Quiz 14: Elimination

Concepts For Nursing Practice

Nursing
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True/False
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Choices
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Questions

Q1
Free

A patient who was diagnosed with senile dementia has become incontinent of urine. The patients daughter asks the nurse why this is happening. The best response by the nurse is:

Multiple Choice
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A) The patient is angry about the dementia diagnosis.
B) The patient is losing sphincter control due to the dementia.
C) The patient forgets where the bathroom is located due to the dementia.
D) The patient wants to leave the hospital.
Answer:
B) The patient is losing sphincter control due to the dementia.

Explanation:
Anger, wanting to leave the hospital, and forgetting where the bathroom is really have no bearing on the urinary incontinence. The patient is incontinent due to the mental ability to voluntarily control the sphincter. This is happening because of the dementia.
Q2
Free

You are caring for a patient who has suffered a spinal cord injury. You are concerned about the patients elimination status. As the nurse, your primary concern is to

Multiple Choice
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A) speak with the patients family about food choices.
B) establish a bowel and bladder program for the patient.
C) speak with the patient about past elimination habits.
D) establish a bedtime ritual for the patient.
Answer:
B) establish a bowel and bladder program for the patient.

Explanation:
Establishing a bowel and bladder program for the patient is a priority to be sure that adequate elimination is happening for the patient with a spinal cord injury. Speaking with the family to determine food choices is okay, but it is not the primary concern. Speaking with the patient to know past elimination habits does not apply, because the spinal cord injury changes elimination habits. Establishing a bedtime ritual does not apply to elimination.
Q3
Free

The process of digestion is important for every living organism for the purpose of nourishment. Where does most digestion take place in the body?

Multiple Choice
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A) Large intestine
B) Stomach
C) Small intestine
D) Pancreas
Answer:
C) Small intestine

Explanation:
Most digestion takes place in the small intestine. The main function of the large intestine is water absorption. The pancreas contains digestive enzymes; the stomach secrets hydrochloric acid to assist with food breakdown.
Q4

The nurse is listening for bowel sounds in a postoperative patient. The bowel sounds are slow, as they are heard only every 3 to 4 minutes. The patient asks the nurse why this is happening. The best response from the nurse would be which of the following?

Multiple Choice
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A) Anesthesia during surgery and pain medication after surgery may slow peristalsis in the bowel.
B) Some people have a slower bowel than others, and this is nothing to be concerned about.
C) The foods you eat contribute to peristalsis, so you should eat more fiber in your diet.
D) Bowel peristalsis is slow because you are not walking. Get more exercise during the day.
Answer:

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Q5

A primary prevention tool used for colon cancer screening is

Multiple Choice
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A) abdominal x-rays.
B) blood, urea, and nitrogen (BUN) testing.
C) serum electrolytes.
D) occult blood testing.
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Q6

[Multiple Response] During an assessment, the patient states that his bowel movements cause discomfort because the stool is hard and difficult to pass. As the nurse, you make which of the following suggestions to assist the patient with improving the quality of his bowel movement? (Select all that apply.)
a. Increase fiber intake.
b. Increase water consumption.
c. Decrease physical exercise.
d. Refrain from alcohol.
e. Refrain from smoking.

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Q7

[Multiple Response] When conducting a health history assessment, the nurse would want to know what important information about the patients elimination status? (Select all that apply.)
a. Recent changes in elimination patterns
b. Changes in color, consistency, or odor of stool or urine
c. Time of day patient defecates
d. Discomfort or pain with elimination
e. List of medications taken by patient
f. Patients preferences for toileting

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