A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)
should decrease my physical activity."
should increase fluid intake."
should only take a laxative when necessary."
1 should increase fiber intake."
should strain when I try to have a bowel movement."
Correct Answer : B,C,D
A. "I should decrease my physical activity." Decreasing physical activity is not recommended as it can worsen constipation. Physical activity helps stimulate bowel movements, so this statement does not indicate proper understanding.
B. "I should increase fluid intake." Increasing fluid intake helps to soften the stool and promote bowel movements. Adequate hydration is essential in managing constipation, especially when taking opioids.
C. "I should only take a laxative when necessary." Taking a laxative only when necessary is a reasonable approach to managing constipation. Overuse of laxatives can lead to dependency and should be avoided. Using them judiciously can help manage symptoms effectively.
D. "I should increase fiber intake." Increasing dietary fiber can help to bulk up the stool and stimulate bowel movements, which is beneficial in preventing and treating constipation associated with opioid use.
E. "I should strain when I try to have a bowel movement." Straining during bowel movements is not recommended as it can lead to complications such as hemorrhoids or anal fissures. This statement indicates a misunderstanding of proper bowel habits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. bronchi: The bronchi are air passages that conduct air into the lungs. They branch into smaller tubes (bronchioles) but are not involved in the actual gas exchange process.
B. nasal passages: The nasal passages filter, warm, and humidify incoming air. They are involved in air preparation but not in the exchange of gases.
C. alveoli: The alveoli are tiny sacs within the lungs where oxygen and carbon dioxide are exchanged between the air and blood. This is the primary site for gas exchange in the respiratory system.
D. larynx: The larynx, or voice box, is involved in sound production and protecting the airway during swallowing. It is not involved in gas exchange.
Correct Answer is B
Explanation
A. ConstipationL Constipation is not a common adverse effect of oxymetazoline, which is a nasal decongestant.
B. Nasal congestion: This is correct. Prolonged use of oxymetazoline can lead to rebound congestion, where the nasal passages become more congested when the medication is stopped.
C. Productive cough: A productive cough is not associated with oxymetazoline use.
D. Sedation: Oxymetazoline does not typically cause sedation; it is a topical decongestant.
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