A patient is having trouble defecating into a bedpan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?

Administering laxatives to the patient

Preparing to administer a cleansing enema

Withholding narcotic pain medication for at least 2 hours until the patient had a bowel movement successfully.

Raising the head of the bed to a semi or high Fowler's position

Answer and Explanation

The Correct Answer is D

Choice A Laxatives might be an option, but they should not be the first intervention. Other noninvasive measures should be tried first.

Choice B Administering a cleansing enema is not the first intervention for a patient having

trouble defecating into a bedpan. It is an invasive procedure and should be considered after less invasive measures have been tried.

Choice C Withholding pain medication might lead to unnecessary discomfort for the patient and is not the best approach to promote bowel movements.

Choice D Raising the head of the bed will help the patient assume a more upright position, which can facilitate bowel movement and defecation into the bedpan more effectively.

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Correct Answer is D

Explanation

Choice A Changing the faceplate every 3 to 5 days might be necessary for some individuals with specific needs, but it is not the typical frequency for most colostomy patients.

Choice B Changing the faceplate every 1 to 3 days is too frequent for most colostomy patients and might lead to unnecessary waste and discomfort.

Choice C Changing the faceplate every 2 to 3 days is still relatively frequent and might not be necessary for most colostomy patients.

Choice D Changing the faceplate every 4 to 7 days is the usual recommendation for colostomy patients, as it allows for sufficient wear time while minimizing the frequency of changes.

A. "Listening to your bowel sounds is just part of the physical assessment, so it's nothing you need to worry about. It will only take me a few minutes to listen; then I'll let you rest." B. "Your surgeon has written orders to assess your abdomen every 4 hours. I'm sorry if it worries you, but I must do my job." C. "General anesthesia puts everything to sleep, including the bowel, so it is important to determine when bowel sounds have returned." D. "We listen so we can let your surgeon know your gastrointestinal system wasn't damaged by the anesthesia."

Correct Answer is C

No explanation

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A patient is having trouble defecating into a bedpan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a colostomy asks how often the faceplate (wafer) of the ostomy appliance should be changed. The most appropriate response by the nurse is that it is usually changed every

Correct Answer is D

Explanation

The day after surgery, a patient asks a nurse, "Why do the nurses keep listening to my abdomen? That's not where I had surgery." Which of the following responses best answers the patient's question?

Correct Answer is C

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