A client, who is on bedrest after surgery, complains of feeling bloated and having continuous oozing of small amounts of liquid stool. The nurse recognizes this as being symptomatic of which condition?
Diarrhea
Flatus
Overflow
Impaction
The Correct Answer is D
A. Diarrhea: Diarrhea typically involves the passage of loose or watery stools, often occurring frequently throughout the day. It is characterized by increased frequency, urgency, and volume of stool output. While diarrhea can cause bloating, it is not usually associated with continuous oozing of small amounts of liquid stool.
B. Flatus: Flatus refers to the passage of gas through the rectum, commonly known as "passing gas" or "flatulence." While flatus can contribute to feelings of bloating or discomfort, it does not involve the continuous oozing of liquid stool.
C. Overflow: Overflow typically occurs in the context of fecal impaction, where liquid stool leaks around a fecal mass that is blocking the rectum. However, overflow is characterized by the intermittent leakage of liquid stool, often preceded by constipation and fecal impaction. Continuous oozing of small amounts of liquid stool is not typically associated with overflow alone.
D. Impaction: Fecal impaction occurs when a large, hardened mass of stool accumulates in the rectum, making it difficult or impossible to pass stool. Continuous oozing of small amounts of liquid stool can occur around the impacted fecal mass, leading to symptoms such as bloating, discomfort, and leakage of liquid stool. Therefore, fecal impaction is the most likely condition associated with the client's symptoms.
In summary, option D (Impaction) is the correct answer as it best aligns with the client's symptoms of feeling bloated and experiencing continuous oozing of small amounts of liquid stool in the context of being on bedrest after surgery
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Quickly resuming the client's normal food intake: This is not recommended, as the client's gastrointestinal system needs time to recover from food poisoning. Resuming normal food intake too quickly may exacerbate symptoms or prolong recovery. It's essential to give the gastrointestinal system time to heal and gradually reintroduce foods as tolerated.
Answer: B. Requesting a prescription for an antidiarrheal drug from the provider.
C. Encouraging easily digestible foods when the diarrhea stops.
Rationale:
When caring for a client with profuse diarrhea from food poisoning, the nurse's interventions should focus on managing symptoms, preventing dehydration, and promoting recovery. Options B and C are appropriate nursing interventions for this scenario:
B. Requesting a prescription for an antidiarrheal drug from the provider: Antidiarrheal medications such as loperamide (Imodium) may be prescribed to help control diarrhea and reduce fluid loss. These medications work by slowing down bowel motility and can provide symptomatic relief, particularly for clients with profuse diarrhea from food poisoning. However, the use of antidiarrheal drugs should be guided by a healthcare provider's prescription to ensure appropriate dosing and monitoring, especially considering individual client factors and potential contraindications.
C. Encouraging easily digestible foods when the diarrhea stops: This is the correct option. Once the diarrhea subsides, it is appropriate to encourage the client to gradually reintroduce easily digestible foods. These foods are gentle on the digestive system and help prevent further irritation or upset. Examples of easily digestible foods include bananas, rice, applesauce, toast (BRAT diet), boiled potatoes, boiled chicken, and clear broths.
D. Limiting the client's fluid intake to about 1000 mL/day: Fluid intake should be encouraged rather than limited, especially in cases of profuse diarrhea. Diarrhea can lead to significant fluid loss and dehydration, so it's crucial to ensure adequate hydration. The client should be encouraged to drink clear fluids such as water, electrolyte solutions, and herbal teas to replace lost fluids and electrolytes.
Correct Answer is B
Explanation
A. should be explored while talking to the client: While it's important for the nurse to be aware of their own personal values and attitudes regarding sexuality, exploring them while talking to the client may not be the most appropriate approach. The focus during client interaction should be on understanding the client's perspectives, concerns, and needs, rather than discussing the nurse's personal values and attitudes.
B. should be explored before talking to the client: This is the most appropriate action. Before discussing sexuality with a client, the nurse should take time to reflect on their own personal values and attitudes regarding sexuality. This self-awareness can help the nurse approach the discussion with sensitivity, open-mindedness, and professionalism, ensuring that their own biases do not negatively influence the care provided to the client.
C. should be shared with the client: Sharing one's own personal values and attitudes regarding sexuality with the client is generally not recommended. The focus of the interaction should be on the client's needs, concerns, and preferences, rather than the nurse's personal beliefs. Sharing personal values could potentially undermine the therapeutic relationship or make the client feel uncomfortable or judged.
D. are not necessary to explore: Exploring one's own personal values and attitudes regarding sexuality is essential for providing client-centered care and maintaining professionalism. Ignoring or dismissing the nurse's own values can lead to biases influencing the care provided to the client. Therefore, it is necessary for the nurse to explore their own values before engaging in discussions with clients about sexuality.
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