Chapter 18 Elimination

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Chapter 18  Elimination

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. To encourage a normal daily bowel movement, the nurse can aid the older adult by:

  1. decreasing fluid intake.
  2. providing a warm beverage at breakfast.
  3. medicating with a mild laxative at bedtime.
  4. providing a warm shower each morning.

ANS: B
Warm beverages at breakfast frequently stimulate the urge to defecate.
DIF: Cognitive Level: Comprehension REF: 286 OBJ: 6
TOP: Promoting Normal Elimination KEY: Nursing Process Step: Implementation MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

2. The nurse assesses constipation in the patient who passes:

  1. firm stool without difficulty every 3 days.
  2. hard stool without difficulty every 2 days.
  3. soft brown stool with difficulty every 2 days.
  4. hard dry stool with difficulty every 3 days.

ANS: D
Constipation is defined as a hard, dry stool that is difficult to pass. DIF: Cognitive Level: Analysis REF: 287 OBJ: 1 TOP: Constipation KEY: Nursing Process Step: Assessment MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

3. The nurse recognizes a need for instruction about prevention of constipation when the patient says:

  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: 287 OBJ: 1
TOP: Constipation Prevention KEY: Nursing Process Step: Evaluation
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation
4. The nurse explains that a diet low in dietary fiber results in a small stool that:

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 18-2

  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: Application REF: 287 OBJ: 1
TOP: Dietary Fiber KEY: Nursing Process Step: Implementation
MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

5. The nurse would be especially observant for the indication of constipation in the patient who is taking:

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

ANS: C
Iron supplements increase the risk of constipation.
DIF: Cognitive Level: Analysis REF: 287 OBJ: 4
TOP: Medications Causing Constipation KEY: Nursing Process Step: Planning MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

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