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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. The incentive spirometer should be used more frequently (every 1-2 hours) to promote lung expansion and reduce the risk of pneumonia.
B. Bed rest should be minimized to promote circulation and reduce the risk of deep vein thrombosis (DVT).
C. Range-of-motion exercises improve circulation, prevent joint stiffness, and promote overall mobility.
D. Placing a pillow under the knees can interfere with circulation and promote flexion contractures.

A. Instruct the client to lift her chin when swallowing. B. Sit at or below the client's eye level during feedings. C. Talk with the client during her feeding. D. Discourage the client from coughing during feedings.

Correct Answer is B

Explanation

A. Tucking the chin toward the chest (not lifting the chin) may help improve swallowing by narrowing the airway, making it easier to swallow and reducing the risk of aspiration.
B.This positioning makes it easier for the nurse to observe signs of dysphagia, offer assistance as needed, and maintain better eye contact with the client. It also helps promote a more relaxed and reassuring environment, which can improve the client’s ability to swallow.
C. Talking during feeding can increase the risk of aspiration and compromise safe swallowing.
D. Coughing during feedings should not be discouraged, as it may indicate that the client is attempting to clear the airway and should be monitored carefully.

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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?

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