The nurse collects a nursing history from a patient who says she keeps so busy she often ignores the need to defecate. The nurse explains the danger of this behavior is what?
A) External sphincter will require more distention to stimulate reflex
B) Incontinence of stool due to loss of sphincter control
C) Diarrhea
D) Malabsorption of nutrients from the colon
A
Feedback:
The receptors in the external sphincter adapt relatively quickly and will stretch and require more and more distention to stimulate the reflex if the reflex is ignored. This will not lead to bowel incontinence and is more likely to result in constipation from prolonged water absorption than diarrhea. Nutrients are not absorbed from the colon.
You might also like to view...
A woman who has recently given birth complains of pain and tenderness in her leg. On physical examination, the nurse notices warmth and redness over an enlarged, hardened area. The nurse should suspect:
a. Disseminated intravascular coagulation. b. von Willebrand disease. c. Thrombophlebitis. d. Coagulopathies.
Therapeutic management of the child with acute diarrhea and dehydration usually begins with
a. Clear liquids b. Adsorbents, such as kaolin and pectin c. Oral rehydration solution (ORS) d. Antidiarrheal medications such as paregoric
A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction. Which question should the nurse ask first to assess for possible etiologic factors?
a. "Do you experience an unusual amount of stress?" b. "Do you use any recreational drugs or drink alcohol?" c. "Do you have chronic cardiovascular or peripheral vascular disease?" d. "Do you have a history of an erection that lasted for 6 hours or more?"
The student nurse is constructing a presentation on evidence-based practice. Which statement should be included in the introduction about evidence-based practice?
A) Conscientious integration of current best evidence with clinical expertise B) Utilization of nursing preferences in making clinical decisions C) Theoretical problem-solving strategy D) Emphasis on decision making based on custom