The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?
A 40yearold patient with an ileostomy
A 70yearold patient with incontinence
A 30yearold patient with C. difficile
A 25yearold patient with Crohn's disease
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice b. Insert the tip of the enema tube into the rectum pointing towards the umbilicus.
Choice A rationale:
Giving the enema while the patient sits on the toilet is incorrect because it can cause discomfort and does not allow for proper administration of the enema solution.
Choice B rationale:
Inserting the tip of the enema tube into the rectum pointing towards the umbilicus is correct because it follows the natural curvature of the rectum and colon, ensuring effective delivery of the solution.
Choice C rationale:
Having the patient lie on the right side is incorrect. The left lateral position is typically recommended for enema administration as it allows the solution to flow more easily into the sigmoid colon and descending colon.
Choice D rationale:
Chilling the water to a temperature between 75°F and 85°F is incorrect. The enema solution should be warmed to body temperature (around 99°F to 106°F) to avoid causing cramping or discomfort.
Correct Answer is B
Explanation
The correct answer is choice b. Ascending colon.
Choice A rationale:
The sigmoid colon is the last part of the large intestine before the rectum. By this stage, the stool is usually well-formed as most water has been absorbed.
Choice B rationale:
The ascending colon is the first part of the large intestine where the stool is least formed. This is because it is the initial stage of the large intestine where water absorption begins, so the stool is still relatively liquid.
Choice C rationale:
The descending colon is further along the digestive tract, where more water has been absorbed, making the stool more formed compared to the ascending colon.
Choice D rationale:
The transverse colon is between the ascending and descending colons. While the stool here is more formed than in the ascending colon, it is less formed than in the descending and sigmoid colons.
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