A nurse is helping to implement a bowel training program for a patient.
To ensure the effectiveness of the program, when should the nurse take the patient to the bathroom?

Every 2 hours while the patient is awake.

When the patient has the urge to defecate.

Immediately before meals.

After the patient feels abdominal cramping.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Taking the patient to the bathroom every 2 hours while the patient is awake is not the most effective strategy for a bowel training program. This approach does not take into account the natural rhythms of the body and the patient’s personal comfort. It may lead to unnecessary trips to the bathroom, which can be physically and emotionally draining for the patient.

Choice B rationale:

This is the correct answer. A bowel training program aims to help the patient regain control over their bowel movements. Taking the patient to the bathroom when they have the urge to defecate aligns with this goal. It allows the patient to respond to their body’s signals, which can help improve their confidence and independence over time.

Choice C rationale:

Taking the patient to the bathroom immediately before meals is not the most effective strategy for a bowel training program. While it’s true that eating can stimulate bowel movements due to the gastrocolic reflex, this approach does not consider the patient’s comfort or individual needs. It may also disrupt the patient’s enjoyment of their meals.

Choice D rationale:

Waiting until the patient feels abdominal cramping is not the most effective strategy for a bowel training program. Abdominal cramping can be a sign of constipation or other digestive issues. It’s important to address these issues separately and not rely on them as indicators for when to take the patient to the bathroom.

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Correct Answer is D

Explanation

Choice A rationale:

Prone The prone position, in which a patient lies facedown, is beneficial for patients with pneumonia as it helps shift the fluid away from the back of the lungs, allowing more air to enter. It also improves ventilation in the lungs and reduces the risk of lung collapse. However, this position is not the most effective for maximum lung expansion in pneumonia patients.

Choice B rationale:

Side-lying Lateral positioning, in which the patient lies on one side, is recommended for patients suffering from pneumonia in just one lung. In this position, the pneumatic lung is exposed to a higher blood flow, resulting in greater oxygenation levels and improved lung expansion. This position can also help prevent lung injury by helping regulate pressure and improve aeration.

But again, this is not the most effective position for maximum lung expansion in pneumonia patients.

Choice C rationale:

Supine The supine position, where the patient lies flat on their back, is not the best position for a pneumonia patient. This position can cause the secretions to pool in the lungs, making it harder for the patient to breathe and potentially worsening their condition. Choice D rationale:

Upright Elevating the head of the bed is an effective way to improve lung expansion and oxygenation levels in pneumonia patients. This position also helps eliminate airway obstruction, reduces pressure on the lungs, and promotes drainage of fluids from the lungs. Therefore, the upright position is the most recommended for maximum lung expansion in pneumonia patients.

A. I do my wheelchair exercises sitting in my chair. B. I use a suppository every night to have a bowel movement. C. I need to catheterize myself twice a day. D. I carry a water bottle with me because I drink a lot of water.

Correct Answer is C

Explanation

Choice A rationale:

The statement “I do my wheelchair exercises sitting in my chair” is correct. Wheelchair exercises are designed to be performed while seated in a wheelchair. They help to maintain muscle strength and flexibility, which is crucial for individuals with paralysis.

Choice B rationale:

The statement “I use a suppository every night to have a bowel movement” is also correct. Individuals with paralysis often have difficulty with bowel movements due to lack of muscle control. Using a suppository can stimulate the rectum and induce a bowel movement. Choice C rationale:

The statement “I need to catheterize myself twice a day” indicates a need for further teaching. Individuals with paralysis from the waist down following a spinal cord injury typically need to perform intermittent self-catheterization every 4-6 hours, not just twice a day. This helps to prevent urinary tract infections and bladder overdistension.

Choice D rationale:

The statement “I carry a water bottle with me because I drink a lot of water” is correct. Drinking plenty of water is important for overall health and can help to prevent urinary tract infections, which are common in individuals who self-catheterize.

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A nurse is helping to implement a bowel training program for a patient. To ensure the effectiveness of the program, when should the nurse take the patient to the bathroom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child suffering from respiratory failure due to pneumonia. Which position should the nurse recommend for maximum lung expansion?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which statement by the adolescent indicates a need for further teaching?

Correct Answer is C

Explanation

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A nurse is in the process of collecting a urine specimen for culture and sensitivity through straight catheterization. Which step should the nurse take in this procedure?

A nurse is caring for a client who has Chronic Obstructive Pulmonary Disease (COPD). Which of the following acidbase imbalances is the client at risk for?

A nurse is educating a patient who has an ileal conduit due to bladder cancer. Which statement from the patient suggests that further instruction is needed?

A nurse is reinforcing teaching with a patient who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)

A nurse is helping to implement a bowel training program for a patient.
To ensure the effectiveness of the program, when should the nurse take the patient to the bathroom?