The nurse is collecting data on the patient's normal bowel habits. The patient tells the nurse that his bowel movements normally occur every morning after breakfast. The nurse under-stands that this is due to:
1. fecal overflow.
2. gastrocolic reflex.
3. autonomic dysreflexia.
4. lack of sphincter control.
2
When food enters the stomach, it stimulates activity throughout the digestive tract and caus-es the movement of fecal mass into the rectum.
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Your patient is receiving continuous full strength tube feedings at the rate of 100 cc/hr. The aspirated residual is 260 cc. The best action to take would be to
A) hold the feeding for an hour and recheck the residual. B) decrease the rate to 50 cc/hr. C) change the concentration to one-half strength. D) lower the head of the bed until the residual is less than 20 cc.
A hospital is implementing a computerized charting system, and all nursing staff are required to be oriented to the system by a specific deadline. This is an example of which type of change?
A) Drift B) Covert change C) Unplanned change D) Overt change
There is strong evidence to support that adequate vitamin C intake prevents:
1. The common cold 2. Breast cancer 3. Scurvy 4. All of the above
The client who is totally nonambulatory (unable to walk) needs
I. no special treatment because he or she is always in one place II. to be positioned at least every 2 hours to prevent bedsores III. to be checked frequently for constipation IV. diversions such as radio, TV, or frequent visitors to prevent boredom a. I and II b. II and III c. II and IV d. II, III, and IV