An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

After cleaning the backside, apply a skin protective lotion to protect the skin.

Tape an occlusive moisture barrier pad to the patient's skin.

Massage the skin with deep kneading pressure.

Thoroughly scrub the skin with a washcloth and hypoallergenic soap.

Answer and Explanation

The Correct Answer is A

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Correct Answer is A

Explanation

Choice A Addressing the cause of the patient's anxiety and fear is the priority to provide

emotional support and comfort. The nurse should actively listen to the patient's concerns and offer appropriate reassurance and information.

Choice B While assessing the patient's bowel sounds and gas is important for the overall care, it is not the priority at this moment when the patient is expressing fear and anxiety.

Choice C Addressing the family's questions is important, but the patient's emotional wellbeing should be the immediate focus.

Choice D Respiratory assessment is essential but is not the priority when the patient is expressing fear and anxiety about the upcoming surgery.

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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An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an anxious patient who is scheduled for surgery for colostomy placement. While the nurse is talking to the patient, the patient states, "I am so scared." It is a priority for the nurse to focus on addressing the

Correct Answer is A

Explanation

After an initial assessment, a nurse documents that a patient, admitted for abdominal pain, has hyperactive bowel sounds. As a result, the nurse could expect the patient's bowel movements to be

Correct Answer is D

Explanation

What foods would increase colostomy odors?

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

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

Your patient complains of excessive flatus. When reviewing the patient's dietary intake, which food, if eaten regularly, would you identify as possibly responsible?

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

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

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

The day after surgery, a patient asks a nurse, "Why do the nurses keep listening to my abdomen? That's not where I had surgery." Which of the following responses best answers the patient's question?