NUR 155 Chapter 40 Bowel Elimination

Multiple Choice

Which of the following is NOT a part of the small intestine?

• Duodenum

• Jejunum

• Ileum

• Esophagus

Open Ended

______ are the wave-like muscle movements that help push food and waste (feces) through the digestive system.

Multiple Choice

Which part of the large intestine is responsible for storing feces before defecation?

• Rectum

• Cecum

• Ascending colon

• Sigmoid colon

Multiple Select

Which of the following are possible abnormal colors of feces and their associated causes?

• Clay or white - Absence of bile pigment

• Black or tarry - Drugs, UGI bleeding, red meat

• Red - Bleeding lower GI, some foods

• Brown - Intestinal infection

Multiple Choice

Which abnormal defecation pattern is most commonly associated with Clostridium difficile infection?

• Diarrhea

• Constipation

• Impaction

• Flatulence

Fill in the Blanks

The sigmoid colostomy is used for

tumors.

Multiple Select

Which of following psychological factors can affect bowel elimination

• depression

• gaseous distention

• surgery and anesthesia

• Diarrhea, nausea, vomiting

Multiple Choice

Which laboratory test requires a special diet to be prescribed 48 to 72 hours before the test?

• Stool culture

• Fecal occult blood test (Guaiac test)

• Upper GI series

• Barium swallow

Multiple Select

Which of the following are included in diagnostic examinations for gastrointestinal assessment?

• Upper GI series

• Lower GI series

• Endoscopy

• Stool culture

Multiple Choice

What is the primary purpose of client preparation before endoscopy or colonoscopy?

• To ensure accurate test results and patient safety

• To reduce procedure time

• To avoid the need for anesthesia

• To increase patient comfort only

Multiple Select

Which of the following supporting data would lead to a nursing diagnosis of diarrhea.

• narcotic pain use

• cramping increasing after eating

• liquid mucousy stool

• hypoactive bowel sounds

Fill in the Blanks

Goals related to re-establishing normal bowel function and prevention of further complications include: Client will defecate formed stools within

hours after colonoscopy.

Multiple Choice

Which intervention is recommended to encourage a regular elimination pattern in clients?

• Suggest warm liquids to stimulate peristalsis

• Restrict fluid intake

• Encourage straining during defecation

• Avoid monitoring for impaction

Multiple Select

Which of the following are part of preventive screening and dietary interventions for bowel health?

• Fecal occult blood test

• Sigmoidoscopy and colonoscopy

• High-fiber foods

• Restricting all liquids

Fill in the Blanks

A bedside

is used for clients who cannot walk to the bathroom.

Multiple Choice

What should a nurse do if the goals for bowel elimination have not been met?

• Review and revise the plan of care

• Discontinue all interventions

• Ignore the client's condition

• Increase medication dosage without evaluation

Multiple Select

Which of the following are modifiable risk factors for colorectal cancer?

• Cigarette smoking

• Obesity

• Age over 45

• Personal history of colorectal polyps

Open Ended

Reflecting on what you have learned about the gastrointestinal tract, what is one question you still have or one area you would like to explore further?