A nurse is preparing a bowel training program for a patient. Which actions will the nurse take? (Select all that apply)
Choose a time based on the patient’s pattern to initiate defecation-control measures.
Lean backward on the hips while sitting on the toilet
Maintain normal exercise within the patient’s physical ability.
Record times when the patient is incontinent
Help the patient to the toilet at the designated time.
Apply pressure with hands over the abdomen and strain while pushing
Correct Answer : A,B,D,E
Choice A reason: Choosing a time based on the patient’s defecation pattern leverages the gastrocolic reflex, promoting regular bowel movements. Scheduled toileting aligns with natural rhythms, enhancing bowel training success and reducing incontinence episodes.
Choice B reason: Leaning backward on the toilet is not recommended, as it misaligns the anorectal angle, hindering defecation. A forward-leaning or squatting position facilitates easier stool passage, making this action incorrect for bowel training.
Choice C reason: Normal exercise stimulates peristalsis through abdominal muscle movement and increased blood flow to the gut. Within the patient’s ability, it supports regular bowel function, making it an essential component of a bowel training program.
Choice D reason: Recording incontinence times identifies patterns and triggers, allowing tailored interventions. This data informs adjustments to the toileting schedule or dietary changes, improving the effectiveness of the bowel training program.
Choice E reason: Helping the patient to the toilet at designated times ensures adherence to the scheduled toileting plan, especially for those with mobility or cognitive issues. It promotes continence and reinforces the bowel training routine.
Choice F reason: Applying abdominal pressure and straining (Valsalva maneuver) risks pelvic floor strain, hemorrhoids, or cardiovascular stress. Gentle defecation with proper positioning is safer and more effective, making this action inappropriate for bowel training.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Irrigating an NG tube requires sterile technique and assessment of patency, which are beyond the UAP’s scope. This task involves clinical judgment to avoid complications like aspiration, making it inappropriate for delegation.
Choice B reason: Assisting a client to the bathroom post-enema is within the UAP’s scope, involving mobility support and safety. This task does not require clinical judgment beyond ensuring the client’s stability, making it appropriate for delegation.
Choice C reason: Digital removal of stool is an invasive procedure requiring assessment for complications like vagal stimulation or rectal trauma. It is outside the UAP’s scope, as it demands nursing judgment and skill.
Choice D reason: Checking tube feeding aspirate pH and auscultating bowel sounds involve clinical assessment to confirm tube placement and gastrointestinal function. These tasks require nursing expertise and cannot be delegated to a UAP.
Correct Answer is D
Explanation
Choice A reason: High intake of animal fats or red meat is a recognized risk factor for colorectal cancer. These foods, high in saturated fats, may promote inflammation and alter gut microbiota, increasing carcinogenesis risk in the colon, supported by epidemiological studies linking diet to cancer.
Choice B reason: Rectal bleeding is a warning sign of colorectal cancer. It results from tumor erosion or ulceration in the colon or rectum, causing blood in stool. This symptom prompts diagnostic evaluation, like colonoscopy, to detect malignancy early, improving treatment outcomes.
Choice C reason: Smoking is a risk factor for colorectal cancer. Tobacco’s carcinogenic compounds, like polycyclic aromatic hydrocarbons, damage colonic mucosa, increasing mutation risk. Smoking also promotes inflammation, contributing to tumor development, making it a significant modifiable risk factor in colorectal cancer prevention.
Choice D reason: Diarrhea is not a specific warning sign of colorectal cancer. While it may occur, it’s more commonly associated with infections or irritable bowel syndrome. Cancer typically presents with persistent bleeding, weight loss, or bowel habit changes, making diarrhea less diagnostic and misleading for teaching.
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