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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Metabolic alkalosis Metabolic alkalosis is a condition that occurs when your body has too many bases. It can occur due to prolonged vomiting, use of diuretics, or an overuse of antacids. In the context of Chronic Obstructive Pulmonary Disease (COPD), metabolic alkalosis is not typically a direct result of the disease. COPD primarily affects the respiratory system and does not directly cause an imbalance of bases in the body.
Choice B rationale:
Respiratory acidosis Respiratory acidosis is a condition that occurs when the lungs can’t remove enough carbon dioxide (CO2). This leads to a buildup of CO2 in the body, causing the pH of the blood to decrease and become more acidic. This is the most common acid-base imbalance seen in patients with COPD1. COPD can cause an alteration in respiratory exchanges, leading to retention of CO21. The consequence of hypercapnia due to alteration of gas exchange in COPD patients mainly consists in an increase of H+ concentration and development of respiratory acidosis.
Respiratory alkalosis Respiratory alkalosis is a condition that occurs when there is too little carbon dioxide in the body, often due to hyperventilation. In the context of COPD, this is less likely because COPD patients often have difficulty expelling carbon dioxide, not an excess of it being expelled.
Choice D rationale:
Metabolic Acidosis Metabolic acidosis occurs when the body produces too much acid, or when the kidneys are not removing enough acid from the body. This can occur due to conditions such as kidney disease, lactic acidosis, or ketoacidosis. While COPD can have wide-ranging effects on the body, it does not typically cause metabolic acidosis directly.
Correct Answer is A
Explanation
Choice A rationale:
Muscle twitching is a symptom of oxygen toxicity. Oxygen toxicity is a condition resulting from the harmful effects of breathing molecular oxygen (O2) at increased partial pressures. Severe cases can result in cell damage and death, with effects most often seen in the central nervous system, lungs, and eyes. Central nervous system symptoms can include muscle twitching.
Choice B rationale:
Redness of the face is not typically associated with oxygen toxicity. Oxygen toxicity primarily affects the central nervous system, lungs, and eyes. It does not typically cause redness of the face.
Choice C rationale:
Swelling around the eyes is not a common symptom of oxygen toxicity. The primary effects of oxygen toxicity are seen in the central nervous system, lungs, and eyes. However, this does not typically manifest as swelling around the eyes.
Choice D rationale:
A metallic taste in the mouth is not a known symptom of oxygen toxicity. Oxygen toxicity is a condition that results from the harmful effects of breathing molecular oxygen (O2) at increased partial pressures. It primarily affects the central nervous system, lungs, and eyes, but a metallic taste in the mouth is not a recognized symptom.
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