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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Removing contaminated clothing is the first step in chemical exposure situations, since it reduces further absorption of the chemical.
B) Maintaining a safe distance from the client helps prevent potential exposure to the unknown chemical but removing contaminated clothes is the priority.
C) This step can be taken later for proper disposal but is not the immediate priority.Showering is an essential step after clothing removal to decontaminate the skin, but scrubbing should be avoided as it may cause further chemical absorption or skin irritation. Gentle rinsing with water is preferred.
D) While decontamination is important, it should be done by trained personnel using appropriate protocols and protective equipment.
Correct Answer is B
Explanation
A) Orthostatic hypotension primarily affects blood pressure regulation and is not directly related to the risk of pulmonary emboli.
B) Orthostatic hypotension can cause dizziness and fainting upon standing, increasing the risk of falls.
C) Orthostatic hypotension is typically indicated by a decrease in systolic blood pressure of 20 mm Hg or more.
D) Orthostatic hypotension is primarily diagnosed based on changes in systolic blood pressure, not diastolic blood pressure.
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