A male patient has told a nurse that he occasionally fights constipation. Teaching the patient how to prevent constipation and promote normal elimination, the nurse instructs him to

Take a stool softener or laxative every day until a normal elimination pattern has been reestablished.

Eat small amounts at meals so less waste will need to be expelled.

Eat a minimum of 50 g fiber every day and quickly increase the amount until normal defecation becomes routine.

Drink at least 2000 mL fluid every day, but limit the amount of caffeine to 300 mg.

Answer and Explanation

The Correct Answer is C

Choice A Depending on laxatives or stool softeners every day may lead to dependence and can be harmful in the long term. It is not a preferred approach for managing constipation.

Choice B While eating smaller, more frequent meals can aid digestion, it is not the primary strategy for preventing constipation.

Choice C : Increasing dietary fiber intake is an effective way to promote regular bowel

movements and prevent constipation. Gradually increasing fiber intake helps the body adjust to the increased fiber load.

Choice D Adequate fluid intake is important for bowel health, but focusing solely on fluid intake may not be as effective as increasing dietary fiber to prevent constipation.

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Correct Answer is D

Explanation

Choice A Alcohol swabs may be too harsh and irritating for the delicate skin around the stoma. Mild soap and water are preferred for cleaning.

Choice B Tap water alone may not be sufficient for removing debris and ensuring proper cleanliness around the stoma. Mild soap and water are preferred for cleaning.

Choice C Iodine may be too harsh and irritating for the peristomal skin. Mild soap and water are preferred for cleaning.

Choice D Mild soap and water are the best choice for cleaning around the colostomy stoma as they effectively remove debris and cleanse the area without being overly harsh on the skin.

A. A 40yearold patient with an ileostomy B. A 70yearold patient with incontinence C. A 30yearold patient with C. difficile D. A 25yearold patient with Crohn's disease

Correct Answer is B

Explanation

Choice A A bowel training schedule is not typically required for patients with an ileostomy, as they have a surgically created opening (stoma) for stool to pass directly out of the body.

Choice B Bowel training can be beneficial for patients with incontinence, as it involves establishing a regular toileting routine to help regain bowel control and prevent accidental bowel movements.

Choice C C. difficile is an infectious condition that affects the gastrointestinal tract, and bowel training may not be the primary intervention for this patient.

Choice D Crohn's disease is a chronic inflammatory bowel disease, and while bowel training may be helpful for some Crohn's patients, it is not the most common intervention for this condition.

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A male patient has told a nurse that he occasionally fights constipation. Teaching the patient how to prevent constipation and promote normal elimination, the nurse instructs him to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that the best way to clean around a colostomy stoma is to use the following

Correct Answer is D

Explanation

The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

Correct Answer is B

Explanation

A nurse is preparing her patient to receive a Fleet enema. What position is best for the procedure?

A nurse educator explains to staff nurses that diarrhea can quickly become lifethreatening in elderly patients because

A patient with a colostomy asks how often the faceplate (wafer) of the ostomy appliance should be changed. The most appropriate response by the nurse is that it is usually changed every

A nurse is caring for 4 patients each patient has a colostomy bag. Which patient should be seen first and made a priority?

The most formed stool occurs in which portion of the colon?

What foods would increase colostomy odors?

A nurse is speaking to a patient about his recent bowel movement. He says, "Sometimes my bowel movements are greenish in color. Is that normal?" The nurse replies:

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?