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 D
Explanation
A. Assessing pain requires clinical judgment and should be done by the nurse.
B. Checking pedal pulses is a nursing task that requires assessment of circulation and requires nursing expertise.
C. Observing the positioning of the weight is a task that requires an LPN or RN as it involves assessing the traction’s effectiveness.
D. Reminding the client to use the incentive spirometer is a task that can be delegated to an assistive personnel (AP) to help prevent respiratory complications.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The nurse anticipates the client will likely require proton pump inhibitors (PPIs) as evidenced by the client's reports of burning epigastric pain.
Rationale
Proton pump inhibitors (PPIs) are commonly prescribed for peptic ulcer disease to reduce stomach acid production, helping to heal the ulcer and alleviate pain. This intervention is anticipated if the client experiences epigastric pain.
Antibiotics would be prescribed if there is evidence of an H. pylori infection, which is a common cause of peptic ulcers.
Antacids can be used for symptom management, but they are typically a short-term measure rather than a primary treatment for healing ulcers
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