What influences regular bowel patterns? (Select all that apply.)

What influences regular bowel patterns? (Select all that apply.)
 
  a. Level of activity
  b. Diet
  c. Medication
  d. Fluid intake
  e. Lifestyle

Question 2

What statement by the patient would indicate stress incontinence?
 
  a. Lifting my grandchild makes me wet my pants.
  b. I frequently wet myself because I just can't get to the bathroom in time.
  c. My arthritis makes me so clumsy that I can't get my pants down in time.
  d. Every time I have a urinary infection, I experience incontinence.

Question 3

What can the nurse implement to reduce episodes of bowel incontinence?
 
  a. Encourage intake of foods that cause mild constipation.
  b. Use appropriate disposable garments, pads, and bed covering.
  c. Establish a toileting schedule.
  d. Coach the patient in Kegel exercises.

Question 4

The patient complains of feeling the need to urinate and fullness and tenderness in the bladder area. The patient is restless and diaphoretic. What is the most appropriate initial nursing intervention?
 
  a. Help the patient into a warm tub bath to stimulate voiding.
  b. Catheterize the patient.
  c. Palpate the bladder fundus.
  d. Place heated towels over the bladder area.

Question 5

Which patient would need enhanced skin care precautions?
 
  a. Patient who has one unformed stool after a bolus of tube feeding
  b. Patient who has an unformed stool followed by a formed stool 3 hours later
  c. Patient who reports cramping and nausea followed by an unformed stool
  d. Patient who reports no abdominal discomfort but has had three unformed stools in 8 hours

Question 6

Which of the following complaints by the 80-year-old resident would indicate a need for the nurse to complete a focused bowel assessment on the resident?
 
  a. The inability to have a bowel movement every day
  b. Feeling pressure and fullness in the rectum but is unable to defecate
  c. Having had one loose stool after breakfast
  d. Ingestion and flatulence

Question 7

The patient has begun taking psyllium (Metamucil). What advice should be given to the patient?
 
  a. Eat several servings of fresh fruit and vegetables a day.
  b. Avoid citrus fruit juices.
  c. Reduce intake of carbonated drinks.
  d. Increase his fluid intake to 3000 mL a day.