A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?

Auscultate the client's abdomen for bowel sounds.

Provide the client privacy with a set time to defecate.

Administer a fiber-based laxative to the client.

Encourage the client to increase oral intake of fluids.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Auscultate the client's abdomen for bowel sounds. This is the first action the nurse should take because it provides information about the client's bowel motility and function. Opioid medications can decrease bowel motility and cause constipation. The nurse should assess the client's abdomen before implementing any interventions.

Choice B is not correct because providing privacy and a set time to defecate is a nonpharmacological intervention that can help prevent constipation, but it is not the first action the nurse should take.
Choice C is not correct because administering a fiber-based laxative is a pharmacological intervention that can help treat constipation, but it is not the first action the nurse should take. The nurse should also consider the client's fluid intake and preference before giving a laxative.
Choice D is not correct because encouraging the client to increase oral intake of fluids is a nonpharmacological intervention that can help prevent constipation, but it is not the first action the nurse should take. The nurse should also consider the client's fluid balance and medical condition before giving fluids.

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Correct Answer is D

Explanation

The correct answer is choice D. During injection of the contrast medium, the client may experience a feeling of heat. Choices A and C are incorrect because numbness in the fingertips and pain in the jawline are not expected during the procedure. Choice B is incorrect because the urge to urinate is associated with cystoscopy. Choice A is not correct because numbness in the fingertips is not expected during the procedure. Choice B is not correct because the urge to urinate is associated with cystoscopy. Choice C is not correct because pain in the jawline is not expected during the procedure.

A. Decreased calcium levels. B. Increased serum glucose levels. C. Absent bowel sounds. D. Intermittent abdominal pain.

Correct Answer is B

No explanation

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A nurse is assisting in the plan of care for a client who has constipation after receiving opioid medication for incisional pain. Which of the following actions should the nurse take first?

Nursing Test Bank

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