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. B. Irritating. The best time to toilet a patient to encourage bowel training is:. One hour after the patient's meal Every four hours while the patient is awakeWhen the patient experiences abdominal fullnessImmediately when a patient has the urge to defecate. . d. Immediately when a patient has
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1. Which word is unique regarding how a soapsuds enema works on the mucosa of the bowel? Dilating
Irritating
Softening
Lubricating
2. B. Irritating
3. The best time to toilet a patient to encourage bowel training is: One hour after the patient’s meal
Every four hours while the patient is awake
When the patient experiences abdominal fullness
Immediately when a patient has the urge to defecate
4. d. Immediately when a patient has the urge to defecate
5. The nursing diagnosis of Perceived Constipation is made when the patient states that a bowel movement is expected every day and: Inspection of the abdomen reveals distention
Hard, dry stools are defecated daily
Straining is required to pass stool
Laxatives are used excessively
6. Laxatives are used excessively
7. Which statement should the nurse use when teaching the patient to avoid foods that have a laxative effect? “You should avoid: Applesauce”
Chocolate”
Coffee”
Pasta”
8. c. Coffee”
9. Which is a defining characteristic of the nursing diagnosis Bowel Incontinence? Frequent, soft stools
Involuntary passage of stool
Impaired rectal sphincter control
Greenish-yellow color to the stool
10. B. Involuntary passage of stool
11. Which would contribute to softening of stool? Applesauce
Bananas
Cheese
Beans
12. D. Beans
13. Which additional nursing diagnosis would be of most concern for a patient with the nursing diagnosis Diarrhea? Imbalanced Nutrition Less Than Body Requirements
Risk for Impaired Skin Integrity
Risk for Deficient Fluid Volume
Functional Incontinence
14. C. Risk for Deficient Fluid Volume
15. What should the nurse do if a colostomy stoma appears pale? Notify the physician
Listen for bowel sounds
Wash the area with warm water
Gently massage around the stoma
16. Notify the physician
17. A nursing diagnosis most commonly associated with prolonged diarrhea is: Deficient Self-Care
Sexual Dysfunction
Disturbed Body Image
Risk for Impaired Skin Integrity
18. d. Risk for Impaired Skin Integrity
19. The excessive use of laxatives should be avoided primarily because it: Weakens the natural response to defecation
Results in distention of the intestines
Causes abdominal discomfort
Precipitates incontinence
20. Weakens the natural response to defecation