A nurse is helping to implement a bowel training program for a patient.
To ensure the effectiveness of the program, when should the nurse take the patient to the bathroom?

Every 2 hours while the patient is awake.

When the patient has the urge to defecate.

Immediately before meals.

After the patient feels abdominal cramping.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Taking the patient to the bathroom every 2 hours while the patient is awake is not the most effective strategy for a bowel training program. This approach does not take into account the natural rhythms of the body and the patient’s personal comfort. It may lead to unnecessary trips to the bathroom, which can be physically and emotionally draining for the patient.

Choice B rationale:

This is the correct answer. A bowel training program aims to help the patient regain control over their bowel movements. Taking the patient to the bathroom when they have the urge to defecate aligns with this goal. It allows the patient to respond to their body’s signals, which can help improve their confidence and independence over time.

Choice C rationale:

Taking the patient to the bathroom immediately before meals is not the most effective strategy for a bowel training program. While it’s true that eating can stimulate bowel movements due to the gastrocolic reflex, this approach does not consider the patient’s comfort or individual needs. It may also disrupt the patient’s enjoyment of their meals.

Choice D rationale:

Waiting until the patient feels abdominal cramping is not the most effective strategy for a bowel training program. Abdominal cramping can be a sign of constipation or other digestive issues. It’s important to address these issues separately and not rely on them as indicators for when to take the patient to the bathroom.

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Correct Answer is C

Explanation

Choice A rationale:

The statement “I do my wheelchair exercises sitting in my chair” is correct. Wheelchair exercises are designed to be performed while seated in a wheelchair. They help to maintain muscle strength and flexibility, which is crucial for individuals with paralysis.

Choice B rationale:

The statement “I use a suppository every night to have a bowel movement” is also correct. Individuals with paralysis often have difficulty with bowel movements due to lack of muscle control. Using a suppository can stimulate the rectum and induce a bowel movement. Choice C rationale:

The statement “I need to catheterize myself twice a day” indicates a need for further teaching. Individuals with paralysis from the waist down following a spinal cord injury typically need to perform intermittent self-catheterization every 4-6 hours, not just twice a day. This helps to prevent urinary tract infections and bladder overdistension.

Choice D rationale:

The statement “I carry a water bottle with me because I drink a lot of water” is correct. Drinking plenty of water is important for overall health and can help to prevent urinary tract infections, which are common in individuals who self-catheterize.

A. Ignoring the urge to defecate B. Increased fiber in the diet C. Excessive laxative use D. Increased activity

Correct Answer is ["D"]

Explanation

Choice A rationale:

Petroleum-based ointments like Vaseline are not recommended for moisturizing lips, especially for patients on oxygen therapy. This is because petroleum jelly is not effective at restoring moisture once it’s been lost. Moreover, it can feel heavy and slippery on the lips, and it’s not very eco-friendly.

Choice B rationale:

Oxygen tanks should be kept at a safe distance from heat sources, including electric stoves. However, the recommended distance is not 4 feet but rather at least 5-10 feet away. This is to minimize the risk of fire or combustion.

Choice C rationale:

Wool blankets are not recommended when using oxygen. Wool can cause a spark which can be dangerous around oxygen. It’s important to avoid anything that may cause a spark around home oxygen, including electric heaters, electric blankets, electric razors, hair dryers, or friction toys.

Choice D rationale:

Oxygen tanks should always be stored upright. This prevents any strain on the valves or other components and reduces the risk of damage and potential gas leaks.

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A nurse is helping to implement a bowel training program for a patient. To ensure the effectiveness of the program, when should the nurse take the patient to the bathroom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which statement by the adolescent indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a patient who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)

Correct Answer is ["D"]

Explanation

A nurse is preparing to insert an indwelling urinary catheter for a patient. What actions should the nurse plan to take?

A nurse is caring for a patient who is experiencing nausea and vomiting. The nurse should identify that the patient is at risk for which of the following acid-base imbalances?

A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?

A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?

A nurse is instructing a newly licensed nurse on how to obtain a fecal occult blood test from a patient. What information should the nurse include?

A nurse is assessing a patient with respiratory acidosis. What symptoms should the nurse anticipate?

A nurse is caring for a client who has Chronic Obstructive Pulmonary Disease (COPD). Which of the following acidbase imbalances is the client at risk for?

A nurse is assisting with the care of a patient who is receiving supplemental oxygen for hypoxia. Which of the following findings should the nurse identify as an indication that the intervention was effective?

A nurse is helping to implement a bowel training program for a patient.
To ensure the effectiveness of the program, when should the nurse take the patient to the bathroom?