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Removing and reinserting the catheter is invasive and should not be the first step unless obstruction or misplacement is confirmed. Premature removal may introduce infection or trauma, and reinsertion without assessing simpler causes violates standard troubleshooting protocols.

Notifying the healthcare provider is appropriate if initial nursing interventions fail or if the patient shows signs of systemic compromise. However, before escalating, nurses are expected to perform basic assessments to rule out reversible causes such as tubing obstruction.

Increasing oral fluid intake may help with hydration and urine production, but it does not address the mechanical obstruction or retention issue. If the bladder is already distended, adding more fluid without resolving the blockage may worsen the condition.

"Scrotal-shaped stool" is not a medically recognized term and appears to be a typographical error. Stool shape is typically described as formed, loose, or liquid depending on the location of the colostomy and bowel function.

Loose stool may occur in colostomies located in the transverse colon, but it is not the expected output for most colostomies unless there is an underlying issue such as infection, dietary changes, or medication effects.

Liquid stool is characteristic of ileostomies, not colostomies. In colostomies, especially those placed distally, the stool is typically more formed due to longer transit time and water reabsorption.

Insufficient fluid intake can contribute to true constipation by hardening stool and slowing transit time. However, pseudoconstipation refers to the perception of constipation without actual stool retention, often due to behavioral or psychological factors.

Eating fruits and vegetables typically improves bowel regularity due to their fiber and water content. This would help prevent constipation, not cause pseudoconstipation.

Intake of fibrous foods promotes bowel movements and prevents constipation. It does not contribute to pseudoconstipation unless the client misinterprets normal stooling patterns or expects more frequent bowel movements than physiologically necessary.

Aspirating the tube during removal is not a recommended practice. It may increase the risk of mucosal trauma or aspiration of residual contents. Instead, the tube should be cleared prior to removal to prevent complications.

Changing suction settings is relevant during tube management but not during removal. Once removal is initiated, suction should be discontinued entirely to prevent tissue injury or negative pressure effects.

Instilling water for lubrication is not standard practice and may introduce fluid into the gastrointestinal tract unnecessarily. Instead, the tube should be cleared with air to prevent aspiration and removed in a controlled manner.

Recommending a laxative without assessing the underlying cause or providing education is premature and may lead to dependency or misuse. Fiber-related constipation often has a modifiable cause.

Telling the client to wait without addressing the issue may delay effective intervention. Constipation related to fiber intake often requires concurrent hydration to be effective.

While informing the physician is appropriate, it does not address the client’s immediate concern or provide actionable education. Nurses are responsible for client teaching in this context.

Obesity is a long-term outcome of caloric excess, not an acute response to overfeeding. It does not occur immediately due to a single excessive feeding.

Pallor is unrelated to gastric volume. It may indicate anemia or poor perfusion but is not a direct consequence of overfeeding.

Diarrhea may occur with rapid or hyperosmolar feedings, but it is not the primary concern when the stomach’s volume capacity is exceeded. Reflux and aspiration are more immediate risks.

Diarrhea involves frequent loose stools and may cause irritation but does not typically cause pain from venous distension in the rectum.

Bowel obstruction causes abdominal pain, distension, and vomiting, not localized rectal vein pain.

Aspiration refers to inhalation of gastric contents into the lungs and is unrelated to rectal vein distension or pain.

Long-term enteral nutrition is typically administered via gastrostomy or jejunostomy tubes, not orogastric tubes. Orogastric tubes are intended for temporary use due to discomfort and risk of mucosal injury.

Orogastric tubes are not used to manage constipation. Constipation is addressed through dietary modifications, pharmacologic agents, and bowel regimens—not gastric decompression.

While orogastric tubes can be used for short-term enteral nutrition, this is not their primary purpose. Their main role is decompression, especially in acute care settings.

Diarrhea involves frequent loose stools and may cause irritation or perianal discomfort, but it does not cause venous distension in the rectum.

Bowel obstruction typically presents with abdominal pain, vomiting, and distension, not localized rectal vein pain.

Aspiration refers to the inhalation of gastric contents into the lungs and is unrelated to rectal vein pathology or pain.

Decreased output may be concerning in some contexts, but with an ostomy, the more immediate concern is skin integrity around the stoma site due to constant exposure to effluent.

Constipation is less common in clients with an ostomy, especially if the ostomy is in the ileum. However, it may occur in colostomies, but it is not the primary concern.

Urinary retention is not directly related to ostomy care unless the client has concurrent urologic issues. It is not a primary concern in ostomy monitoring.