A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?

Stool softener

Soap suds enema

Suppository

Mineral oil enema

Answer and Explanation

The Correct Answer is A

Choice A: A stool softener is the best option to try first for a patient with constipation as it helps to soften the stool, making it easier to pass.

Choice B: Soap suds enemas are used to promote bowel movements, but they are more invasive and can cause discomfort. Stool softeners should be tried before resorting to enemas.

Choice C : Suppositories can also help with constipation, but they are generally not the first option to try. Stool softeners are milder and more suitable initially.

Choice D: While mineral oil enemas can provide lubrication to facilitate bowel movements, stool softeners are generally preferred for their milder action.

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Correct Answer is D

Explanation

Choice A Changing the faceplate every 3 to 5 days might be necessary for some individuals with specific needs, but it is not the typical frequency for most colostomy patients.

Choice B Changing the faceplate every 1 to 3 days is too frequent for most colostomy patients and might lead to unnecessary waste and discomfort.

Choice C Changing the faceplate every 2 to 3 days is still relatively frequent and might not be necessary for most colostomy patients.

Choice D Changing the faceplate every 4 to 7 days is the usual recommendation for colostomy patients, as it allows for sufficient wear time while minimizing the frequency of changes.

A. In range from 530 bowel sounds per minute B. Less than 5 bowel sounds per minute C. Absent bowel sounds D. Over 30 bowel sounds per minute

Correct Answer is D

Explanation

Choice A This range of bowel sounds is considered normal. Hyperactive bowel sounds refer to an increased frequency and intensity of bowel sounds, exceeding the upper limit of the normal range.

Choice B Bowel sounds less than the normal range might indicate decreased bowel motility but are not associated with hyperactive bowel sounds.

Choice C Absent bowel sounds would be concerning and may indicate an ileus or other gastrointestinal issue, but it is not associated with hyperactive bowel sounds.

Choice D Hyperactive bowel sounds are characterized by an increased frequency and intensity of bowel sounds, exceeding the normal range, and are likely to be documented in a patient with abdominal pain.

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A nurse is monitoring bowel elimination of a patient who has a history of constipation. The nurse implements measures to assist with bowel elimination if the patient has not had a bowel movement what would be the BEST option to try first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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