ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 30 : Bowel Elimination and Care Questions
Question 1 of 5
The patient is to receive a cleansing enema for relief of constipation. Which of the following factors must be assessed prior to administration of the enema?
Correct Answer: B,D
Rationale: Assessing the last bowel movement and bowel sounds ensures the enema is appropriate and safe for the patient.
Question 2 of 5
Which of the following assessment data might indicate the patient is having difficulty accepting his or her new colostomy?
Correct Answer: D
Rationale: Refusing to participate in colostomy care and avoiding involvement can indicate poor acceptance or denial of the new body change. This behavior suggests the patient may be struggling emotionally or psychologically with the colostomy and needs further support or counseling.
Question 3 of 5
Which of the following would be the most accurate statement about digestion and elimination?
Correct Answer: B
Rationale: Infants may have up to six bowel movements daily due to their immature digestive systems.
Question 4 of 5
Several medications have GI side effects and may lead to diarrhea or constipation. Indicate which of the following medications would be most likely to cause constipation in the patient.
Correct Answer: A,D,F,G
Rationale: Amphojel, meperidine, ferrous sulfate, and Imodium AD are known to cause constipation as a side effect.
Question 5 of 5
A female patient is recovering from abdominal surgery 2 days ago. Her abdomen is distended and firm, and she complains of moderate to severe cramping and abdominal discomfort. As of yet, she has been unable to pass much flatus rectally. Which type of enema would be most helpful to this patient?
Correct Answer: C
Rationale: A Harris flush enema is effective for relieving gas and distention by promoting flatus expulsion.