A client asks the nurse why expelled flatus is foul-smelling. what should the nurse respond?

Correct Answer:2Rationale 1: Expulsion of the feces is assisted by contraction of the abdominal muscles and thediaphragm, which increases abdominal pressure, and by contraction of the muscles of the pelvicfloor, which moves the feces through the anal canal.Rationale 2: Normal defecation is facilitated by thigh flexion, which increases the pressurewithin the abdomen, and a sitting position, which increases the downward pressure on therectum.Rationale 3: Thigh flexion increases the pressure within the abdomen.Rationale 4: The sitting position increases the downward pressure on the rectum.Question 2A client asks the nurse why expelled flatus is foul-smelling. What should the nurse respond?1.The actions of microorganisms within the gastrointestinal tract are responsible for the odor.2.The client’s emotions are causing the gas formation.3.The sensory nerves in the rectum are being stimulated.4.The client has swallowed too much air while eating.Correct Answer:1Rationale 1: The actions of the microorganisms are responsible for the odor produced and alsothe color of the feces.

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Medical Terminology for Health Professions

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Rationale 2: Extreme stimulation of the client’s emotions would result in large amounts ofmucus being secreted.Rationale 3: The sensory nerves, when stimulated, give one the desire to defecate, not formgas.Rationale 4: Eating too fast or talking while eating does cause the formation of gas but does notcontribute to the odor.Question 3The home care nurse is reviewing a list of clients prior to making visits. For which client shouldthe nurse plan interventions to decrease the risk of developing constipation?1.An adult who is on bed rest2.An infant who is breast-fed3.A school-age child at recess4.A toddler who is now walkingCorrect Answer:1Rationale 1: Adults who are on bed rest are at greatest risk for developing constipation.Rationale 2: Infants who are breast-fed pass stools frequently, usually after each feeding,because the intestine is immature and water is not well absorbed.Rationale 3: School-age children may delay defecation because of play, but their activity stillpromotes regular bowel movements.Rationale 4: A toddler who is now walking has some control of defecation, and the nervous andmuscular systems are sufficiently well developed to permit bowel control.Question 4The nurse is taking care of a client who states that he ignores the urge to defecate when he is atwork. Which response should the nurse make to explain why this practice should be changed?1.“If you continue to ignore the urge to defecate, the urge is ultimately lost.”2.“It is best to suppress the urge rather than suffer embarrassment at work.”3.“This is a common practice, and it will strengthen the reflex later.”4.“You will get the urge later; don’t worry.”Correct Answer:1

Rationale 1: When the normal defecation reflexes are inhibited, these conditioned reflexes tendto be progressively weakened. When the urge to defecate is ignored, water continues to bereabsorbed, making the feces hard and difficult to expel. Ignoring the urge repeatedly will

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Christine Kessel