ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 39 : Bowel Elimination Questions
Question 1 of 5
A nurse plans to administer a retention enema to a patient with a fecal impaction. Which nursing action is appropriate for this procedure?
Correct Answer: C
Rationale: Retention enemas require the patient to hold the solution for at least 30 minutes (
C) to soften stool. Large volumes (
A) are for cleansing enemas, milk and molasses (
B) are for carminative enemas, and administering on the toilet (
D) prevents retention.
Question 2 of 5
A nurse prepares to assist a patient with a newly created ileostomy. Which recommended patient teaching points would the nurse stress? Select all that apply.
Correct Answer: D,E,F
Rationale: Ileostomy stool is liquid (
D), dark-green vegetables reduce odor (E), and food blockages are a risk (F). The stoma should be pink/red, not purple-blue (
A), stabilizes in 4-6 weeks, not 2 (
B), and skin should be clean and dry, not moist (
C).
Question 3 of 5
A nurse is preparing a hospitalized patient for a colonoscopy. Which nursing action is the recommended preparation for this test?
Correct Answer: A
Rationale: A low-fiber diet several days before a colonoscopy (
A) reduces residue in the colon. PEG is used, but bisacodyl (
B) isn't standard for all preps. Conscious sedation, not general anesthesia (
C), is typical, and barium (
D) is for other GI tests.
Question 4 of 5
A nurse is performing digital removal of stool on a patient with a fecal impaction. During the procedure, the patient tells the nurse they are feeling dizzy and nauseated and then vomits. What should be the nurse's next action?
Correct Answer: C
Rationale: Dizziness, nausea, and vomiting suggest vagal stimulation. Stopping the procedure, assessing vital signs, and notifying the provider (
C) is appropriate. Reassuring (
A) ignores the risk, CPR (
B) is premature, and resuming after 5 minutes (
D) is unsafe without assessment.
Question 5 of 5
A nurse is scheduling tests for a patient who has been experiencing epigastric pain. The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) an upper GI series. What is the correct order for performing the tests?
Correct Answer: D
Rationale: Fecal occult blood test (b) comes first to detect bleeding, followed by barium enema (a), upper GI series (d), and endoscopic studies (c) to avoid barium interference and prioritize non-invasive tests (
D).