A nurse is caring for a patient who is on bed rest and is experiencing constipation.
Which of the following interventions should the nurse implement?
Increase the patient’s fluid intake.
Place the patient on a low-fiber diet.
Request a prescription for mineral oil for the patient.
Encourage the patient to drink cold fluids.
The Correct Answer is A
Choice A rationale
Increasing fluid intake can help alleviate constipation. Fluids can soften stool, making it easier to pass.
Choice B rationale
A low-fiber diet can actually contribute to constipation. Fiber adds bulk to the stool and helps it move more quickly through the intestines.
Choice C rationale
While mineral oil can sometimes be used to relieve constipation, it is not typically the first intervention chosen. It can interfere with the absorption of certain nutrients and medications.
Choice D rationale
Cold fluids do not have a significant effect on constipation. While staying hydrated is important, the temperature of the fluids is not typically a factor in constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Installing handrails in the bathroom is a recommended strategy for reducing the risk of falls. Handrails provide support and stability, particularly in slippery environments like the bathroom.
Choice B rationale
Using a standard height toilet seat is not necessarily a recommended strategy for reducing the risk of falls. A toilet seat at an appropriate height for the individual would be more beneficial.
Choice C rationale
Wearing backless shoes is not a recommended strategy for reducing the risk of falls. Shoes with good support and non-slip soles are typically recommended.
Choice D rationale
Covering extension cords with a throw rug is not a recommended strategy for reducing the risk of falls. This could potentially create a tripping hazard.
Correct Answer is B
Explanation
Choice A rationale
Academic pressure is a psychological stressor, not a physiological one. It involves mental or emotional strain or tension resulting from adverse or demanding circumstances, in this case, related to academic performance.
Choice B rationale
A burn injury is an example of a physiological stressor. Physiological stressors are related to physical or biological factors that strain the body’s resources. A burn injury places physical stress on the body as it tries to heal and recover.
Choice C rationale
Financial difficulties are a type of environmental stressor, not a physiological one. They involve external factors in a person’s environment that cause stress, such as financial problems or jobrelated stress.
Choice D rationale
A change in marital status is a type of psychosocial stressor, not a physiological one. It involves both psychological factors (such as emotions and behavior) and social factors (such as relationships and social interactions).
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