Chapter 29 Bowel Elimination

Chapter 29  Bowel Elimination

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. When changing a diaper, the nurse observes that a 2-day-old infant has passed a green-black, tarry stool. What should the nurse do?
a)
Notify the provider immediately.
b)
Do nothing; this is normal.
c)
Give the baby sterile water until the mother’s milk comes in.
d)
Apply a skin barrier cream to the buttocks to prevent irritation.

ANS: B
The nurse should do nothing; this is normal. During the first few days of life, a term newborn passes green-black, tarry stools known as meconium. Stools transition to a yellow-green color over the next few days. After that, the appearance of stools depends on the feedings the newborn receives. Sterile water does nothing to alter this progression. Meconium stools are more irritating to the buttocks than other stools because they are so sticky and the skin usually must be rubbed to cleanse it.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: HPM
Cognitive Level: Application

PTS: 1

2. Considering normal developmental and physical maturation in children, for which age would a goal of “Achieves bowel control by the end of this month” be most realistic?
a)
18 months
b)
3 years
c)
4 years
d)
5 years

ANS: B
Between ages 2 and 3 years, a child can typically control defecation, thereby making toilet training possible. Nevertheless, some children, especially boys, may not achieve consistent bowel control until somewhat later.

Difficulty: Easy
Nursing Process: Planning
Client Need: HPM
Cognitive Level: Comprehension

PTS: 1

3. The nurse educates a patient about the primary risk factors for irritable bowel syndrome. Which behavior by the patient would be evidence of learning? The patient:
a)
Reduces her intake of gluten-containing products
b)
Does not consume foods that contain lactose
c)
Consumes only four cups of caffeinated coffee per day
d)
Takes measures to reduce her stress level

ANS: D
Stress is a primary factor in the development of irritable bowel syndrome. Other risk factors include caffeine consumption and lactose intolerance; however, they are not primary risk factors. Celiac disease is associated with gluten intake.

Difficulty: Moderate
Nursing Process: Evaluation
Client Need: PHSI
Cognitive Level: Application

PTS: 1

4. A patient is diagnosed with an intestinal infection after traveling abroad. The nurse should encourage the intake of which food to promote healing?
a)
Yogurt
b)
Pasta
c)
Oatmeal
d)
Broccoli

ANS: A
Although the patient may have diarrhea, the goal is not to stop the diarrhea, but to eliminate the pathogens from the digestive tract. The active bacteria in yogurt stimulate peristalsis and promote healing of intestinal infections. Pasta is a low-fiber food that slows peristalsis. It does not promote healing of intestinal infections. Oatmeal stimulates peristalsis, but it does not promote healing of intestinal infections. Broccoli stimulates gas production; it is ineffective against intestinal infections.

Difficulty: Moderate
Nursing Process: Interventions
Client Need: PHSI
Cognitive Level: Application

PTS: 1

5. A nurse is teaching wellness to a women’s group. The nurse should explain the importance of consuming at least how much fluid to promote healthy bowel function (assume these are 8-ounce glasses)?
a)
3 to 4 glasses a day
b)
5 to 6 glasses a day
c)
7 to 8 glasses a day
d)
9 to 10 glasses a day

ANS: C
A minimum of 7 to 8 glasses of fluid should be consumed each day to promote healthy bowel function.

Difficulty: Easy
Nursing Process: Interventions
Client Need: HPM
Cognitive Level: Knowledge

PTS: 1