Author Question: A client has a history of an inconsistent fecal elimination pattern. What should the nurse instruct ... (Read 51 times)

go.lag · **on:** Jul 23, 2018

A client has a history of an inconsistent fecal elimination pattern. What should the nurse instruct this client to improve this health problem?

1. Drink two to four glasses of water daily.
2. Include more spicy foods and sugar in the diet.
3. Include more whole grains in the diet.
4. Use enemas as desired.

Question 2

The nurse is instructing a client on ostomy care. What should be included in this teaching?

1. Change the drainage pouch daily.
2. Clothing of a special style will be needed now that a pouch is worn.
3. Stick a pin into the drainage pouch to relieve any gas buildup.
4. Secure the faceplate to the drainage pouch so no skin around the stoma is exposed.

Madisongo23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: For regular elimination, six to eight glasses of water should be consumed daily.
Rationale 2: Increasing the consumption of spicy foods and sugar will cause diarrhea, which is not a normal fecal pattern.
Rationale 3: Eating more whole grains will increase fiber in the diet, which increases bulk and volume.
Rationale 4: The constant use of enemas and laxatives will promote dependence.

Answer to Question 2

Correct Answer: 4
Rationale 1: The drainage pouches are expensive, and they can be used for up to a week before being changed. Just daily rinsing and cleaning is necessary.
Rationale 2: No special clothing has to be worn with a colostomy pouch. The client can wear the same clothes he or she wore prior to the surgery.
Rationale 3: If a pin is stuck into the pouch, a hole will be left and it will cause leakage, which is not recommended.
Rationale 4: The skin around a stoma is very susceptible to irritation and breakdown. To avoid skin irritation, the faceplate to the drainage pouch needs to fit close enough to the stoma so as not to expose any other skin.