A nurse is caring for a client who has bowel incontinence and is placed on a bowel training program. Which of the following actions should the nurse take?
Teach the client to strain when having a bowel movement.
Encourage the client to drink a hot beverage just before she needs to defecate.
Allow the client to sit on the toilet for 1 hr to defecate.
Limit exercise for the client while she is on the bowel training program.
The Correct Answer is B
A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.
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Related Questions
Correct Answer is D
Explanation
A. The client has gastroesophageal reflux disease. GERD does not typically increase the risk of falls.
B. The client is 62 years old. Age alone does not necessarily indicate a high fall risk, especially if the client is relatively healthy.
C. The client smokes half a pack of cigarettes per day. Smoking is a risk factor for many health issues but is not directly linked to an increased risk of falls.
D. The client has urinary incontinence. This is correct. Urinary incontinence increases the risk of falls, particularly if the client needs to frequently get up quickly to use the bathroom, potentially slipping or tripping.
Correct Answer is A
Explanation
A. Spaghetti with meat sauce, cantaloupe, green beans, and a glass of milk This meal represents a balanced MyPlate meal by including grains (spaghetti), protein (meat sauce), fruits (cantaloupe), vegetables (green beans), and dairy (milk).
B. Chicken with cream sauce, and milk This meal lacks variety and does not include fruits, vegetables, or grains, making it less balanced.
C. Chicken, mashed potatoes This meal lacks fruits and vegetables, and does not include a dairy component.
D. Chicken with cream sauce, asparagus, and a glass of milk This meal lacks a grain component.
E. Chicken, mashed potatoes, coleslaw, brown rice, tomato slices, and a glass of milk While balanced, this meal is more complex and not typical of the simpler MyPlate guideline.
F. Shrimp curry, white rice, and a glass of milk This meal is missing fruits and vegetables.
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