A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?
Limit the client's physical activity until bowel continence is achieved.
Limit the client's fluid intake to 1500 mL/day.
Instruct the client to limit their intake of high-fiber foods.
Assist the client to the restroom 30 minutes after meals.
The Correct Answer is D
Choice A Reason:
Limiting the client's physical activity is not generally recommended as part of bowel training for fecal incontinence. Regular physical activity can actually help with bowel movements by increasing muscle activity in the intestines. It is important for clients to maintain as much normal activity as possible.
Choice B Reason:
Limiting the client's fluid intake to 1500 mL/day is not advisable unless specifically recommended by a healthcare provider for another medical reason. Adequate hydration is essential for normal bowel function, and restricting fluids could exacerbate constipation, which can complicate fecal incontinence.
Choice C Reason:
Instructing the client to limit their intake of high-fiber foods would be counterproductive in managing fecal incontinence. A diet high in fiber can help form bulkier, softer stools, which can be easier to control. Fiber helps to regulate bowel movements, which is beneficial in bowel training programs.
Choice D Reason:
Assisting the client to the restroom 30 minutes after meals takes advantage of the gastrocolic reflex, which is a normal response where the act of eating stimulates movement in the gastrointestinal tract. This can help the client establish a regular pattern of bowel movements, which is a key goal in bowel training for fecal incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Providing oral care before meals is crucial for a client with dysphagia after a stroke. Oral care can help clear the mouth of bacteria and food debris, reducing the risk of aspiration and improving the client's ability to taste and swallow food. According to the American Stroke Association, maintaining good oral hygiene is part of managing dysphagia to prevent complications like pneumonia.
Choice B reason:
Instructing the client to tilt their head back to facilitate swallowing is not recommended for individuals with dysphagia following a stroke. This position can increase the risk of aspiration, as it may allow food or liquid to enter the airway. Instead, the client should be encouraged to maintain an upright position, and in some cases, to tuck the chin slightly to protect the airway during swallowing.
Choice C reason:
Encouraging the use of a straw is generally not advised for clients with dysphagia. Using a straw can increase the speed at which liquid enters the mouth, which can be difficult to control and may lead to aspiration. The American Speech-Language-Hearing Association suggests that taking small sips and bites and avoiding straws can help manage dysphagia more safely.
Choice D reason:
Scheduling physical therapy directly before meals is not ideal for clients with dysphagia. Physical therapy can be fatiguing, and fatigue may worsen the client's ability to control the muscles needed for safe swallowing. It's better to schedule therapy sessions at a time when the client is well-rested and alert, ensuring they have the energy and focus required for safe eating practices²
.
Correct Answer is A
Explanation
Choice A Reason:
Installing locks at the top of doors can be a safety measure to prevent wandering, which is a common and dangerous behavior in individuals with Alzheimer's disease. Placing locks out of the usual line of sight can help deter the individual from leaving the house unsupervised and potentially getting lost.
Choice B Reason:
Leaving the television on is not necessarily a beneficial environmental modification. While some programs may be comforting or provide a sense of company, the noise and activity can also be confusing or overstimulating for a person with Alzheimer's disease. It's important to monitor the individual's response to television and adjust accordingly.
Choice C Reason:
Placing throw rugs on the floor is generally not recommended because they can be a tripping hazard. Individuals with Alzheimer's disease may have impaired mobility or balance, and throw rugs increase the risk of falls. It's better to have clear, unobstructed pathways.
Choice D Reason:
Scheduling alternate caregivers can provide necessary respite for primary caregivers and ensure that the individual with Alzheimer's disease has continuous supervision. However, it's important to maintain consistency with caregivers when possible, as frequent changes can be confusing and distressing for the individual.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.