Nokea
To assist a family with a bowel-training program to reduce fecal incontinence, the nurse would suggest the use of which item at an optimal time to stimulate defecation?
- A. warm bath
- B. a tap water enema
- C. glycerin suppository
- D. large glass of warm lemonade
Correct Answer: C
Rationale: The use of a glycerin suppository for fecal stimulation is a helpful aid in a bowel-training program. The suppository is administered at what the family and patient have determined is the optimal time for a bowel movement.
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In reinforcing a teaching plan to present to a group of older adults regarding the prevention of esophageal cancer, the nurse would include which significant information?
- A. cessation of smoking.
- B. Frequent monitoring for Barrett's esophagus
- C. regular checkups if dysphagia is present.
- D. reducing excessive weight.
- E. limiting alcohol consumption.
- F. reduction of consumption of citrus fruits.
Correct Answer: A,B,C,E
Rationale: Preventive measures include cessation of smoking and alcohol consumption, monitoring for Barrett's esophagus, and medical evaluation of dysphagia. Weight and reduction of citrus fruits are noncontributory to prevention of esophageal cancer.
Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?
- A. Consume only liquid.
- B. Avoid fruit juices.
- C. Drink 10 oz of fluid with each meal.
- D. Lie down for 30 minutes after each meal.
Correct Answer: C
Rationale: The patient should drink fluid with each meal to increase lower esophageal pressure to push food into the stomach.
The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition. Which will be the best nursing response?
- A. Go for it. Alternative medicine does great things.'
- B. YIKES! An acupuncturist?'
- C. Some people have found relief from nausea and colon muscle spasms.'
- D. You should confirm that the acupuncturist and facility are state licensed.'
Correct Answer: C
Rationale: Some people find that acupuncture provides relief from nausea, vomiting and relaxation of muscle spasms in the colon. However, clinical trial data are inadequate to determine efficacy.
The home health nurse caring for a patient who has dysarthria related to radiation therapy for an oral cancer would recommend that the family provide which device?
- A. a tablet and pencil as a communication aid.
- B. a TV for diversion.
- C. a bell to summon help.
- D. a walkie-talkie.
Correct Answer: A
Rationale: The provision of an alternative method of communicating will lessen the frustration of the patient who has trouble speaking understandably. The call bell would be helpful also, but without a way to communicate, the bell is not as essential as a method of communication.
The nurse points out which is an example of a nonmechanical bowel obstruction?
- A. A paralytic ileus
- B. Narrowed bowel lumen from an inflammatory process
- C. Tumor of the bowel
- D. Fecal impaction
Correct Answer: A
Rationale: A nonmechanical bowel obstruction can be caused by a paralytic ileus.