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:
Propranolol is a beta-blocker used to manage atrial fibrillation by slowing the heart rate and reducing the heart's workload. It can lower blood pressure, so if a client's systolic blood pressure is already low (less than 90 mm Hg), administering propranolol could further decrease it, potentially leading to hypotension and shock. Therefore, the nurse should withhold the medication and consult with the healthcare provider.
Choice B reason:
There is no general recommendation to administer propranolol with an antacid. While antacids can affect the absorption of some medications, propranolol is not typically affected in this way. However, if the client experiences gastrointestinal discomfort, the healthcare provider may recommend taking the medication with food or an antacid.
Choice C reason:
Propranolol does not cause increased hair growth; this is not a known side effect of the medication. Beta-blockers can have side effects such as fatigue, dizziness, and cold extremities, but increased hair growth is not among them.
Choice D reason:
If the apical heart rate is less than 50/min, this may indicate that the heart rate is already too low, and increasing the dosage of propranolol could exacerbate bradycardia. The nurse should monitor the client's heart rate and blood pressure and report concerns to the healthcare provider before adjusting the dose.
Correct Answer is D
Explanation
Choice A Reason:
This statement is based on outdated information. Modern pacemakers are designed to withstand interference from microwave ovens, so it is not necessary to avoid them.
Choice B Reason:
Patients with pacemakers should be cautious about MRI scans because they can interfere with the device. However, many modern pacemakers are MRI-compatible, and a patient may undergo an MRI scan under specific conditions and with appropriate medical supervision.
Choice C Reason:
Traveling by plane is generally safe for individuals with pacemakers. Airport security detectors may detect the metal in the pacemaker, but they won't damage it. It's recommended to carry a pacemaker identification card when traveling.
Choice D Reason:
Holding a cell phone against the ear on the opposite side of the pacemaker is a recommended precaution to avoid potential electromagnetic interference. Although the risk is minimal, it is a simple measure to ensure the pacemaker functions properly.
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