Which assessment finding by the nurse indicates a need to contact the prescriber and....

The patient is constipated with last BM 3 days ago.

Which nursing action is the highest priority?

Check the patient to see if he has a fecal impaction.

Which nursing diagnosis has the highest priority for the patient?

Knowledge deficit R/T care and maintenance of ostomy.....

Which nursing diagnosis is the highest priority for this patient?

Knowledge deficit relate to care and maintenance....

Which assessment finding best indicates that the bowel is starting to resume function.....

The patient has bowel sounds X4 quads & is passing flatus.

Which goal is the most important for this patient?

The patient will not experience involuntary urination....

What is the priority action of the nurse?

Obtain an order to straight-catheterize the patient.

What is the priority nursing diagnosis for this patient?

Deficient fluid volume related to excessive fluid loss...

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Week 13: Urinary & Bowel Elimination

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Urinary & Bowel Elimination

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Questions 11

Answers

1
Which assessment finding by the nurse indicates a need to contact the prescriber and....
The patient has painful bleeding hemorrhoids.
The patient is on a low-fiber, gluten free diet.
The patient has skin breakdown from loose stools.
The patient is constipated with last BM 3 days ago.
2
Which term will the nurse use to describe the patient’s urine output?
Oliguria
Enuresis
Anuria
Polyuria
3
Which nursing action is the highest priority?
Administer antiemetic medication with a sip of water.
Apply a skin barrier to the patient's perineal area.
Check the patient to see if he has a fecal impaction.
Provide oral care after each episode of emesis.
4
Which nursing diagnosis has the highest priority for the patient?
Social isolation R/T potential leakage of stool from.....
Impaired skin integrity R/T localized skin irritation.....
Disturbed body image R/T presence of stoma....
Knowledge deficit R/T care and maintenance of ostomy.....
5
Which nursing diagnosis is the highest priority for this patient?
Disturbed body image related to presence of stoma....
Ineffective sexuality pattern related to altered body.....
Knowledge deficit relate to care and maintenance....
Social isolation related to potential for accidental.....
6
Which type of renal failure did the patient most likely develop?
Post-renal
Mixed
Pre-renal
Renal
7
What is the most likely cause of this patient’s bleeding?
Hemorrhoids
Bleeding gastric ulcer
Colon polyps
Perforated colon
8
Which assessment finding best indicates that the bowel is starting to resume function.....
The patient has no nausea, and abdominal pain is minimal.
The patient has bowel sounds X4 quads & is passing flatus.
The patient's NG tube was discontinued the previous day.
The patient feels hungry for chicken soup & hot tea.
9
Which goal is the most important for this patient?
The patient will not experience involuntary urination....
The patient will be able to recognize and effectively.....
The patient will demonstrate how to appropriately use....
The patient will carefully complete a voiding diary....
10
What is the priority action of the nurse?
Obtain an order to straight-catheterize the patient.
Obtain a urine sample to test culture & sensitivity.
Carefully calculate the patient's daily intake & output.
Encourage oral fluid intake and administer a diuretic.
11
What is the priority nursing diagnosis for this patient?
Deficient fluid volume related to excessive fluid loss...
Anxiety related to incontinence with loose stools and....
Readiness for enhance knowledge related to prescribed....
Imbalanced nutrition: less than body requirements related...

Week 13: Urinary & Bowel Elimination Flashcards | StudBud