A client is recovering from hernia repair surgery and is experiencing constipation due to postoperative pain medications. The nurse advises the client to increase fiber intake and stay hydrated. Which of the following additional measures should the nurse recommend?
"Take a laxative daily to relieve constipation caused by pain medications."
"Avoid physical activity and rest in bed until the constipation resolves."
"Reduce fluid intake to minimize the need for frequent trips to the bathroom."
"Engage in light physical activity, such as walking, to promote bowel movement."
The Correct Answer is D
Choice A reason:
Taking a laxative daily may not be necessary and should only be done under the guidance of a healthcare provider. Overusing laxatives can lead to dependency and other gastrointestinal issues.
Choice B reason:
Resting in bed for an extended period can worsen constipation. Physical activity helps promote bowel movement and should be encouraged.
Choice C reason:
Reducing fluid intake is not recommended for managing constipation. Staying hydrated is essential to prevent further complications and maintain overall health.
Choice D reason:
This statement is correct. Engaging in light physical activity, such as walking, helps stimulate bowel movement and may relieve constipation caused by pain medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Inguinal hernias typically present with pain and swelling in the lower abdomen and groin area.
Choice B reason:
Severe back pain radiating to the legs is not a typical symptom of inguinal hernia. This symptom may indicate other conditions such as lumbar disc herniation.
Choice C reason:
Nausea and vomiting are not common symptoms of inguinal hernia. These symptoms may be present in other gastrointestinal conditions.
Choice D reason:
Pain and tenderness in the upper abdomen are not specific to inguinal hernia. These symptoms may indicate other conditions such as gallbladder problems.
Correct Answer is B
Explanation
Choice A reason:
A small, reducible lump that is painless to the touch is consistent with some types of hernias and may not be a cause for immediate concern. However, the healthcare provider should still be notified for further evaluation.
Choice B reason:
This statement is correct. Severe abdominal pain and distention with vomiting may indicate a complication of a hernia, such as bowel obstruction or strangulation, which requires immediate medical attention.
Choice C reason:
Mild discomfort that improves with rest and analgesics may be typical for some individuals with hernias. However, it is still essential to report any changes in symptoms to the healthcare provider.
Choice D reason:
Occasional burning sensation and acid reflux after meals are not directly related to hernias. These symptoms may indicate gastroesophageal reflux disease (GERD) or other gastrointestinal issues, which should be assessed by the healthcare provider.
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