A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
Administer a cathartic suppository 30 min prior to scheduled defecation times.
Increase the amount of refined grains in the client's diet.
Provide the client with a cold drink prior to defecation.
Encourage a maximum fluid intake of 1,500 mL per day.
The Correct Answer is A
A. Administering a cathartic suppository 30 minutes prior to scheduled defecation times can help stimulate bowel movements in clients with spinal cord injuries, aiding in bowel training.
B. Refined grains can lead to constipation, and increasing fiber intake is typically preferred over refined grains in a bowel training program.
C. A cold drink is not a standard or recommended method to stimulate bowel movements in clients with spinal cord injuries.
D. Fluid intake should generally be higher than 1,500 mL per day, as adequate hydration is important to prevent constipation and support healthy bowel function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Wearing loose-fitting underwear helps keep the genital area dry and prevents irritation, which can reduce the risk of urinary tract infections (UTIs).
B. The client should void every 2 to 3 hours during the day to help prevent UTIs.
C. The client should drink more fluids, typically 8 glasses (240 mL) or more, to help flush out bacteria from the urinary tract.
D. Bubble baths should be avoided as they can irritate the urinary tract and increase the risk of UTIs.
Correct Answer is D
Explanation
A. Reporting the defect is important, but ensuring the device is removed first is critical to prevent any potential electrical hazards to the client.
B. Checking the inspection sticker is necessary for regular safety checks, but this action does not address the immediate risk posed by the frayed cord.
C. Initiating a requisition for a replacement device is necessary but should come after the immediate action of removing the defective device.
D. Removing the device from the room ensures the client's safety, preventing potential harm from using faulty equipment.
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