Question 1: Which does not occur with the Valsalva maneuver?

(see full question)

You selected: taking a deep breath against a closed glottis
Incorrect
Correct response: contraction of the external sphincter
Explanation: Contraction of the external sphincter is a voluntary reflex in
response to the defecation reflex.

Question 2: A client scheduled for a colonoscopy is scheduled to receive a

(see full question) hypertonic enema prior to the procedure. A hypertonic enema is
classified as which type of enema?
You selected: Cleansing enema
Correct
Explanation: The most common types of solutions used for cleansing enemas
are tap water, normal saline, soap solution, and hypertonic
solution. Cleansing enemas are used to relieve constipation ...
(more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1365.

Question 3: Which factor is related to developmental changes in bowel habits

(see full question) for older adult clients?
You selected: Weakened pelvic muscles lead to constipation.
Correct
Explanation: Weakened pelvic muscles and decreased activity levels
contribute to constipation in older adults. Increasing dietary fiber
does not decrease peristalsis. Lactose intolerance is not ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015,
pp. 1349-1350.

Question 4: The nurse is caring for a client who is scheduled for an

(see full question) esophagogastroduodenoscopy (EGD). What action would the
nurse take to prepare the client for this procedure?
You selected: Inform client that a chalky-tasting barium contrast mixture will
be given to drink before the test.
Incorrect
Correct response: Ensure that the client fasts 6 to 12 hours before the test as per
policy.
Explanation: The nurse would ensure that the client fasted 6 to 12 hours before
the test as per policy. The nurse would not provide a light meal
 before the test, nor administer two Fleet enemas ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia:

Wolters Kluwer Health, 2015,Chapter 37, Bowel Elimination, p.
1358.

Question 5: The risk for developing colorectal cancer during one's lifetime is
(see full question) 1 in 19. Nurses play an integral role in the promotion of
colorectal cancer screening. What are risk factors for colorectal
cancer? Select all that apply.
You selected: • a positive family history
• a history of inflammatory bowel disease
• age 50 and older
Correct
Explanation: The risks for colorectal cancer increase after the age of 50, with a
positive family history of colorectal cancer, and also with
Crohn's disease. An important nursing responsibilit ... (more)

Question 6: A nurse is caring for a client with constipation. The incidence of

(see full question) constipation tends to be high among clients that follow which
diet?
You selected: a diet lacking in fruits and vegetables
Correct
Explanation: The incidence of constipation tends to be high among clients
whose dietary habits lack sufficient raw fruits and vegetables,
whole grains, seeds, and nuts, all of which contain ade ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015,
pp. 1349-1350.

Question 7: A student nurse studying human anatomy knows that a structure

(see full question) of the large intestine is the:
You selected: cecum
Correct
Explanation: The small intestine consists of the duodenum, jejunum, and
ileum. The large intestine consists of the cecum, colon
(ascending, transverse, descending, and sigmoid), and rectum.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1346.

Question 8: During the inspection of a client's abdomen, the nurse notes that
(see full question) it is visibly distended. The nurse should proceed with the client's
abdominal assessment by next performing:
You selected: auscultation.
Correct
Explanation: When performing an abdominal assessment, the nurse should
proceed from inspection to auscultation, since performing
palpation or percussion prior to auscultation may disturb
normal ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1353.

Question 9: When caring for a client with fecal incontinence, the nurse knows
(see full question) that fecal incontinence is the result of which of the following
reasons?
You selected: Social and emotional setting of client
Incorrect
Correct response: Physiologic or lifestyle changes in client
Explanation: Fecal incontinence mainly results from physiologic or lifestyle
changes that impair muscle activity and sensation of the
gastrointestinal tract. Particularly in the older adult, th ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015,
Chapter 37: Bowel Elimination, pp. 1349, 1351.

Question 10: While administering a cleansing enema, the client displays

(see full question) lightheadedness, nausea, and has clammy skin. The nurse would
implement which priority action?
You selected: Stop the procedure and reposition the client.
Incorrect
Correct response: Stop the procedure, monitor heart rate and blood pressure.
Explanation: When administering an enema, the client’s vagus nerve may be
stimulated causing a decrease in the heart rate. The client will
exhibit nausea, lightheadedness, nausea, dizziness, ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015,
Chapter 37: Bowel Elimination, p. 1379.

Question 1: An older adult woman who is incontinent of stool following a

(see full question) cerebrovascular accident will have which of the following
 nursing diagnoses?
You selected: Bowel Incontinence related to loss of sphincter control, as
evidenced by inability to delay the urge to defecate
Correct
Explanation: The most appropriate nursing diagnosis addresses the client's
fecal incontinence, related to loss of sphincter control
innervation.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1360.

Question 2: A nurse is caring for a client who has a large, hardened mass of
(see full question) stool interfering with defecation, making it impossible for the
client to pass feces voluntarily. How should the nurse document
this condition?
You selected: Fecal impaction
Correct
Explanation: The client has fecal impaction because the large, hardened mass
of stool is interfering with defecation. Iatrogenic constipation
occurs as a consequence of other medical treatment. ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1349.

Question 3: A nurse is administering a prescribed solution of cottonseed oil

(see full question) to a client during an enema. What is the outcome of the use of
cottonseed?
You selected: lubricates and softens stool
Correct
Explanation: Cottonseed, olive oil, or mineral oil lubricates and softens the
stool so that it can be expelled more easily during a retention
enema. Tap water and normal saline solution distend ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1365.

Question 4: A nurse is caring for a client with a colostomy. What type of

(see full question) stools would she expect to find in the colostomy bag?
You selected: Formed
Correct
Explanation: A colostomy is an opening of the large intestine that allows
 formed feces from the colon to exit through the stoma.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1371.

Question 5: Which medication causes constipation?

(see full question)
You selected: Iron supplements
Correct
Explanation: A common side effect of iron supplements is constipation.
Bisacodyl is a stool softener. Aspirin is an analgesic that does not
typically cause constipation. Magnesium antacids help ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1351.

Question 6: When the nurse performs a Hemoccult test on a stool specimen,

(see full question) blood in the stool will change the color on the test paper to:
You selected: red.
Incorrect
Correct response: blue.
Explanation: Blue is a positive diagnostic finding, indicating the presence of
blood in the stool sample.
Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:
Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1356.

Question 7: The nurse has presented an educational in-service about caring

(see full question) for clients who have newly created ostomies. The nurse asks
participants, "How will you know when a client begins to accept
the altered body image?" Which responses by participants
indicates a correct understanding of the material? Select all that
apply.
You selected: • "The client expresses interest in learning self-care."
• "The client is willing to look at the stoma."
• "The client makes neutral or positive statements about the
ostomy."
Correct
Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:
Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1373.
Question 8: The nurse is preparing to auscultate the bowel sounds of a client
(see full question) with a nasogastric tube in place set to low intermittent suction.
How shall the nurse approach the assessment of bowel sounds
and manage the nasogastric tube?
You selected: Disconnect the nasogastric tube from suction during the
assessment of bowel sounds.
Correct
Explanation: If the client has a nasogastric tube in place, disconnect it from the
suction during this assessment to allow for accurate interpretation
of sounds.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1353.

Question 9: After data collection on a client, the nurse suspects that the client
(see full question) has diarrhea. Which data collection finding, if observed by the
nurse, would confirm the nurse's suspicion?
You selected: Hyperactive bowel sounds
Correct
Explanation: Increased bowel motility, indicated by hyperactive bowel sounds,
is commonly caused by diarrhea. Visible waves of abdominal
peristalsis are commonly seen in intestinal obstruction. ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015,
Chapter 8: The Healthcare Delivery System, p. 1353.

Question 10: Which symptom is a known side effect of antibiotics?

(see full question)
You selected: Diarrhea
Correct
Explanation: A side effect of taking antibiotics is diarrhea. Constipation, fecal
impaction, and abdominal bloating are not common side effects
of antibiotics.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p.
1352.

Question 1: The nurse is inserting a rectal tube to administer a large-volume

(see full question) enema. Which nursing action is performed correctly in this procedure?

You selected: Slowly and gently insert the enema tube 3 to 4 inches (7.5 to 10 cm)
 for an adult.

Correct

Explanation: The nurse would slowly and gently insert the enema tube 3 to 4 inches
for an adult. The nurse would not position the client in a supine
position, rather on the left side in the Sim ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters

Kluwer Health, 2015,Chapter 37, Bowel Elimination, p. 1377.

Question 2: While administering a cleansing enema, the client displays

(see full question) lightheadedness, nausea, and has clammy skin. The nurse would
implement which priority action?

You selected: Stop the procedure, monitor heart rate and blood pressure.

Correct

Explanation: When administering an enema, the client’s vagus nerve may be

stimulated causing a decrease in the heart rate. The client will exhibit
nausea, lightheadedness, nausea, dizziness, ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters

Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 37: Bowel
Elimination, p. 1379.

Question 3: When the nurse performs a Hemoccult test on a stool specimen,

(see full question) blood in the stool will change the color on the test paper to:

You selected: blue.

Correct

Explanation: Blue is a positive diagnostic finding, indicating the presence of blood in

the stool sample.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

 Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1356.

Question 4: The home care nurse visits a client and is reviewing the medications
(see full question) that the client uses. Which medication would the nurse identify as
acting directly on the intestine to slow bowel motility, or to absorb
excess fluid in the bowel?

You selected: Antidiarrheal agent

Correct

Explanation: Antidiarrheal agents act directly on the intestine to slow bowel

motility or to absorb excess fluid in the bowel. Antiflatulence agents
are used to relieve gas. Laxatives promote e ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, pp. 1363-
1364.

Question 5: When reviewing a client’s chart, which data related to a client

(see full question) experiencing diarrhea might suggest to the nurse a causative factor?

You selected: The client consumes large qualities of fresh vegetables.

Incorrect

Correct response: The client returned from a foreign country two days ago.

Explanation: Eating native food and drinking water in a foreign country may cause
problems with digestion and elimination, such as diarrhea. To
promote normal bowel elimination, people should d ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters

Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 37: Bowel
Elimination, p. 1350.
Question 6: A nurse is caring for a 65-year-old woman who has undergone a
(see full question) hernia operation. The client has a morphine PCA for postoperative
pain. She also receives sulfamethoxazole-trimethoprim every 12 hours
to treat a urinary tract infection, and an iron supplement for anemia.
The client is on mobility restrictions because of the narcotics. She
explains that while she usually stools once per day, she has stooled
four times today. What is most likely contributing to her diarrhea?

You selected: morphine

Incorrect

Correct response: sulfamethoxazole-trimethaprim

Explanation: Antibiotics (such as sulfamethoxazole-trimethaprim), iron, and

immobility can cause constipation.

Question 7: Which client is most likely to require interventions in order to

(see full question) maintain regular bowel patterns?

You selected: A client whose neuropathic pain requires multiple doses of opioids
each day.

Correct

Explanation: Opioids have a very high potential to cause constipation.

Anticoagulants, hormone replacements, diuretics, and adrenergic
blockers are not among the medications commonly implicated ...
(more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1351.

Question 8: A client with terminal cancer is taking high doses of a narcotic for pain.
(see full question) The nurse will teach the client or family about which common side
effect of opioids?

You selected: problems with communication

Incorrect

Correct response: constipation

Explanation: Narcotics decrease gastrointestinal motility, resulting in constipation.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1351.

Question 9: The type of stool that will be expelled into the ostomy bag by a client
(see full question) who has undergone surgery for an ileostomy will be:

You selected: liquid consistency.

Correct

Explanation: Stool produced from an ileostomy is liquid and contains large

quantities of electrolytes.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1371.

Question 10: The nurse is presenting a lecture on ostomy bowel elimination at a

(see full question) community clinic. When questioned by the clients, which foods would
the nurse suggest as natural intestinal deodorizers?

You selected: Yogurt and buttermilk

Correct

Explanation: Buttermilk, parsley, and yogurt are foods that are natural intestinal
deodorizers. Dried lentils, asparagus, turnip, fish, onions, and garlic
are foods that produce odor.

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters

Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 37: Bowel
Elimination, p. 1374.

Question 1: While reading a client's history, the nurse notes that a client has a
(see full question) colostomy. When assessing the client, the nurse notes that the output
 is formed stool. What should the nurse do?

You selected: Document the output, this is normal

Correct

Explanation: Output from a colostomy is normally formed stool. Therefore the

nurse should document the output as normal. There is no need to
contact the physician at this time or to assess for ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter
37: Bowel Elimination, p. 1373.

Question 2: The nurse needs to assess the client's elimination patterns. Which
(see full question) client will most likely deny the urge to defecate?

You selected: Client who consumes >30 g of fiber

Incorrect

Correct response: Client 3 days' postvaginal birth

Explanation: People who experience pain during defecation may choose to deny
the urge to defecate, which can lead to constipation. The client with
anxiety and depression typically does not have ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1349.

Question 3: A client scheduled for a colonoscopy is scheduled to receive a

(see full question) hypertonic enema prior to the procedure. A hypertonic enema is
classified as which type of enema?

You selected: Cleansing enema

Correct
Explanation: The most common types of solutions used for cleansing enemas are
tap water, normal saline, soap solution, and hypertonic solution.
Cleansing enemas are used to relieve constipation ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1365.

Question 4: Which statement best explains why digital removal of stool is

(see full question) considered a last resort after other methods of bowel evacuation have
been unsuccessful?

You selected: Digital removal of stool may cause parasympathetic stimulation.

Correct

Explanation: The procedure may stimulate a vagal response, which increases

parasympathetic stimulation.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1367.

Question 5: What is the most common type of colostomy that needs to be

(see full question) irrigated to help promote regular evacuation of feces?

You selected: Sigmoid colostomy

Correct

Explanation: Irrigations are infrequently used to promote regular evacuation of

some colostomies. Various factors, such as the site of the colostomy in
the colon (sigmoid colostomy) and the cli ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1374.

Question 6: The risk for developing colorectal cancer during one's lifetime is 1 in
(see full question) 19. Nurses play an integral role in the promotion of colorectal cancer
screening. What are risk factors for colorectal cancer? Select all that
apply.

You selected: • a positive family history

• a history of inflammatory bowel disease
• age 50 and older

Correct

Explanation: The risks for colorectal cancer increase after the age of 50, with a
positive family history of colorectal cancer, and also with Crohn's
disease. An important nursing responsibilit ... (more)

Question 7: When caring for a client with fecal incontinence, the nurse knows that
(see full question) fecal incontinence is the result of which of the following reasons?

You selected: Physiologic or lifestyle changes in client

Correct

Explanation: Fecal incontinence mainly results from physiologic or lifestyle changes

that impair muscle activity and sensation of the gastrointestinal tract.
Particularly in the older adult, th ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter
37: Bowel Elimination, pp. 1349, 1351.

Question 8: A 5-year-old client has a gastrointestinal infection. His mother plans to

(see full question) send him to school tomorrow. The school nurse knows that which
nursing outcome is most important to include in the care plan of the
client?

You selected: The client will not return to school until he is completely symptom
free for 7 days.

Incorrect
Correct response: The client will demonstrate good health practices to prevent spread of
infection.

Explanation: Children should not, but may, return to a school or daycare setting
during the infectious phase of their illness. Hand washing is key to
preventing the spread of infection.

Question 9: A student nurse studying human anatomy knows that a structure of

(see full question) the large intestine is the:

You selected: cecum

Correct

Explanation: The small intestine consists of the duodenum, jejunum, and ileum.
The large intestine consists of the cecum, colon (ascending,
transverse, descending, and sigmoid), and rectum.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1346.

Question 10: A nurse is caring for a client with constipation. The incidence of
(see full question) constipation tends to be high among clients that follow which diet?

You selected: a diet lacking in fruits and vegetables

Correct

Explanation: The incidence of constipation tends to be high among clients whose

dietary habits lack sufficient raw fruits and vegetables, whole grains,
seeds, and nuts, all of which contain ade ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, pp. 1349-
1350.
Question 1: Which symptom is a known side effect of antibiotics?
(see full question)

You selected: Diarrhea

Correct

Explanation: A side effect of taking antibiotics is diarrhea. Constipation, fecal

impaction, and abdominal bloating are not common side effects of
antibiotics.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1352.

Question 2: The nurse is administering an oil-retention enema to a client. Which

(see full question) nursing actions in this procedure are performed correctly? Select all
that apply.

You selected: • The nurse administers a cleansing enema after the oil-retention
enema.
• The nurse administers the oil-retention enema at body temperature.
• The nurse administers a cleansing enema prior to the oil-retention
enema.

Incorrect

Correct response: • The nurse administers the oil-retention enema at body temperature.
• The nurse instructs the client to retain the oil for at least 30 minutes.
• The nurse administers a cleansing enema after the oil-retention
enema.

Explanation: The nurse would administer the oil-retention enema at body

temperature. This prevents any injuries or discomfort if given at this
temperature. The nurse would instruct the client t ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters

Kluwer Health, 2015,Chapter 37, Bowel Elimination, p. 1366.
Question 3: A nurse is caring for a client with a colostomy. What type of stools
(see full question) would she expect to find in the colostomy bag?

You selected: Formed

Correct

Explanation: A colostomy is an opening of the large intestine that allows formed

feces from the colon to exit through the stoma.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1371.

Question 4: Which enema solution lubricates the stool and intestinal mucosa
(see full question) without distending the intestine?

You selected: Oil

Correct

Explanation: Mineral, olive, or cottonseed oil are used to lubricate the stool and
intestinal mucosa without distending the intestine.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1365.

Question 5: The nurse is preparing to auscultate the bowel sounds of a client with
(see full question) a nasogastric tube in place set to low intermittent suction. How shall
the nurse approach the assessment of bowel sounds and manage the
nasogastric tube?

You selected: Disconnect the nasogastric tube from suction during the assessment
of bowel sounds.

Correct

Explanation: If the client has a nasogastric tube in place, disconnect it from the
suction during this assessment to allow for accurate interpretation of
 sounds.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1353.

Question 6: When reviewing a client’s chart, which data related to a client

(see full question) experiencing diarrhea might suggest to the nurse a causative factor?

You selected: The client consumes large qualities of fresh vegetables.

Incorrect

Correct response: The client returned from a foreign country two days ago.

Explanation: Eating native food and drinking water in a foreign country may cause
problems with digestion and elimination, such as diarrhea. To
promote normal bowel elimination, people should d ... (more)

Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters

Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 37: Bowel
Elimination, p. 1350.

Question 7: An older adult woman who is incontinent of stool following a

(see full question) cerebrovascular accident will have which of the following nursing
diagnoses?

You selected: Bowel Incontinence related to loss of sphincter control, as evidenced

by inability to delay the urge to defecate

Correct

Explanation: The most appropriate nursing diagnosis addresses the client's fecal
incontinence, related to loss of sphincter control innervation.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

 Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1360.

Question 8: A nurse is performing an abdominal assessment of a client before

(see full question) administering a large-volume cleansing enema. Which assessment
technique would be performed last?

You selected: Palpation

Correct

Explanation: The abdominal assessment should be performed in the following

sequence: inspection, auscultation, percussion, palpation.

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1352.

Question 9: Which medication causes constipation?

(see full question)

You selected: Iron supplements

Correct

Explanation: A common side effect of iron supplements is constipation. Bisacodyl is

a stool softener. Aspirin is an analgesic that does not typically cause
constipation. Magnesium antacids help ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1351.

Question 10: A woman age 76 years has informed the nurse that she has begun
(see full question) using over-the-counter laxatives because her friend told her it was
imperative to have at least one bowel movement daily. How should
the nurse best respond to this client's statement?

You selected: "Actually, people's bowel patterns can vary a lot and some people
 don't tend to go every day."

Correct

Explanation: Elimination patterns vary widely among individuals, and the

expectation of a daily bowel movement is not realistic for many
healthy people. This client may not require pharmacologi ... (more)

Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia:

Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1350.