LPN LPN Urinary and Bowel Elimination 3

Question 1

Which medication class commonly causes urinary retention as a side effect?

Accepted Answer

Anticholinergics (e.g., diphenhydramine, oxybutynin)

Answer

Diuretics

Answer

ACE inhibitors

Answer

Beta-blockers

Question 2

A patient with a new ileostomy asks what the output should look like. What is the correct response?

Accepted Answer

Liquid to semi-liquid output since the colon's water absorption is bypassed

Answer

Formed solid stool similar to normal bowel movements

Answer

Completely watery, clear output at all times

Answer

Dark, tarry output indicating normal digestion

Question 3

What is the correct positioning for a female patient during urinary catheterization?

Accepted Answer

Dorsal recumbent position with knees bent and thighs separated

Answer

Left lateral (Sims') position with knees flexed

Answer

Prone position with a pillow under the hips

Answer

Sitting upright with legs hanging over the bed

Question 4

Which dietary modification is most effective for preventing constipation?

Accepted Answer

Increasing dietary fiber (25–35 g/day) and fluid intake to at least 8 glasses of water daily

Answer

Increasing protein intake and reducing carbohydrates

Answer

Eliminating all dairy products from the diet

Answer

Eating three large meals per day instead of smaller frequent meals

Question 5

When should an ostomy (colostomy or ileostomy) pouch be changed or emptied?

Accepted Answer

When the pouch is one-third to one-half full to prevent leakage and skin breakdown

Answer

Only when completely full and leaking

Answer

Every 12 hours regardless of output volume

Answer

Only during the night shift to maintain routine

Question 6

Which clinical finding is most consistent with fecal impaction?

Accepted Answer

Liquid stool oozing around hard stool mass with no formed stool for several days

Answer

Large, formed brown stool passed once daily

Answer

Bright red blood coating formed stool

Answer

Pale, clay-colored stool with jaundice