Which patient is most at risk for increased peristalsis

A 5-year-old child who ignores the urge to defecate owing to embarrassment

A 40-year-old female with major depressive disorder

An 80-year-old male in an assisted-living environment.

A 21-year-old female with three final examinations on the same day

Answer and Explanation

The Correct Answer is D

A. A 5-year-old child who ignores the urge to defecate owing to embarrassment. Ignoring the urge to defecate slows peristalsis, leading to constipation.

B. A 40-year-old female with major depressive disorder. Depression is more likely to cause decreased peristalsis and constipation.

C. An 80-year-old male in an assisted-living environment. Aging typically slows peristalsis, leading to constipation.

D. A 21-year-old female with three final examinations on the same day. Stress and anxiety stimulate the sympathetic nervous system, increasing peristalsis and leading to diarrhea.

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Correct Answer is D

Explanation

A. After the client feels abdominal cramping: Too late. Cramping may indicate constipation or excessive straining.

B. Immediately before the client has a meal: Not effective. The gastrocolic reflex occurs after eating, not before.

C. Every 2 hr while the client is awake: This is unnecessary and does not align with the body’s natural elimination pattern.

D. When the client has the urge to defecate: Most effective approach. Encourages natural elimination patterns.

A. Cleanse the skin with antibacterial soap and apply talcum powder to the buttock. B. Initiate a bowel or habit training program to promote continence. C. Use sanitary pads in the patient's underwear. D. Help the patient go to the toilet once every hour.

Correct Answer is B

Explanation

A. "Cleanse the skin with antibacterial soap and apply talcum powder to the buttock." Antibacterial soap can be too harsh for the skin, and talcum powder is not recommended because it does not provide an effective moisture barrier.

B. "Initiate a bowel or habit training program to promote continence." A scheduled toileting program helps establish a routine and reduce episodes of incontinence.

C. "Use sanitary pads in the patient's underwear." While absorbent products may be used, they do not address the underlying issue or promote continence.

D. "Help the patient go to the toilet once every hour." Frequent toileting may be impractical and unnecessary. Habit training with scheduled bathroom times is more effective.

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Which patient is most at risk for increased peristalsis

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is implementing a bowel training program for a client. For the program to be effective, the nurse should take the client to the toilet at which of the following times?

Correct Answer is D

Explanation

What should the nurse teach family caregivers when a patient has fecal incontinence because of cognitive impairment?

Correct Answer is B

Explanation

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

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A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

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A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

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