The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

A 40yearold patient with an ileostomy

A 70yearold patient with incontinence

A 30yearold patient with C. difficile

A 25yearold patient with Crohn's disease

Answer and Explanation

The Correct Answer is B

Choice A A bowel training schedule is not typically required for patients with an ileostomy, as they have a surgically created opening (stoma) for stool to pass directly out of the body.

Choice B Bowel training can be beneficial for patients with incontinence, as it involves establishing a regular toileting routine to help regain bowel control and prevent accidental bowel movements.

Choice C C. difficile is an infectious condition that affects the gastrointestinal tract, and bowel training may not be the primary intervention for this patient.

Choice D Crohn's disease is a chronic inflammatory bowel disease, and while bowel training may be helpful for some Crohn's patients, it is not the most common intervention for this condition.

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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. Worms from unsanitary conditions B. Occult blood in the stool C. Normal stool characteristics D. Irritant or inflamed portion of the bowel

Correct Answer is D

Explanation

Choice A Stool with worms would present as visible worms or worm segments in the stool and not pus.

Choice B Occult blood refers to blood that is not visible to the naked eye and is not related to the presence of pus in the stool.

Choice C Pus in the stool is not considered a normal stool characteristic.

Choice D The presence of pus in the stool may indicate inflammation or infection in the gastrointestinal tract, potentially from conditions such as inflammatory bowel disease (IBD) or infection.

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The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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