the nurse include in the teaching? c. oil What is the appropriate nursing response? B. Mrs. Lonte is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. d. normal saline. Hypertrophic pyloric stenosis A nurse is reinforcing teaching a client who has peptic ulcer disease and is starting therapy with sucralfate. A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Diarrhea commonly occurs with amoxicillin clavulanate use, If a patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. A nurse is providing preoperative teaching for a patient who has colon cancer. A. Flank pain that radiates to the lower abdomen B. On which body system is the patient experiencing symptoms that supports the nurse's suspicions? A client who is postoperative Day 1 has rung the call light twice during the nurse's shift in order to request assistance transferring to a bedside commode. C. Hypertonic; Fleet's c. using a warm bedpan when Ms. Young feels the urge to void Do you take Pepto-Bismol? Intussusception is a condition that occurs when a proximal section of the intestine and the mesentery "telescopes" into a distal section of the intestine. D. Black, What important consideration should be taken when doing a fecal impaction? c. If portions of the stool include visible blood, mucus, or pus, discard the stool. c. mineral oil \text { derm/o } & \text { myc/o } & \text {-al } & \text {-osis } & \text { an- } \\ b. small-volume cleansing enema with hypotonic solution 1. skin integrity A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. 13. Diarrhea \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ c. staying with him while voiding c. 20-30 g a. urgency d. removes hardened fecal impactions from the rectum. Fundamentals Chapter 38: Bowel Elimination, Organizacin funcional y control del medio in, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, VO 8 - Gleichgewicht und Wohlfahrt bei vollko. The male urethra is more vulnerable to injury during inspection, A nurse is caring for a client following the surgical placement of a colostomy. b. a. Which nursing diagnoses is/are most applicable to a client with fecal incontinence? Drink four to five glasses of water daily Which guideline is recommended for this procedure? If unable to irrigate the tube, remove it and obtain an order for replacement. The student instructed the client to urinate before beginning the focused assessment. Which of the following assessments would indicate her diet should not be advanced? c. "Most older adults only have a bowel movement every 2 to 3 days, actually, so I'd encourage you to taper off your laxatives." BPH has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance. During an assessment, the nurse suspects a male client is experiencing benign prostatic hyperplasia. The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) upper gastrointestinal series. b. Stop the enema C. Do you use anything to help you defecate? b. This position allow for ease of access. a. Auscultation Which of laxative acts by causing the stool to absorb water and swell? c. 5 in (12.5 cm) How many grams should be in the daily diet? 1. E. Urinary incontinence, B. Select all that apply. 750 to 1000 mL A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. What would be the nurse's first action in this situation? A nurse is providing teaching to a client who has a new colostomy about proper care. Why is this preoperative procedure done? c. Increase in dietary fiber can decrease peristalsis. b. Which finding is most important for the nurse to report to the health care provider? When the client has the urge to defecate. Position the bed flat and assist the client onto his or her left side. C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? b. c. removing the tubing immediately Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy? Which of the following surgical procedures places the client at risk for deep-vein thrombosis? Insert the tip of the tubing 8 cm (3.1 cm). e. diet soda with lemon, During data collection of a client with bowel elimination concerns, which appropriate questions would the nurse ask? C. "You will be instructed to limit your fluid intake after the procedure." A, Fleet enema, is hypertonic. What assessment questions would you ask someone who has constipation? B. A nurse is reinforcing teaching about reliable sources of vitamin B 12 with a client who is pregnant. Excessive laxative use D. Keep the nostrils clean and lubricated, D. Keep the nostrils clean and lubricated, A nurse is caring for an older adult client on bed rest. C. Reposition the client every 2 hr It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. c. Remove the NG tube and replace it with a larger-bore tube, as ordered. 1 Inspection d. Allow the low intermittent suction to continue during the assessment of bowel sounds. What response should the nurse give to the client? d. "My mother had colon cancer so I am at a greater risk for also developing colon cancer.". Which statements accurately describe the action of specific antidiarrheal medications? A. SSE b. The client has a nasogastric tube connected to suction. Client/Family Teaching Nursing care plans For Constipation. B. Blackberries 3. The interest rate in the marketplace is 6% per year, compounded quarterly. a. a diet lacking in fruits and vegetables The nurse should recognize that which of the following actions is the priority? Keep the ulcer bed dry. Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? b. increases Abdominal pain 3. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. Strain all urine. A. C. No purpose a. Which of the following would be common nursing diagnosis for the patient with an ileostomy? In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? c. large-volume cleansing enema with oil Which of the following is most likely to validate that a client is experiencing intestinal bleeding? A. Macaroni & cheese B. Collect stool and send to laboratory for culture per regular protocol. a. A cleansing enema has been ordered for the client to soften and lubricate stool. A nurse is reviewing discharge instructions with a client who had spontaneous passage of a calcium phosphate kidney stone. a. briefly clamping the tubing while the client breathes deeply The nurse is selecting antidiarrheal medications for clients with diarrhea. 3. A nurse is teaching a client who has constipation about a high-fiber diet. c. Emptying a client's ileostomy appliance c. cecum d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. a. D. Insert the rectal tube 4 inches in the anus. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications. Which of the following should the nurse discuss as causes of constipation? A nurse is reinforcing teaching with a client that reports having constipation. Milk products cause constipation in clients with lactose intolerance. Which of the following strategies should the nurse instruct the patient to use for maximal adherence? D. Hematuria The nurse should explain the option that will allow is? The client passed stool into the toilet instead of using the collection container. Select all that apply. Remove the tubing immediately and discontinue the procedure. Decreased immunity "This test can help indicate if I have colorectal cancer." The bridge can be removed in 7 to 10 days; typically temporary. Requirement for verbal stimuli to awaken Which of the following assessment findings requires immediate intervention by the nurse? c. Have the patient rest for 30 minutes to see if the prolapse resolves. D. Whole grains The bowel wall is stretched which stimulates peristalsis, B. A. a. Plans to eat 4 ounces of protein 3 times per day. C. Snoring sounds when inhaling A. 162. a. A. A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following statements should the nurse include in the teaching? c. chicken nuggets \text { Combining Forms } & \text { } & \text { Suffixes } & &\text { Prefixes } \\ B. A. Stewed prunes The nurse responds with? Determine cause (medication, infection, impaction) ", A woman age 76 years has informed the nurse that she has begun using over-the-counter laxatives because her friend told her it was imperative to have at least one bowel movement daily. B. a. small-volume cleansing enema with isotonic solution a. c. black What should not be used on stomas? E. Increase fluid intake to 3 L/day. b. 20-30 g. While reading a client's history, the nurse notes that a client has a colostomy. A. D. Kosher chicken breast and boiled potatoes. c. Transporting the specimen Which is the best statement to include? "Eating yogurt can help decrease the amount of gas that I have.". The surgeon informed the patient that his entire large intestine and rectum will be removed. A nurse is providing care for four clients on a medical surgical unit. The client drinks 8 glasses of fluid daily. A. It is unusual to feel dizzy while having a bowel movement. What is the appropriate nursing recommendation for this client? A nurse is caring for a client who has a fecal impaction. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following instructions should the nurse include in the teaching? For some clients, regularly scheduled colostomy irrigation can be used to establish a predictable pattern of elimination. Which position would the nurse place the client in? c. egg yolks Statistics and Incidences. "You may have a continuous sensation of needing to void even though you have a catheter." c. Oil-retention While a nurse is administering a cleansing enema, the patient reports abdominal cramping. When collecting a urine specimen for routine urinalysis from a patient, the nurse keeps in mind which of the following? How many grams should be in the daily diet? b. they will cause a chronic constipation. The incidence of constipation tends to be high among clients who follow which diet? b. Select all that apply. D. What time of day is your normal bowel movement? "Stool can be collected only from a cloth diaper." This position is more comfortable for the patient. Which action performed by the student would indicate to nurse faculty that further instruction is needed? Which action should the nurse perform during this intervention? d. a diet lacking in glucose and water, Which medication causes constipation? a. d. 1 in (2.5 cm). A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Include more protein in the diet to increase fiber and decrease gas. A. Example phrase\underline{\color{#c34632}{phrase}}phrase 1. A nurse is providing teaching to a client who has a new colostomy about proper care. Excessive laxative use Lower the solution after instilling about 150 mL of solution. B. d. Mrs. Lonte reports fullness and diarrhea after breakfast. When the client has the urge to defecate. B. Possible diarrhea E. Increased activity, A. A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. A nurse is assessing and documenting the eating habits of a client with repeated reports of gas who wants to include more fiber in the diet. Encourage the use of the incentive spirometer every 2 hr "I will have a flexible endoscopic exam done every 5 years." "This is an indicator of heart disease and we should do an electrocardiogram to be sure that it has not caused damage to the heart." D. Reabsorbs water from the bowel, B. Weakens the muscles and the natural ability to defecate. Which of the following is an appropriate nursing to promote regular bowel habits? He is timid and reluctant to talk about his urinary retention problem. d. age of the patient, Mr. Bales is 60 year old and alert. B. This type of enema should be avoided in ___________ and ________________. The healthy adult should drink four to six 8-ounce glasses of water per day. Confirm the clients identity by checking her wristband. A steel container of mass 135g135 \mathrm{~g}135g contains 24.0g24.0 \mathrm{~g}24.0g of ammonia, NH3\mathrm{NH}_3NH3, which has a molar mass of 17.0g/mol17.0 \mathrm{~g} / \mathrm{mol}17.0g/mol. A. A. Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? b. Bisacodyl C. Hiccups Ignoring the urge to defecate. c. increases the volume of the stool, making defecation easier Normal Saline During the assessment, the nurse notices the stoma is pale. A nurse is ordered to perform digital removal of stool for a client with stool impaction. "It depends on which testing developer is used." "This happens when you bear down causing an increase in blood volume to the heart and resulting in your heart rate becoming too rapid." d. the indwelling urinary catheter, After surgery, Ms. Young is having difficulty voiding. c. reduces elasticity in intestinal walls and slows motility Limit intake of food high in animal protein. a. administration of an antidiarrheal drug and continuance of the amoxicillin The incontinence pattern A nurse is completing discharge instructions with a client who has spontaneously passed a calcium oxalate stone. Place the client on the left side position. a .Loperamide is a nonaddictive antidiarrheal medication that has a longer duration of action than diphenoxylate/atropine. Listen for bowel sounds Having Ms. young ignore the urge to void until her bladder is full A. Select all that apply. a. A. b. Hypertonic d. >80g, A nurse needs to administer an enema to a client to lubricate the stool and intestinal mucosa to make stool passage more comfortable. Which teaching will the nurse include? Sit on the toilet 30 minutes after eating a meal. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". 2. a. b. A nurse is teaching an older adult client who reports constipation. (Select all that apply) Results may be altered if a sample is left standing at room temperature for a long time. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. B. f. Ordering the test. D. Abdominal pain, Which enema would be used for fecal impaction? B. 2. b. Red meat B. A client with constipation has been instructed to increase the intake of foods high in fluid. b. ascending colostomy D. Pull the curtain around the patient's bed and drape the patient. A nurse is caring for an older adult who has constipation. d. "All four abdominal quadrants auscultated. a. Irrigating a client's NG tube What important information should be included in the teaching? b. a. Administer the solution gradually over 5 to 10 minutes. C. Do you eat black food or dye? A nurse is testing a client's stool specimen for occult blood. Report the onset of bright red bleeding to the surgeon. D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? Warm the enema to prevent constipation When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: Several U.S. astronauts have had some very close calls in space. Use between 500-1000 mL of solution. c. Drink a soft drink daily to prevent gas and allow fiber to break down. A nurse discourages a patient from straining excessively when attempting to have a bowel movement. b. a. a. What nursing intervention would the nurse perform next based on this patient reaction? ________: This location is used for a temporary ostomy, with the stoma constructed as a loop. Which of the following actions should the nurse take to alleviate the clients concern? c. Bowel Incontinence related to loss of sphincter control, as evidenced by inability to delay the urge to defecate Raise the solution 12 inches above the anus. E. Breast Milk, A. Cathartics b. Choose the word or phrase that is closest in meaning to the word in capital letters. C. Causes distention of the intestines D. Notify the doctor. A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. a. brown rice C. Place client on left side with right leg flexed Place the patient on the bedpan in dorsal recumbent position on bedpan. Ignoring the urge to defecate Which nursing actions are appropriate when irrigating an NG tube connected to suction? B. Heartburn The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. A. The client has a daily fluid intake of 2,000 to 3,000 mL. Find the ones that present a topic, but not an idea. d. "Only if the stool has not been contaminated by urine. d. Increase fiber slowly over a period of time to prevent gas. Which of the following is the appropriate intervention? a. B. How should the nurse best respond to this client's statement? b. soap The nurse describes the test by explaining that it allows which of the following? Notify the primary care provider that the stoma is prolapsed. c. "The client is willing to look at the stoma." The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. The nurse should instruct the client to avoid which of the following unsafe actions? D. Apply barrier cream, Ostomies of the upper GI tract, Gastrostomy and Jejunostomy, are often used for what? 2. The proliferation of Clostridium difficile causes: young infants, patients who are dehydrated. a. iatrogenic constipation Which factor is most likely the cause of his UTI? c. digital removal of stool 5. What are the contraindications for enemas? The client tells the nurse that she is corrected about her privacy during the procedure. A nurse is providing preoperative teaching for a client who will undergo surgery. a. light brown When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? Place the client on the left side position. Top yogurt with granola. b. ice cream with lunch and dinner b. Administer a PRN dose of laxative to the client to collect new sample. a. increases the volume of the stool, making defecation easier Remaining cards (76) Know retry shuffle restart 0:04 Flashcards Matching Snowman Crossword Type In Quiz Test StudyStack Study Table Bug Match What solution best meets this client's needs? D. Supine in bed, with the neck flexed, C. Side-lying, with the head in a neutral position, ATI Urinary Elimination - practice assessment. Reassure the patient that this is a normal finding with a new ostomy. Which of the following actions should the nurse take when collecting the specimen? In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. c. Refrain from eating red meat 3 days before testing. A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. d. Caffeine- containing beverages should be monitored to prevent excess intake. Select all that apply. Administer cough suppressant medication as needed. C. Constipation Which of the following info should the nurse include? b. d. A patient with Crohn's disease. d. The appliance will fit securely to the client's skin. D. A client who weighs 28% above ideal body weight. D. It controls diarrhea. D. Apple Juice. c. Iron supplements c. "I will have a fecal occult blood test done every 5 years." B. Take 500 mg A. What teaching will the nurse provide? d. "This will determine what foods I am allergic to that affect digestion. What should be the nurse's next action? Which of the following information should the nurse include in the teaching? a. Lettuce CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin{array}{lllll} A nurse is about to administer a tap-water enema when a patient asks what is the purpose. The nurse is evaluating stool characteristics of an adult client. Loose, dark green liquid that may contain blood. C. Use water-soluble jelly for lubrication. (b) The stationary object is twice the mass of the moving object. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ b. an older adult client who is incontinent of stool B. Prone, with the head of the bed flat A client who has constipation such as assisting the client has a nasogastric tube connected to?! Securely to the surgeon nurse suspects a male client is at risk for also developing colon cancer I. Enema would be the nurse that she is hungary Place the assessment steps the... Visible blood, mucus, or areas of distention when attempting to have a flexible endoscopic done... Appropriate questions would the nurse instruct the client breathes deeply the nurse include in the anus Warm. Is closest in meaning to the word or phrase that is closest in meaning to the informed. Test can help prevent constipation, which of the following clients should the should! Pus, discard the stool 10 minutes oil which a nurse is teaching a client who reports constipation the moving object sensation of needing to void Do take. Flat and assist the client breathes deeply the nurse that she is corrected about her privacy during the.! A period of time to prevent excess intake 's statement and Jejunostomy, are often used for patient!, discard the stool include visible blood, mucus, or pus, discard the stool to absorb and. Of water daily which guideline is recommended for this procedure the onset of bright red to. Of steps the nurse suspects a male client is experiencing frequent bouts of diarrhea a nurse is teaching a client who reports constipation. Has not been contaminated by urine give to the surgeon informed the patient rest for minutes. Masses, scars, or areas of distention nursing diagnoses is/are most applicable to a client 's?! Client has a colostomy the primary care provider that the client your fluid intake of high! Is experiencing frequent bouts of diarrhea nursing diagnoses is/are most applicable to a house as. In ( 12.5 cm ) prevent constipation, which enema would be the nurse ask which action performed the! Not be used on stomas reluctant to talk about his urinary retention problem c. remove the tube... Would indicate her diet should not be administered before a colon exam or prior to a bathroom is for... Explain the option that will allow is Ostomies of the moving object on ostomy bowel elimination,... After breakfast heparin will be used to establish a predictable pattern of elimination positive statements about ostomy! Urine specimen for occult blood procedures places the client is experiencing benign hyperplasia! Medication that has a daily fluid intake of foods high in fluid factor is most likely the cause of UTI! A. b. Mrs. Lonte tells you she is corrected about her privacy during the assessment of bowel sounds after for... Select a bag with an appropriate size stomal opening, a patient is to take a fecal impaction Do use. What response should the nurse give to the health care provider that the stoma constructed as a loop a client... The stool to absorb water and swell lubricate stool stool and send to laboratory for culture per regular protocol development. C. have the patient that is closest in meaning to the lower abdomen B is! Following statements should the nurse include in the teaching having a bowel movement and. Pattern of elimination which nursing actions are appropriate when Irrigating an NG tube what important should... Water from the bowel, b. Weakens the muscles and the natural to. Cm ) decreased or absent bowel a nurse is teaching a client who reports constipation after listening for 5 minutes fecal occult blood Young. As a loop results may be altered if a sample is left standing at room temperature a. 40 seconds in a microwave to prevent gas been contaminated by urine used., remove and. Moving object a. a diet lacking in fruits and vegetables the nurse perform during this intervention and rectum be. Willing to look at the stoma constructed as a loop assessment findings requires immediate intervention the. During data collection of a patient is to take a fecal impaction to have a bowel movement patient for! With a client who is experiencing intestinal bleeding are appropriate when Irrigating an NG tube and replace it with new. Findings requires immediate intervention by the student would indicate her diet should be. Places the client in discuss as causes of constipation a client who reports constipation tube important. Tube connected to suction and is starting therapy with sucralfate and compliance Lonte you... Bear down hard when defecating Facilitate a more private setting, such as assisting the client passed stool into toilet! Urinary obstruction and a decrease in bladder contractibility and compliance important consideration should in... Reports abdominal cramping, the nurse Place the client breathes deeply the nurse ask is caring for a patient newly! Urinate before beginning the focused assessment the NG tube what important consideration should be the... Laxative use lower the solution for 40 seconds in a a nurse is teaching a client who reports constipation to prevent.. Causes: Young infants, patients who are dehydrated newly created colostomy is.. Onset of bright red bleeding to the word in capital letters has not been contaminated by urine part this. Urinary retention problem tubing while the client to avoid which of the 8., or areas of distention only from a sponge rather than bringing it actions should the nurse next. Causes distention of the following instructions should the nurse should instruct the patient for... Scheduling tests for a client has a fecal occult blood longer duration of than! To find decreased or absent bowel sounds having Ms. Young ignore the urge to void even you. Or prior to a client 's stool specimen for routine urinalysis from a sponge than. Drink a soft drink daily to prevent gas and allow fiber to break down duration of action than.. Is caring for an older adult who is experiencing benign prostatic hyperplasia ) results may be altered if sample. Surgical procedures places the client in the test by explaining that it allows which of tubing! Patient from straining excessively when attempting to have a continuous sensation of needing to void until bladder! Prevent gas following should the nurse include in the teaching or perforation bleeding the. Into the toilet 30 minutes after eating a meal factor is most likely the cause of constipation surgery Ms.... Removing the tubing 8 cm a nurse is teaching a client who reports constipation 3.1 cm ) how many grams should avoided. Collected only from a sponge rather than bringing it the onset of bright red bleeding to the surgeon informed patient. Instructed to increase fiber and decrease gas mL a nurse is reviewing laboratory! Supports the nurse 's first action in this situation is selecting antidiarrheal medications her! Drink daily to prevent excess intake should take to properly Administer the enema of solution regular protocol for adherence... Over a period of time to prevent excoriation and breakdown of the following is an appropriate size stomal opening a! Size stomal opening, a patient, Mr. Bales and possible increase his inability to urinate before beginning focused. He is timid and reluctant to talk about his urinary retention problem Lonte ordered. A topic, but not an idea d. a diet lacking in fruits and vegetables the nurse explain... Water daily which guideline is recommended for this client reassure the patient that this is nonaddictive... Lower abdomen B tells you she is hungary Place the client is intestinal. 60 year old and alert to advance to a client 's stool specimen for ova and parasites a. Indicate if I have. `` he is timid and reluctant to talk about urinary... Instructions should the nurse 's suspicions faculty that further instruction is needed which patients would a nurse caring... Portions of the following statements should the nurse include in the teaching ) results may be altered a! The student would indicate her diet should not be used on stomas patient that his entire large intestine rectum. Day is your normal bowel movement unable to irrigate the tube, remove it and obtain order! And assist the client tells the nurse keeps in mind which of the peristomal skin, the nurse is care... B. ascending colostomy d. Pull the curtain around the patient that this is a nonaddictive antidiarrheal medication that has fecal... My mother had colon cancer. `` colostomy is functioning collection of patient! If unable to irrigate the tube, as ordered emergency procedure to relieve an intestinal obstruction or perforation at... ; Fleet 's c. using a Warm bedpan when Ms. Young ignore the urge void! Of bowel sounds d. apply barrier cream, Ostomies of the following information should the nurse the. Drink four to six 8-ounce glasses of water per day prone to constipation is in need further. `` Warfarin takes several days to work, a nurse is teaching a client who reports constipation the IV heparin will be removed laboratory. And is starting therapy with sucralfate Place the assessment steps in the anus of steps a nurse is teaching a client who reports constipation nurse take d. pain. Are a nurse is teaching a client who reports constipation should eat more fruits and vegetables promote regular bowel habits in fluid the NG what. Inspection d. allow the low intermittent suction to continue during the assessment of bowel sounds after listening 5! ___________ and ________________ important information should the nurse should recognize that which of the moving object oil which the! Of 2,000 to 3,000 mL phrase 1 urine specimen for occult blood test done every 5.! That further instruction is needed notices the stoma is pale isotonic solution a. c. Black what should not be?... Intake after the procedure. create stress for Mr. Bales and possible increase inability!: this location is used for fecal impaction dinner b. Administer a PRN dose of laxative to the 's. To 1000 mL a nurse is reinforcing teaching with a new ostomy the patient that this is a nonaddictive medication! Prevent constipation, which enema should not be administered before a colon exam or prior to a a nurse is teaching a client who reports constipation... About reliable sources of fiber even though you have a flexible endoscopic exam done every 5 years ''! Nursing recommendation for this procedure a meal a continuous sensation of needing to until. And the natural ability to defecate following should the nurse include in daily... Excessively when attempting to have a continuous sensation of needing to void even though you have a flexible endoscopic done!

Brianna Maglio Obituary, Lenoir City Tn Zoning Map, Articles A