Question 20
Type: MCSA
The nurse determines that a client’s fecal elimination is pale in color. This finding supports which client behavior
obtained during the health history?
1. The client rarely eats animal protein, and ingests milk and cheese at several meals each day.
2. The client rarely eats fruits or vegetables.
3. The client uses laxatives routinely.
4. The client drinks 8 to 10 8-ounce glasses of water each day.
Question 21
Type: MCMA
An older client tells the nurse that in order to have a daily bowel movement, the client uses laxatives most days of
the week. What should the nurse tell this client?
Standard Text: Select all that apply.
1. Normal patterns of elimination are different for everyone.
2. Increase fiber intake to 20–35 grams a day.
3. Engage in enjoyable exercise.
4. Ignore the urge to have a bowel movement.
5. Drink six to eight glasses of fluid daily.
Question 22
Type: MCSA
A client recovering from abdominal surgery is demonstrating abdominal distention from trapped flatus. What can
the nurse do to help this client?
1. Assist the client to move in bed.
2. Restrict fluids.
3. Obtain an order for a rectal tube.
4. Provide a diet rich in foods that create flatulence.
Question 23
Type: MCSA
A client with an upper gastrointestinal disorder is experiencing seeping of liquid stool, anorexia, abdominal
distention, nausea, and vomiting. The nurse suspects the client is experiencing
1. constipation.
2. diarrhea.
3. trapped flatus.
4. fecal impaction.
Question 24
Type: MCMA
A client has occasional bouts of constipation, and asks the nurse what can be done to prevent these episodes in the
future. What should the nurse instruct the client to do?
Standard Text: Select all that apply.
1. Establish a regular exercise regimen.
2. Include high-fiber foods, such as vegetables, fruits, and whole grains, in the diet.
3. Maintain fluid intake of 2000 to 3000 mL a day.
4. Do not ignore the urge to defecate.
5. Use over-the-counter medications to treat constipation.
Question 25
Type: MCSA
A hospitalized client tells the nurse of the inability to have a bowel movement because “too many people are
around.” What should the nurse do to promote normal fecal elimination for this client?
1. Provide a laxative.
2. Assist the client to the bathroom to ensure privacy.
3. Restrict fluids.
4. Assist the client with ambulation.
Question 26
Type: MCSA
A client has received an oil retention enema. The nurse should instruct the client that the enema will take effect
within
1. 1 to 3 hours.
2. 10 to 20 minutes.
3. 5 to 10 minutes.
4. 10 to 15 minutes.
Question 27
Type: MCMA
A client experiencing hard, dry feces is scheduled for an enema. The nurse recognizes that what type of solution
would be best for the client?
Standard Text: Select all that apply.
1. Hypertonic
2. Hypotonic
3. Soapsuds
4. Oil retention
5. Isotonic
Question 28
Type: MCMA
The nurse is discussing different types of ostomy appliances with a client with a new ostomy. During this
discussion, the nurse should keep in mind that an ostomy appliance should
Standard Text: Select all that apply.
1. be changed daily.
2. protect the skin.
3. collect stool.
4. control odor.
5. be open, so the client can empty it sporadically throughout the day.
Question 29
Type: MCSA
The nurse is delegating activities regarding fecal elimination to unlicensed assistive personnel (UAP). Which
activity can UAP safely perform to meet a client’s fecal elimination needs?
1. Provide a fracture pan to a client on bed rest.
2. Provide a client who has a fecal impaction and prolapsed rectum with a cleansing enema.
3. Change a client’s ostomy device.
4. Irrigate a client’s ostomy.
Question 30
Type: MCSA
During morning care, a UAP notes that thick green drainage is seeping around the appliance of a client’s new
ostomy. What should the UAP have been instructed to do?
1. Clean around the drainage.
2. Remove the ostomy appliance and cover the stoma with toilet tissue.
3. Perform complete ostomy care.
4. Report the drainage to the nurse.
Question 31
Type: SEQ
The nurse is performing ostomy care for a client. Place in order the steps the nurse will perform to do this care.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Clean and dry the peristomal skin and stoma.
Choice 2. Prepare and apply the skin barrier.
Choice 3. Empty the pouch and remove the ostomy barrier.
Choice 4. Assess the stoma and peristomal skin.
Choice 5. Apply the pouch.
Choice 6. Place a piece of tissue or gauze over the stoma and change it as needed.
Question 32
Type: MCSA
While administering an enema, the client complains of abdominal cramping. What should the nurse do?
1. Raise the height of the solution container.
2. Clamp the flow for 30 seconds, and restart at a slower rate.
3. Discontinue the enema infusion.
4. Assist the client to a supine position.
Question 33
Type: MCMA
A client has received a return-flow enema. What should the nurse document about this procedure?
Standard Text: Select all that apply.
1. Number of times the solution was changed.
2. Type of solution.
3. Length of time the solution was retained.
4. The amount, color, and consistency of the return.
5. Client relief of flatus and abdominal distention.
Question 34
Type: MCMA
The nurse has completed care with a client who has a new ostomy. What should the nurse document about the
care provided?
Standard Text: Select all that apply.
1. Any change in stoma size
2. Condition of the skin around the stoma
3. Amount and type of drainage
4. Client’s response to the procedure
5. Degree of bowel sounds after care provided
Question 35
Type: MCMA
During an assessment, the nurse notes that a client’s stool is black. Which medication should the nurse consider as
causing this client’s change in stool color?
Standard Text: Select all that apply.
1. Iron
2. Aspirin
3. Antacids
4. Antibiotics
5. Pepto-Bismol
Question 36
Type: MCMA
The nurse is caring for a client with a fecal incontinence pouch. What should the nurse do when caring for this
client?
Standard Text: Select all that apply.
1. Assess perianal skin.
2. Irrigate the pouch every shift.
3. Maintain the drainage system.
4. Change the bag every 72 hours.
5. Explain the purpose of the system to the client.