A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

The client should try to take in all of the required dietary fiber with the morning meal.

The client should drink two to three 8 oz glasses of water each day.

The client should follow a high-fiber diet to establish bowel regularity.

The client should be taught that the goal of therapy is to have a bowel movement daily.

Answer and Explanation

The Correct Answer is C

A) The client should try to take in all of the required dietary fiber with the morning meal:
While it's beneficial for clients to consume dietary fiber with meals to promote regular bowel movements, focusing solely on the morning meal may not provide adequate fiber intake throughout the day. It's essential for clients with chronic constipation to maintain a consistent intake of dietary fiber with each meal and snack.

B) The client should drink two to three 8 oz glasses of water each day:
Hydration is important for overall bowel health, but simply drinking water may not be sufficient to alleviate chronic constipation. While increasing fluid intake can help soften stools and prevent constipation, the amount of water needed varies among individuals. It's important for clients to drink enough fluids throughout the day to maintain hydration and support gastrointestinal function.

C) The client should follow a high-fiber diet to establish bowel regularity:
This is the correct answer. Increasing dietary fiber intake is a cornerstone of managing chronic constipation. A high-fiber diet can help add bulk to stools, improve bowel motility, and establish regularity. The nurse should educate the client about incorporating fiber-rich foods such as fruits, vegetables, whole grains, and legumes into their daily diet to promote optimal bowel function.

D) The client should be taught that the goal of therapy is to have a bowel movement daily:
While having a daily bowel movement may be a reasonable goal for some individuals, it's not universally applicable to all clients with chronic constipation. Bowel habits vary among individuals, and the frequency of bowel movements needed to establish regularity depends on factors such as diet, activity level, and overall health. The focus of therapy should be on achieving comfortable and regular bowel movements rather than a specific frequency.

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Correct Answer is B

Explanation

A) Temperature and respiratory rate:
While monitoring temperature and respiratory rate are important aspects of a comprehensive assessment, they are not the priority assessments before administering metoprolol. Metoprolol is a beta-blocker primarily used to lower heart rate and blood pressure, so assessing the client's heart rate and blood pressure is more relevant.

B) Heart rate and blood pressure:
This is the correct answer. Before administering metoprolol, it is essential to assess the client's heart rate and blood pressure. Metoprolol is a beta-blocker medication that primarily affects heart rate and blood pressure. Monitoring these vital signs helps ensure that the medication is administered safely and effectively.

C) Level of consciousness and pain level:
Assessing the client's level of consciousness and pain level are important aspects of nursing care, but they are not the priority assessments before administering metoprolol. These assessments may be relevant depending on the client's overall condition and specific care needs, but they are not directly related to the action or side effects of metoprolol.

D) Oxygen saturation and respiratory rate:
Monitoring oxygen saturation and respiratory rate are important aspects of respiratory assessment, but they are not the priority assessments before administering metoprolol. While metoprolol can affect respiratory function as a potential side effect, its primary action is on heart rate and blood pressure. Therefore, assessing heart rate and blood pressure are more pertinent before administering this medication.

A. "Take the medication with a full glass of water!" B. "Take this medication on an empty stomach." C. "Do not take this medication before bedtime." D. "Expect abdominal pain with this medication."

Correct Answer is A

Explanation

A) "Take the medication with a full glass of water":
This is the correct answer. Docusate is a stool softener used to treat constipation by promoting the incorporation of water into the stool, making it softer and easier to pass. Taking docusate with a full glass of water helps facilitate its action by ensuring hydration and aiding in the softening of stool.

B) "Take this medication on an empty stomach":
Taking docusate on an empty stomach is not necessary. It can be taken with or without food. The primary consideration is to take it with an adequate amount of water to facilitate its stool-softening effect.

C) "Do not take this medication before bedtime":
There is no specific contraindication to taking docusate before bedtime. The timing of administration can vary based on individual preferences and bowel habits. Some individuals may prefer to take it before bedtime to promote a bowel movement in the morning, while others may take it at different times of the day.

D) "Expect abdominal pain with this medication":
Abdominal pain is an uncommon side effect of docusate. While it may occur in some individuals, it is not a common or expected reaction to the medication. Most people tolerate docusate well, but gastrointestinal side effects such as mild abdominal cramping, nausea, or diarrhea may occur in some cases.

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A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

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