A 65 year old client is being seen at the outpatient clinic for a routine physical exam. The abdominal assessment shows distention, firmness, and the client states tenderness throughout the 4 quadrants. Upon further questioning of the client the following is determined; a slight decrease in appetite. consumes 320 mL of water per day along with 320 mL of other fluids such as coffee and soda, snacks frequently on cheese and crackers rather than full meals, and does not get much activity. Client states they have one to two bowel movements per week of hard formed stool. Based on the physical assessment and the answered questions what would be the recommended interventions for this client?
SELECT ALL THAT APPLY.
Administer an enema twice a week to stimulate peristalsis.
Eat a high- fiber diet that includes whole grains, bran, and beans daily.
Engage in regular exercise such as walking 20-30 minutes daily.
Consume only well-cooked fruits and vegetables daily.
Increase consumption of eggs, meat, and dairy daily.
Correct Answer : B,C
A. Administering an enema may not be the first-line intervention and may have potential risks. Dietary and lifestyle changes are usually recommended first.
B. A high-fiber diet promotes regular bowel movements and helps prevent constipation.
C. Regular exercise, such as walking, can stimulate bowel activity and improve overall health.
D. Well-cooked fruits and vegetables are beneficial, but the emphasis should be on increasing fiber intake.
E. Increasing consumption of eggs, meat, and dairy may not address the constipation issue and might contribute to a low-fiber diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Administering an enema may not be the first-line intervention and may have potential risks. Dietary and lifestyle changes are usually recommended first.
B. A high-fiber diet promotes regular bowel movements and helps prevent constipation.
C. Regular exercise, such as walking, can stimulate bowel activity and improve overall health.
D. Well-cooked fruits and vegetables are beneficial, but the emphasis should be on increasing fiber intake.
E. Increasing consumption of eggs, meat, and dairy may not address the constipation issue and might contribute to a low-fiber diet.
Correct Answer is C
Explanation
A. Increasing oxygen via face mask may be necessary, but raising the head of the bed is the initial priority to improve oxygenation.
B. Reporting vital signs is important, but immediate intervention is needed to address the low oxygen saturation.
C. Raising the head of the bed helps improve lung expansion and oxygenation in pneumonia patients by reducing pressure on the diaphragm.
D. Administering albuterol may be part of the plan, but improving the client's position is the immediate priority.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.