A nurse in an emergency department is caring for a client who has abdominal pain.
Exhibits

A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include?
(Select all that apply.)

Increase intake of low fiber foods.

Avoid drinking hot liquids.

Include probiotic foods in the daily diet.

Increase fluid intake to 1500 mL daily.

Increase daily exercise.

Answer and Explanation

Correct Answer : C,D,E

A.   Increasing the intake of high-fiber foods, not low-fiber ones, as fiber helps to soften stools and promote bowel movements.
B.   Drinking warm or hot liquids can stimulate bowel movements, so they should not be avoided.
C.   Including probiotic foods in the diet can help maintain a healthy gut flora, which is beneficial for digestion and preventing constipation.
D.   It is crucial to increase fluid intake, aiming for at least 1500 mL daily, to help soften the stool and support regular bowel movements.
E.   Increasing daily exercise, especially walking, can stimulate the muscles involved in the digestive process and help prevent constipation.

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Correct Answer is B

Explanation

A. Coughing while swallowing food can help clear the airway but is not a primary technique for managing dysphagia.
B. Tilting the head forward when swallowing helps to close the airway and reduce the risk of aspiration, indicating effective teaching.
C. Food should be placed on the stronger side of the mouth to aid in effective chewing and swallowing.
D. A 30° angle is insufficient; the client should be in an upright position (90°) to reduce the risk of aspiration.

A. Auscultates bowel sounds for 3 to 5 min B. Clamps the NG tube during auscultation C. Performs auscultation between meals D. Palpates the abdomen prior to performing auscultation.

Correct Answer is D

Explanation

Rationale:
A. Auscultating bowel sounds for 3 to 5 minutes is appropriate if sounds are not initially heard.
B. Clamping the NG tube prevents false bowel sounds from the tube.
C. Performing auscultation between meals ensures accurate assessment of bowel sounds.
D. Palpating the abdomen prior to auscultation can alter bowel sounds, making it important to auscultate before palpation.

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A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

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A nurse in an emergency department is caring for a client who has abdominal pain.
Exhibits

A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include?
(Select all that apply.)