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 B
Explanation
A. A preoccupation with minor details is characteristic of obsessive-compulsive personality disorder, not borderline personality disorder.
B. Impulsive behavior is a hallmark of borderline personality disorder, which often includes actions like reckless driving, self-harm, or substance abuse.
C. Acting seductively can occur in some individuals with borderline personality disorder but is not a defining characteristic.
D. Being exceptionally clingy is more characteristic of dependent personality disorder, not borderline personality disorder.
Correct Answer is D
Explanation
A. Encouraging the client to spend time in the dayroom may increase stimulation and worsen manic symptoms. A quiet, calm environment is typically more beneficial.
B. Withdrawing privileges is punitive and may escalate agitation or irritability in a client with mania.
C. Seclusion should only be used if the client is a danger to themselves or others. It is not a first-line intervention for anxiety or manic symptoms.
D. Encouraging the client to take frequent rest periods helps manage manic symptoms by preventing fatigue and promoting some level of structure and control over their activities.
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