Question 1

Which of the following best describes the primary function of the large intestine?

Accepted Answer

Absorbing water and forming feces

Question 2

A 70-year-old patient on bedrest is experiencing infrequent, hard stools. Which combination of factors most likely contributes to this constipation?

Accepted Answer

Decreased mobility and use of opioid medications

Question 3

During a physical assessment of the abdomen, which sequence should the nurse follow?

Accepted Answer

Inspection, auscultation, percussion, palpation

Question 4

A patient is prescribed an opioid for pain management. What is the most likely effect on their bowel elimination?

Accepted Answer

Decreased GI motility and constipation

Question 5

Which of the following foods should a patient with a new colostomy avoid during the first 6–8 weeks post-surgery?

Accepted Answer

Nuts and popcorn

Question 6

A nurse is collecting a timed stool specimen. Which action is correct?

Accepted Answer

Start the timing period with the first stool passed

Question 7

Which of the following is a direct visualization study used to examine the rectum, colon, and distal small bowel?

Accepted Answer

Colonoscopy

Question 8

A patient with diarrhea is at risk for skin breakdown. Which nursing intervention is most appropriate?

Accepted Answer

Change bed linens and clothing as necessary

Question 9

Which enema is specifically indicated for the destruction of intestinal parasites?

Accepted Answer

Anthelmintic enema

Question 10

A patient is being educated about foods that may cause gas and odor after a colostomy. Which food should be avoided?

Accepted Answer

Cabbage

Question 11

Which of the following statements about peristalsis is correct?

Accepted Answer

Mass peristalsis sweeps occur one to four times each 24-hour period

Question 12

A nurse is teaching a patient about preventing food poisoning. Which of the following is a correct recommendation?

Accepted Answer

Use a food thermometer to ensure food reaches a safe internal temperature

Question 13

A patient with a sigmoid colostomy asks about the expected appearance of their stool. What should the nurse explain?

Accepted Answer

Stool will be formed and similar to normal bowel movements

Question 14

Which of the following is NOT a recommended nursing measure for a patient with diarrhea?

Accepted Answer

Encourage a high-fiber diet immediately

Question 15

A patient is scheduled for a colonoscopy. Which of the following best describes this procedure?

Accepted Answer

Direct visualization of the rectum, colon, and distal small bowel using a fiberoptic scope

Question 16

Which of the following is a correct statement regarding bowel training programs?

Accepted Answer

They manipulate factors such as food, fluid intake, and exercise to promote regular elimination

Question 17

A nurse is caring for a patient with an ileostomy. Which of the following is a priority in ostomy care?

Accepted Answer

Inspect the stoma regularly and keep the surrounding skin clean and dry

Question 18

Which of the following medications is most likely to cause diarrhea as a side effect?

Accepted Answer

Antibiotics

Question 19

A nurse is teaching a patient about the importance of dietary fiber for bowel elimination. Which statement by the patient indicates understanding?

Accepted Answer

Fiber increases water absorption in the colon, helping to form soft, bulky stools

Question 20

A patient with a history of depression and decreased fluid intake is at risk for which bowel elimination problem?

Accepted Answer

Constipation

Ch 39: Bowel Elimination

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