Bowel Elimination Exam Questions

<p>Foot ulcers (C)</p> Signup and view all the answers

<p>Ignoring skin changes (A)</p> Signup and view all the answers

<p>Providing perineal care frequently (B)</p> Signup and view all the answers

<p>Dehydration (C)</p> Signup and view all the answers

<p>Positioning the patient comfortably (A)</p> Signup and view all the answers

<p>Remove gastric contents (C)</p> Signup and view all the answers

<p>Bulk-forming agents (B)</p> Signup and view all the answers

<p>Side-lying (C)</p> Signup and view all the answers

<p>Monitor the stoma for signs of infection (C)</p> Signup and view all the answers

<p>Medical history (A)</p> Signup and view all the answers

<p>Chronic constipation (C)</p> Signup and view all the answers

<p>Moisture (D)</p> Signup and view all the answers

<p>Decreasing dietary fiber (D)</p> Signup and view all the answers

<p>Bulk-forming agents are the safest option for frequent use (C)</p> Signup and view all the answers

<p>Patient isolation (C)</p> Signup and view all the answers

<p>Filter waste products from the blood (D)</p> Signup and view all the answers

<p>Encouraging frequent hand hygiene (A)</p> Signup and view all the answers

<p>Applying moisturizer to dry skin to prevent cracks (D)</p> Signup and view all the answers

<p>Involuntary loss of urine (D)</p> Signup and view all the answers

<p>E. coli bacteria (C)</p> Signup and view all the answers

<p>Dermatitis (B)</p> Signup and view all the answers

<p>Stress incontinence (B)</p> Signup and view all the answers

<p>Prolonged hospitalization (C)</p> Signup and view all the answers

<p>Administering medication (D)</p> Signup and view all the answers

<p>300-600 mL (B)</p> Signup and view all the answers

<p>Urge incontinence (D)</p> Signup and view all the answers

<p>Preventing cross-contamination between patients and healthcare workers (B)</p> Signup and view all the answers

<p>Bathing patients frequently with scented body wash (B)</p> Signup and view all the answers

<p>Smooth, white teeth (D)</p> Signup and view all the answers

<p>Chronic illness (A)</p> Signup and view all the answers

<p>Frequent hand hygiene (A)</p> Signup and view all the answers

<p>Performing a thorough assessment to understand the infection (B)</p> Signup and view all the answers

<p>Bright, clear eyes (A)</p> Signup and view all the answers

<p>An environment where staff members are encouraged to report errors without fear of punishment. (A)</p> Signup and view all the answers

<p>A patient falls out of bed due to a malfunctioning bedrail, but is not seriously injured. (B)</p> Signup and view all the answers

<p>Restricting patient movement within the facility. (C)</p> Signup and view all the answers

<p>Contact (B)</p> Signup and view all the answers

<p>Breaking any link in the chain of infection can help prevent the spread of disease. (A)</p> Signup and view all the answers

<p>To equip nurses with the skills and knowledge needed to provide safe, high-quality patient care. (C)</p> Signup and view all the answers

<p>Medications that can cause drowsiness or dizziness. (A)</p> Signup and view all the answers

<p>Prioritizing the rescue of patients and staff in danger. (D)</p> Signup and view all the answers

<p>Morse Fall Scale (A)</p> Signup and view all the answers

<p>Regular exercise and healthy lifestyle. (C)</p> Signup and view all the answers

<p>Assessing the patient's condition to determine the underlying cause of confusion. (A)</p> Signup and view all the answers

<p>Influenza. (B)</p> Signup and view all the answers

<p>Minimizing the risk of harm to patients and improving quality of care. (D)</p> Signup and view all the answers

<p>Household cleaners and pesticides (C)</p> Signup and view all the answers

<p>Excessive noise and distractions (B)</p> Signup and view all the answers

<p>Encouraging increased independence in ambulation, even if it increases the risk of falls. (A)</p> Signup and view all the answers

<p>Performing a digital rectal examination to assess for impaction (D)</p> Signup and view all the answers

<p>Report any changes in stoma size or output to the physician. (D)</p> Signup and view all the answers

<p>Consult with the healthcare team and consider alternative medication administration routes or formulations. (D)</p> Signup and view all the answers

<p>A patient who is bedridden for an extended period with limited mobility. (C)</p> Signup and view all the answers

<p>Using the Morse Fall Scale to assess patients for fall risks and implementing interventions accordingly. (B)</p> Signup and view all the answers

<p>Pulmonary embolism due to reduced venous return. (C)</p> Signup and view all the answers

<p>Performing passive range of motion exercises regularly to maintain joint mobility. (A)</p> Signup and view all the answers

<p>Performing a comprehensive fall risk assessment to identify contributing factors and implement appropriate interventions. (B)</p> Signup and view all the answers

<p>Deep breathing exercises help me to clear my lungs and prevent pneumonia, so I'll try to do them regularly. (A)</p> Signup and view all the answers

<p>Providing frequent repositioning to reduce the risk of developing deep vein thrombosis due to decreased venous return. (C)</p> Signup and view all the answers

<p>The patient's respiratory rate is elevated and they complain of shortness of breath. (B)</p> Signup and view all the answers

<p>Try to get out of bed and move around as soon as possible to help prevent blood clots. (C)</p> Signup and view all the answers

<p>Repositioning the patient every 2 hours to relieve pressure points. (C)</p> Signup and view all the answers

<p>Administer prophylactic anticoagulant medication to prevent deep vein thrombosis. (B)</p> Signup and view all the answers

<p>Encouraging the patient to participate in active range of motion exercises within their limitations. (D)</p> Signup and view all the answers

<p>Using a bed alarm to alert staff when the patient attempts to get out of bed. (A)</p> Signup and view all the answers

<p>Hypertension (D)</p> Signup and view all the answers

<p>44,000 to 98,000 (D)</p> Signup and view all the answers

To promote relaxation and relieve tension during hygiene care.

Good hygiene practices minimize the risk of infection.

Common consequence is foot ulcers due to poor foot care.

Key topics include handwashing and oral care techniques.

Nurse should provide reassurance and explain the process to calm anxiety.

Factors that can lead to constipation include a sedentary lifestyle and insufficient fluid intake.

The primary nursing action for fecal impaction is performing digital removal of stool.

Infection, food intolerance, and inflammation can all cause diarrhea.

The most appropriate nursing intervention for diarrhea is to monitor fluid intake.

Fecal incontinence is primarily caused by impaired anal sphincter function.

Type 1 on the Bristol Stool Form Scale indicates constipation.

The most common test for detecting microscopic blood in stool is the fecal occult blood test (FOBT).

Increasing fiber intake is a key dietary change to prevent constipation.

Essential care includes providing perineal care frequently.

Dehydration signs include decreased skin turgor and dry mucous membranes.

The patient should be positioned comfortably when using a bedpan.

The primary purpose of a nasogastric tube is to remove gastric contents.

Bulk-forming agents are considered the safest and least irritating laxative.

The patient should be in a side-lying position for enema administration.

A key consideration for a stoma is that it may be edematous initially.

Chronic constipation is a known risk factor for developing hemorrhoids.

Increasing fluid intake may benefit a patient experiencing flatulence.

Urinary incontinence is defined as the involuntary loss of urine.

A common cause of urinary tract infections is E.coli bacteria.

The normal bladder capacity for adults is 300-600 mL.

Common symptoms of cystitis include dysuria and hematuria.

The primary goal of Kegel exercises is to strengthen pelvic floor muscles.

The primary reason for using an indwelling catheter is to manage urinary retention.

Basic infection prevention measures for all patients.

Tissue that forms during wound healing, providing structure.

Infections acquired during medical care.

Conditions increasing the likelihood of falling.

Procedure to avoid contamination and prevent infection.

Measure using a graduated container after patient voids.

Depression and social isolation are primary effects of immobility.

Outer layer of skin that protects underlying tissues.

Length of hospital stay, emotional status, and physical condition can all contribute.

Insufficient nutrients affecting health.

Immobility affects the respiratory, cardiovascular, musculoskeletal, and integumentary systems.

Indicators such as swollen gums or cavities.

Microorganisms living on skin, potentially harmful if they enter the body.

Prolonged immobility increases the risk of developing deep vein thrombosis.

To promote rest and decrease cardiac workload.

Practice of washing hands to prevent infections.

Medical actions that enter the body, increasing infection risk.

Frequent position changes are essential for respiratory function in immobilized patients.

The main concern is permanent inability to walk.

Evaluation of skin condition for integrity and health.

Separation of patients to prevent disease spread.

Change position every 2 hours and keep skin dry and clean.

Gear worn to protect against infection.

Older adults are at higher risk for developing contractures due to immobility.

Can cause skin irritation and dryness.

Inspect the skin regularly when using anti-embolic stockings.

Increase fiber and encourage fruits and vegetables to manage constipation.

The primary purpose is to facilitate passive range of motion.

Safety is defined as freedom from psychological and physical injury.

According to the IOM, 44,000 to 98,000 deaths occur yearly due to preventable medical errors.

An event that should never occur in a healthcare setting.

A commitment to safety that encourages error reporting without fear.

To prepare future nurses for safe practice.

Ensuring adequate lighting is crucial for patient safety.

Carbon monoxide poisoning linked to improperly vented furnaces or stoves.

Includes risks like fires and falls.

The Morse Fall Scale is used to evaluate a patient's risk for falls.

Before using restraints, use the least restrictive device possible.

Household cleaners are potential sources of poisoning.

Symptoms include nausea and dizziness.

To minimize the risk of harm to patients.

To minimize the incidence of healthcare-associated infections (HAIs).

Includes fever and increased white blood cell count.

Hand hygiene is the most effective way to limit pathogen spread.

Breaking any link in the chain can prevent infection.