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 C
Explanation
A. Increased intake of milk products can exacerbate symptoms of irritable bowel syndrome in some clients.
B. Fructose corn syrup can worsen symptoms and is not recommended for clients with IBS.
C. Foods high in bran fiber are often recommended for IBS as they can help with bowel regularity and reduce symptoms.
D. Gluten is not beneficial for IBS and should be avoided if the client has gluten sensitivity.
Correct Answer is C
Explanation
A. The baby should be allowed to nurse on the first breast until it is fully emptied before switching to the other breast.
B. The baby should be encouraged to start on the opposite breast during each feeding to ensure both breasts are stimulated and emptied properly.
C. Frequent breastfeeding and sucking stimulate milk production, as supply increases in response to demand.
D. Manual expression can actually increase milk supply, not decrease it, by stimulating milk production.
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