Chapter 18 Elimination

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Chapter 18  Elimination

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. What can a nurse do to encourage a normal bowel movement in an older adult?

  1. Encourage the patient to decrease fluid intake.
  2. Provide a warm beverage at breakfast.
  3. Administer a mild laxative at bedtime.
  4. Provide a warm shower each morning.

ANS: B
Warm beverages at breakfast frequently stimulate the urge to defecate.

DIF: Cognitive Level: Comprehension REF: p. 289 OBJ: 6
TOP: Promoting Normal Elimination KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

2. What stool description would indicate constipation?

  1. Firm stool passed without difficulty every 3 days
  2. Hard stool passed without difficulty every 2 days
  3. Soft brown stool passed with difficulty every 2 days
  4. Hard dry stool passed with difficulty every 3 days

ANS: D
Constipation is defined as a hard, dry stool that is difficult to pass.

DIF: Cognitive Level: Application REF: p. 290 OBJ: 1 TOP: Constipation KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

3. Which statement by the patient would indicate a need for further instruction regarding prevention of constipation?

  1. “I eat bran flakes or oatmeal every day to add bulk to my diet.”
  2. “Since I started eating three servings of fruit a day, I haven’t been constipated.”
  3. “I’m never constipated. I take a gentle laxative every night.”
  4. “My daily walks have kept my bowels working regularly.”

ANS: C
Long-term laxative use may cause the body to become so dependent on laxatives that the patient is unable to have a normal elimination pattern without medication.

DIF: Cognitive Level: Application REF: pp. 290-291 OBJ: 3
TOP: Constipation Prevention KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

4. The nurse explains that a diet low in fiber results in a small stool that

  1. moves rapidly through the intestines.
  2. becomes excessively dry.
  3. overstimulates the defecation reflex.
  4. contributes to frequent bowel movements.

ANS: B
Small stools move slowly because of the understimulation of peristalsis. The stool becomes dry and leads to infrequent defecation and constipation.

DIF: Cognitive Level: Comprehension REF: p. 290 OBJ: 1
TOP: Dietary Fiber KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5. Which patient would be most at risk for constipation?

  1. Patient taking antibiotics for an upper respiratory infection
  2. Patient taking hormones for postmenopausal symptoms
  3. Patient iron supplements for anemia
  4. Patient taking nonsteroidal inhalants for chronic obstructive pulmonary disease

    (COPD)

ANS: C
Iron supplements increase the risk of constipation.

DIF: Cognitive Level: Analysis REF: p. 290 OBJ: 3
TOP: Medications Causing Constipation KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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