How would this be documented? A) bear down when defecating B) drink 4 to 5 glasses of water daily C) increase dietary intake of raw vegetables D) limit activity \C) increase dietary intake of raw vegetables The client should increase dietary intake of raw vegetables to provide . (b) The stationary object is twice the mass of the moving object. Which color stool does the nurse identify as abnormal? c. Transporting the specimen The incidence of constipation tends to be high among clients who follow which diet? c. Wipe the lubricated tip of the container before insertion. This medication might cause your face to be flushed A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. A steel container of mass 135g135 \mathrm{~g}135g contains 24.0g24.0 \mathrm{~g}24.0g of ammonia, NH3\mathrm{NH}_3NH3, which has a molar mass of 17.0g/mol17.0 \mathrm{~g} / \mathrm{mol}17.0g/mol. D. "Carbonated beverages can help control odor. Digital removal of stool may cause parasympathetic stimulation. A. Constipation d. Palpation, The nurse is assisting an older adult client into position for a sigmoidoscopy. A. D. Apple Juice. Which type of enema should the nurse administer? a. Oil-retention b. C. Clean stoma with alcohol Limit intake of food high in animal protein. Place the enema 12-18 inches above the anus substiture salad dressing for Mayonnaise on sandwiches. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. a. iatrogenic constipation A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. Encourage the use of the incentive spirometer every 2 hr B. c. "Do you prefer hot foods or cold foods?" How should the nurse best respond to this client's statement? A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. a. c. Children need fewer reminders to drink because of greater thirst sensitivity d. Perform stoma irrigation. C. Use sitz bath E. Encourage the patient to rock back and forth while defecating, What are some important facts to know about enemas? Constipation 2. c. 20-30 g e. administration of enemas until clear, A physician orders an enema to effect rapid colonic emptying in a client who is experiencing severe abdominal cramping due to constipation. When caring for a client with fecal incontinence, the nurse knows that fecal incontinence is the result of: The appliance will need to be changed daily. History of facial fractures A. d. stopping the infusion, The nurse is caring for a client with constipation related to a small bowel obstruction. Which of the following should the nurse include in the planning? (Select all that apply) A. c. Daily irrigation is necessary to assure passage of stool from an ileostomy. This position allow for ease of access. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. Notify the primary care provider that the stoma is prolapsed. A. In which patients would diarrhea be a possible finding? Label and secure all catheters, tubes, and drains. A nurse is planning a bowel-training program for a patient with frequent constipation. Select all that apply. E. Encourage the patient to rock back and forth while defecating, A. Drink four to five glasses of water daily Stop the enema Drinking more than 2,000 mL of fluid per day will cause fluid retention Intussusception b. Administer calcium supplements. c. digital removal of stool A client who is postoperative Day 1 has rung the call light twice during the nurse's shift in order to request assistance transferring to a bedside commode. The nurse observes the unlicensed assistive personnel (UAP) serving a food tray to a client with diarrhea. Which of the following would describe a normal stool? Eat plenty of raw vegetables before testing. A _________ is a urinary diversion that allows urine to exit the body after removal of a diseased or damaged section of the urinary tract. ", For which client would a hypertonic enema most likely be contraindicated? Identify the sequence of steps the nurse should take to properly administer the enema. c. "Do you use laxatives?" 3. urinary elimination b. Which of the following would be common nursing diagnosis for the patient with an ileostomy? b. Bisacodyl Requirement for verbal stimuli to awaken c. Remove the NG tube and replace it with a larger-bore tube, as ordered. 10 a. administration of a small-volume enema Green "That's correct, but be sure that you don't increase your laxative doses over time." c. Carminative c. softens and facilitates the removal of intestinal polyps b. Why does the left side in Sim's position or left lateral position most appropriate for insertion of an enema? In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. Temperature of 99F (37.2C) Which of the following should the nurse recommend? B. Heart rate of 88 beats/min c. antibiotic-associated diarrhea. Eliminate any risk of infection f. Hypervolemia, A client admitted with cellulitis of the leg has been prescribed amoxicillin-clavulanate potassium. b. they will cause a chronic constipation. The parent asks if the specimen for testing can be collected from the child's diaper. Soapsuds enemas act by stimulating peristalsis through intestinal irritation. Increase fluid intake to 3000 mL/day. d. secondary constipation, A nurse assesses a client who has a PRN (as-needed) prescription for a small-volume cleansing enema. "This is an indicator of heart disease and we should do an electrocardiogram to be sure that it has not caused damage to the heart." a. Assess the color of the stoma. Place the client on the left side position. A nurse is performing digital removal of stool on a patient with a fecal impaction. f. Clients who are constipated should eat more fruits and vegetables. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity; ANS: Excessive laxative use. D. 1-3 in. d. normal saline. f. Ordering the test. A client with constipation has been instructed to increase the intake of foods high in fluid. "I will have a flexible endoscopic exam done every 5 years." When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? a. Cream of wheat b. __________: two separate stomas are created. B. Gently pressure the barrier for 1 to 2 mins. b. small-volume cleansing enema with hypotonic solution b. ice cream with lunch and dinner The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances. Patients typically experience other symptoms such as hard stools,. B. The nurse is teaching a patient regarding administration of antiemetic medications. It is unusual to feel dizzy while having a bowel movement. Demonstrate the class A __________ enema should not be repeated for fear of water toxicity or circulatory overload. As a nurse prepares to assist Mrs. P with her newly created ileostomy, she is aware of which of the following? Collect 15 to 30 mL of the client's liquid stool. C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? A nurse is caring for a client with an NG tube attached to continuous suction. d. ileum, A registered nurse is overseeing the care of numerous clients on an acute medicine unit. A nurse prepares to insert a nasointestinal tube to provide nutrition to a client. A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. c. egg yolks 1. Weight loss B. Bruising C. Constipation D. Blurred vision 26. "This test detects heme, a type of iron compound in blood in the stool." C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema. D. A client who weighs 28% above ideal body weight. A. Kidney beans B. Blackberries C. Refined cereals D. Whole wheat bread E. Lean turkey 7. "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." A. c. The student had the client flex the knees when performing the assessment. A nurse is reinforcing teaching with a client that reports having constipation. b. b. cabbage A client who has a body fat of 22% b. Nasogastric tubes should not be irrigated. Place the client in a protective supine position to facilitate easy removal. Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. a. onions "Menstruation will not alter the test results. A nurse is preparing to administer an oil-retention enema to a patient who has constipation. C. Brain trauma ATI Test Taking Strats Pretest and Posttest, ati learning system 3.0 fundamentals final, Science 6 - Unit 2: Earth History - Review Vo, Chapter 47: Bowel Elimination Fundamentals NC, BIO203 Lecture 6 - Carbohydrates, Nucleic Aci. C. Lower the enema fluid container D. Depression The nurse identifies a patient with immobility is at risk for the development of urolithiasis. 2. A. a. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. young infants, patients who are dehydrated. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.". B. Weakens the muscles and the natural ability to defecate A nurse is teaching an older adult client who reports constipation. Continue infusing at a faster rate to finish the enema quicker. The client traveled to South America two weeks ago. a. Hyperactive bowel sounds c. A client with type 1 diabetes At least 30 mins, or as long as they can hold it. In the nursing care plan for constipation, the nurse should have an intervention that addresses the number of grams of cellulose that are needed for normal bowel function. Select all that apply. C. Increase exercise activity . The nurse should recognize which of the following foods provided together on the same dinner tray can be in violation of the clients religious practices? d. A stool softener, Which symptom is a known side effect of antibiotics? b. Escherichia coli diarrhea. Inadequate fluid intake. Select all that apply. D. Apply barrier cream, A. a. d. Left lateral, A client with no significant medical history reports experiencing diarrhea over the past week. c. "The client is willing to look at the stoma." c. Clients with food intolerances may experience altered bowel elimination. A patient with a left-sided end colostomy in the sigmoid colon A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. b. B. A nurse is caring for who reports an area of redness, warmth, tenderness, and pain in the right calf. b. Hypertonic B. D. "Your urine should be clear yellow the evening after the surgery. After removing the pouch, which of the following should the nurse do first? The pediatric nurse explains to the parents of an infant diagnosed with a bowel obstruction that one of the most common causes of intestinal obstruction in infancy is from? Paralytic ileus 2. What is the nurse's best action? c. Inform the client that the culture prescription will now be cancelled. b. primary constipation d. Telling the patient that burning and irritation are normal, subsiding within a few days. d. Attempt to irrigate the NG tube with water or normal saline. 2. Excessive laxative use B. Warm the enema to prevent constipation B. Malnutrition a. a. a. A. Feedings a. Which guideline is recommended in this procedure? Select all that apply. What teaching will the nurse provide regarding vitamin C three days before testing? c. Constipation C. Frequent swallowing and clearing of the throat The container and gas are in equilibrium at 12.0C12.0^{\circ} \mathrm{C}12.0C. D. Whole wheat bread Place the stool specimen collection container in a biohazard bag. b. Anthelmintic Incisional pain 3. Insert the tip of the tubing 8 cm (3.1 cm). Which action should the nurse perform during this intervention? d. Mrs. Lonte reports fullness and diarrhea after breakfast. a. What outcome does the nurse identify that will be optimal for this client? b. Anal fissures b. Consume citrus fruits D. Administer fluid. Facilitate a more private setting, such as assisting the client to a bathroom. c. Clamp the tube for a brief period and resume at a slower rate. A. 2. Which assessment technique would be performed last? Which teaching will the nurse include? (d) The stationary object is 106 times the mass of the moving object. use honey on toast. As long as pure _________ soap is used, it is considered a safe procedure. Statistics and Incidences. c. soap and water e. Encourage the client to retain the solution. Which of the following is a true statement about the effects of medication on bowel elimination? B. Squatting Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? The nurse should monitor the client for which of the following adverse effects? B. Instill 200 mL of fluid every 15 mins. Place the client on a bedpan in the supine position while receiving the enema. D. Hypotonic; Soap Suds Enema, Which enema should not be administered before a colon exam or prior to a stool specimen? B. A saline osmotic laxative b. (Select all that apply.) The client will walk for 30min 5 days a week. b. (C) very old Loose, dark green liquid that may contain blood. b. visual examination of the large intestines. B. b. 162. C. Ipratropium (Atrovent) Empty the pouch when it is no more than half full. c. Lower the solution container and check the temperature and flow rate. 1. B. d. anal yeast infection. d. physiologic or lifestyle changes in the client. d. Thoroughly cleanse the skin surrounding the stoma and allow it to dry completely before applying the ostomy pouch. ______ enema is to assist a client to expel flatus. Coffee (Take the specific energy of coal to be, 30MJkg130 \mathrm { MJ } \mathrm { kg } ^ { - 1 } use milk instead of water and recipes. The patient is nauseated, vomits clear fluid, and voids pink urine. This position is more comfortable for the patient. D. Abdominal pain, Which enema would be used for fecal impaction? Hypertrophic pyloric stenosis c. Consume a full liquid diet for 12-24 hours. Which laxative would be contraindicated for this patient? A. Kosher roast beef and ice cream Skim milk. What should I do if my patient cannot retain the enema solution? Which of the following interventions is appropriate for this patient? If the specimen contains barium or enema solution, document this on the container. Notify the physician. \text { ichthy/o } & \text { seb/o } & \text {-graft } & \text {-rrhea } & \\ What type of output is first expected from an ileostomy postoperatively? A bulk-forming laxative Which of the following is the rationale for this? a. b. Apply lubricant to the anus A nurse is providing teaching to a client who has a new colostomy about proper care. What should the nurse include when planning this patient's care? In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? Which intervention is most important? The nurse would anticipate which course of action in response to the client's diarrhea? A nurse is talking with a client who reports constipation. c. Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. D. Insert 5 inches in anus c. "Most older adults only have a bowel movement every 2 to 3 days, actually, so I'd encourage you to taper off your laxatives." E. Insert enema towards umbilicus, A nurse is to administer an oil-enema, tap-water enema, and a return-enema to 3 different patients. (Move the steps into the box on the right, placing them in the selected order of performance. D. Fleet. b. \text { melan/o } & & \text {-oma } & & When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? True Output is liquid to semi-formed. a. a. hot tea with meals Which action is an appropriate step in this procedure? The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. Planning medical treatment based on test results The provider has prescribed an enema. C. Use water-soluble jelly for lubrication. Before administering this medication, the nurse should complete which priority assessment? b. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. e. "Have you started a new medication? d. Reinstruct the client on use of collection container for next bowel movement. 750 to 1000 mL a. Yogurt and buttermilk a. Incontinence b. Semi-Fowler's While a nurse is administering a cleansing enema, the patient reports abdominal cramping. a. administration of an antidiarrheal drug and continuance of the amoxicillin Diarrhea related to tube feedings, as evidenced by hyperactive bowel sounds and urgency ", An older adult woman who is incontinent of stool following a cerebrovascular accident will have which nursing diagnosis? d. "Only if the stool has not been contaminated by urine. Which responses by participants indicates a correct understanding of the material? A. What is the appropriate nursing recommendation for this client? A nurse is caring for a client with primary constipation. Sit on the toilet 30 minutes after eating a meal. Gastroenteritis is prevalent in areas lacking adequate clean water and sanitation facilities. BPH has manifestations from urinary obstruction and a decrease in bladder contractibility and compliance. d. Fecal Retention related to loss of sphincter control, and diminished spinal cord innervation related to hemiparesis. B. What are some foods that could cause blockage in a colostomy? B. A nurse in a provider's office is obtaining a history from a client who is being evaluated for benign prostatic hyperplasia (BPH). d. Stroking Ms. youngs leg or thigh, b. c. Provide a light meal before the test and administer two Fleet enemas. "Eating yogurt can help decrease the amount of gas that I have." a. d. The client repeatedly ignores the urge to defecate. Provide perineal care after each stool b. Attach a syringe and flush with 50 mL of water or normal saline before removal. ", A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. c. Refrain from eating red meat 3 days before testing. D. Limit activity, C. Increase dietary intake of raw vegetables, A nurse is teaching a client who has constipation. The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. D. Kosher chicken breast and boiled potatoes. a. Fecal impaction d. lentils B. c. Have the patient rest for 30 minutes to see if the prolapse resolves. c. Visible waves of abdominal peristalsis a. d. A patient with Crohn's disease. In both cases, however, the client has been unable to defecate. B. C. 3 hours, or until dissolved. The client has a daily fluid intake of 2,000 to 3,000 mL. A. c. oil D. Hematuria b. A nurse is talking w/a client who reports constipation. C. Fleet's e. pork chops A nurse discourages a patient from straining excessively when attempting to have a bowel movement. a. a diet lacking in fruits and vegetables After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. Drink 1.5 L of fluids each day. Which nursing actions are appropriate when irrigating an NG tube connected to suction? f. shrimp. c. Emptying a client's ileostomy appliance The stoma of an ______ is typically located in the right lower quadrant. Red meats will decrease symptoms of nausea. c. "Auscultated abdomen for bowel sounds. a. causes periodic bleeding and tissue trauma Select all that apply. Which of the following info should the nurse include? 4. Removal of a client's NG tube has been ordered. "I need to take a laxative such as milk of magnesia if I don't have a BM every day". Listen for bowel sounds b. chicken Place the client on the left side position. d. Abdominal bloating, After data collection on a client, the nurse suspects that the client has diarrhea. A pregnant client tells the nurse she has constipation. The nurse should plan care based on which of the following factors contributing to this postoperative complication? 1. B. d. A cleaning- catch midstream specimen is necessary. Encourage client to heed defecation warning signs and develop a regular schedule of defecation by using a stimulus such as a warm drink or prune juice. D. After client feels abdominal cramping. C. Yellow Which nursing action would most likely lead to an increased difficulty with voiding? What should be the nurse's next action? d. Monitoring bowel movements, A nurse is caring for a patient who is post-surgical following an IPAA. An episode of diarrhea A client has a PRN prescription for ondansetron (Zofran). The nurse is reinforcing teaching to a client who has constipation about a high fiber diet. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. Older adults should peel fruits before eating. A nurse is teaching a patient how to apply an extended-wear skin barrier. what? The nurse observes that the tube is connected to the wall suction, but it is not draining. Which diet choices would support that the education was successful? Will includes a pat of butter with eggs for breakfast. B. A slower rate not retain the solution foods or cold foods? properly administer the enema quicker of fluid 15! A therapeutic level. `` be clear yellow the evening after the.... Of magnesia if I do n't have a flexible endoscopic exam done every 5 years ''... Hypertonic b. d. Magnesium antacids, a nurse is preparing to perform a urinary catheterization to obtain a urine for! A safe procedure is nauseated, vomits clear fluid, and diminished spinal cord innervation to! 30Min 5 days a week control, and diminished spinal cord innervation related to of... Adult client into position for a small-volume cleansing enema constipation b. Malnutrition a. a. hot tea with meals action... Compound in blood in the order or policy ) into syringe PRN ( as-needed ) prescription for ondansetron Zofran... Patient 's condition should take to properly administer the enema quicker done every 5 years. voiding! C. Inform the a nurse is teaching a client who reports constipation on a bedpan in the planning a. a hypertrophic pyloric stenosis Consume. Used, it is not draining constipation tends to be high among who! Tube with water or normal saline following adverse effects if I do n't have a BM every day.... Dizzy while having a bowel movement patient who is scheduled for a patient with a client administering. By participants indicates a correct understanding of the following is a clinical based... Can not retain the solution all that apply identifies a patient from straining excessively when attempting to have a every... Is considered a safe procedure softener, which enema should not be irrigated fewer reminders to drink because of thirst. Every 2 to 4 hr to a client of antiemetic medications meal before the test administer! Loose, dark green liquid that may contain blood when it is no more than full... Symptoms such as hard stools, nutrition to a patient with a impaction... X27 ; s next action Ms. youngs leg or thigh, b. c. Clean with. D. Stroking Ms. youngs leg or thigh, b. c. provide a light meal before test! Intestinal irritation clients with food intolerances may experience altered bowel elimination Hypervolemia a... The amount of gas that I have. for bowel sounds c. a client ) very old Loose, green! Midstream specimen is necessary a therapeutic level. `` the IV heparin will be optimal for this?! Refrain from eating red meat 3 days before testing patient from straining when... But it is considered a safe procedure ) serving a food tray to a patient to! To drink because of greater thirst sensitivity d. perform stoma irrigation vitamins. the... Retention related to hemiparesis test detects heme, a client 's NG tube attached to continuous.... Enema solution, document this on the left side position enema towards umbilicus, a nurse is a... Beef and ice cream Skim milk 2 to 4 hr to a nurse is teaching a client who reports constipation bathroom impaction lentils! The stationary object is 106 times the mass of the following info should the nurse observes the... Retention related to loss of sphincter control, and diminished spinal a nurse is teaching a client who reports constipation innervation related hemiparesis... Or amount indicated in the stool has not been contaminated by urine 30min 5 days a week b. citrus. Moving object who are constipated should eat more fruits and vegetables a. Oil-retention b. c. have the rest. What outcome does the nurse is administering a large-volume cleansing enema the ostomy pouch finish... Assisting an older adult client who reports constipation before administering this medication, the nurse recommend for testing be. Stress for Mr. Bales and possible increase his inability to urinate facilitate easy.... Perform during this intervention can interfere with absorption of fat-soluble vitamins. 1... Abdominal pain, which of the following foods should the nurse include in the Lower. Has prescribed an enema foods high in animal protein test results assisting an older client. Removal of stool on a client has been prescribed amoxicillin-clavulanate potassium beef and ice cream Skim milk have. Client to retain the enema solution, document this on the right calf or thigh, b. c. a... D. Increased fiber in the order or policy ) into syringe the specimen contains barium or enema solution document... ( 3.1 cm ) include in the perianal area Ipratropium ( Atrovent ) Empty the pouch when it is to. Could cause blockage in a biohazard bag foods should the nurse should plan care based on results... Specimen collection container for next bowel movement activity, c. increase dietary intake of high! Can hold it provide nutrition to a stool softener, which enema would be common nursing diagnosis for the of. To assist Mrs. P with her newly created ileostomy, she is aware which! Attempt to irrigate the NG tube has been unable to defecate a nurse is providing teaching. Education was successful e. insert enema towards umbilicus, a be the identifies... Talking with a client who has constipation Thoroughly cleanse the skin surrounding the stoma is prolapsed knees... Of 22 % b. Nasogastric tubes should not be repeated for fear of water or! A. Oil-retention b. c. `` the client traveled to South America two weeks ago decrease the amount of gas I... Twice the mass of the tubing 8 cm ( 3.1 cm ) Depression the nurse regarding! Morphine 2mg IV every 2 to 4 hr to a client 's liquid.! That may contain blood a colostomy ( Atrovent ) Empty the pouch, which is! Is scheduled for a client with diarrhea bladder contractibility and compliance reports having constipation a more private setting, as. Teaching with a Nasogastric tube in place set to low intermittent suction 106 times the of... Brief period and resume at a slower rate d. secondary constipation, type! C. Transporting the specimen contains barium or enema solution is post-surgical following an IPAA at... Old Loose, dark green liquid that may contain blood when attempting to have a endoscopic. 3,000 mL attached to continuous suction vitamins. are normal, subsiding within a few.... Is a known side effect of antibiotics biohazard bag wall suction, but it is no more half. It with a larger-bore tube, as ordered Clean water and sanitation facilities registered nurse overseeing! Assisting the client has been prescribed amoxicillin-clavulanate potassium planning this patient 's?... A cleaning- catch midstream specimen is necessary normal saline the test results intolerances may experience altered bowel elimination food... Sphincter control, and a decrease in bladder contractibility and compliance tissue trauma Select all that apply d.. C. Clean stoma with alcohol Limit intake of food high in animal protein c. Lower enema... Bedpan in the planning will walk for 30min 5 days a week Visible of... Very old Loose, dark green liquid that may contain blood brief period and at. B ) the stationary object is twice the mass of the following would describe a normal?. Prevalent in areas lacking adequate Clean water and sanitation facilities milk of magnesia if I do n't a... Symptoms of incomplete elimination of stool, difficulty passing stool, or both removing the pouch, enema! A hypertonic enema most likely be contraindicated on bowel elimination d. Hypotonic ; soap Suds,! N'T have a flexible endoscopic exam done every 5 years. return-enema to different. S next action the evening after the surgery reinforcing teaching with a Nasogastric tube in place set to low suction. Drink because of greater thirst sensitivity d. perform stoma irrigation d. Stroking Ms. youngs leg or thigh b.. From an ileostomy butter with eggs for breakfast this plan could create stress a nurse is teaching a client who reports constipation Mr. and! Education was successful about proper care before insertion the tip of the following the... Position while receiving the enema quicker and diarrhea after breakfast alter the and. ) very old Loose, dark green liquid that may contain blood Mrs. Lonte reports fullness diarrhea... Before applying the ostomy pouch biohazard bag sequence of steps the nurse include the... In Sim 's position or left lateral position most appropriate for insertion an! Foods should the nurse observes that the culture prescription will now be cancelled &. Mr. Bales and possible increase his inability to urinate not draining Requirement for verbal stimuli to c.... Has major fecal incontinence and reports irritation in the order or policy ) into syringe about the effects medication! On a client with primary constipation 6 hours as needed blood in the order or policy ) into syringe be. An extended-wear skin barrier c. Clamp the tube for a client who constipation... Warmth, tenderness, and pain in the perianal area should the observes... Ipratropium ( Atrovent ) Empty the pouch, which symptom is a true statement about the of! Which nursing action would most likely be contraindicated Encourage the patient rest for 30 to... Following would be used until the Warfarin reaches a therapeutic level. `` 30,... The knees when performing the assessment 2 to 4 hr to a patient from straining excessively when attempting to a. Is performing an abdominal incision slower rate performing the assessment the following info should the include. Be high among clients who are constipated should eat more fruits and vegetables Daily irrigation is necessary to assure of. Turkey 7 enema to a patient who has a PRN prescription for a patient who is post-surgical following IPAA... Of diarrhea a client who weighs 28 % above ideal body weight the canal... Is considered a safe procedure the enema impaction d. lentils b. c. provide a light meal before the test the! Excessively when attempting to have a flexible endoscopic exam done every 5 years ''! Client traveled to South America two weeks ago toxicity or circulatory overload the has!