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 A
Explanation
A. A client who is 1 day postoperative following a vertebroplasty may be stable enough for early discharge, freeing up a bed for incoming disaster victims.
B. A client with a sealed implant for radiation therapy may require monitoring and cannot be safely discharged early due to potential complications.
C. A client with COPD and a respiratory rate of 44/min requires immediate care and cannot be safely discharged.
D. A client receiving heparin for deep vein thrombosis may be stable but requires monitoring, making early discharge unsafe.
Correct Answer is A
Explanation
A. Limiting feeding time to 30 minutes helps reduce the infant's workload and prevent fatigue, which is important for infants with heart failure.
B. Weighing the infant daily is more appropriate to monitor for fluid retention, which is a key concern in heart failure.
C. Placing the infant in the prone position is contraindicated due to the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back for sleep.
D. Oxygen saturation should be checked more frequently than every 6 hours in an infant with heart failure, especially when monitoring for signs of distress.
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