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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
The client is at risk for hypostatic pneumonia as evidenced by the client'simmobility
Rationale
The combination of paraplegia (which leads to limited mobility) and symptoms such as productive cough, tachycardia, and confusion suggest a respiratory issue, likely hypostatic pneumonia.
Correct Answer is C
Explanation
A. Tinnitus is not a common symptom of bacterial pneumonia.
B. Rhinorrhea (runny nose) is more commonly associated with viral infections, not bacterial pneumonia.
C. Malaise is a common symptom of bacterial pneumonia, as the infection causes generalized weakness and discomfort.
D. Drooling is not a common symptom of bacterial pneumonia, but it may be seen in conditions like throat infections.
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