A nurse is assisting with the care of a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?
increase the client’s fruit intake
Encourage the client to drink cold fluids
Request a prescription for mineral of for the client
Place the client on a low-fiber diet
The Correct Answer is A
A) Increasing fruit intake can provide dietary fiber, which helps promote bowel regularity and prevent constipation.
B) Encouraging the client to drink cold fluids is not specifically indicated for constipation.
C) While mineral oil may be used as a laxative, it is not typically a first-line intervention and may not be appropriate for all clients.
D) A low-fiber diet is likely to exacerbate constipation rather than alleviate it.
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Related Questions
Correct Answer is D
Explanation
A) Urine retention is a common symptom of bladder outlet obstruction but in this case assessing the patient for a urinary tract infection is the priority.
B) While proteinuria can indicate kidney dysfunction, it's not directly related to urinary retention.
C) This refers to bladder dysfunction due to neurological causes and may not be directly related to urinary retention in an immobile client.
D) Immobility can increase the risk of urinary tract infections Urinary retention can lead to urinary tract infection (UTI) due to bacterial growth in the stagnant urine. The nurse should monitor the client for signs and symptoms of UTI, such as fever, chills, dysuria, hematuria, and foul-smelling urine.
Correct Answer is B
Explanation
A) Tucking the chin may be appropriate to maintain spinal alignment, but this statement does not address overall posture during client transfers.
B) Maintaining a straight back helps distribute weight evenly and reduces the risk of injury to the spine during client transfers.
C) Keeping the knees straight may lead to increased strain on the back and legs during transfers, and it is not recommended.
D) Engaging the abdominal muscles helps stabilize the core and protect the spine during transfers; therefore, they should not be loosened.
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