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A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

“I drink an average of 2,000 milliliters of water daily."

“I take a prescribed opioid pain medication at bedtime."

"I love to eat apples and black-eyed peas."

"I drink two hot cups of coffee each morning."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Drinking an average of 2,000 milliliters of water daily is a healthy habit that promotes bowel elimination.

B. Taking a prescribed opioid pain medication at bedtime can cause constipation and impaired bowel elimination.

C. Eating apples and black-eyed peas is a healthy dietary choice that promotes bowel elimination.

D. Drinking two hot cups of coffee each morning can promote bowel elimination for some individuals.

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Correct Answer is C

Explanation

Rationale:

A. Postponing the procedure could put the client at risk if the appendicitis worsens.

B. Obtaining consent from the client may not be possible due to the client's developmental disability.

C. Preparing the client for surgery with implied consent is appropriate when the client is unable to provide consent and the procedure is urgent.

D. Requesting that the provider sign the consent form is not appropriate because the provider cannot provide consent on behalf of the client.

A. Cleanse the client's outer ear with isopropyl alcohol to remove wax. B. Pull the client's pinna downward and back. C. Hold the ear dropper 1 cm (0.5 in) from the client's ear. D. Request the client remain supine for 10 min following administration.

Correct Answer is C

Explanation

Rationale:

A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.

B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.

C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.

D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.

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A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

Explanation

A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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