A nurse is reinforcing teaching with a client has reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Ignoring the urge to defecate
Increased activity
Excessive laxative use
Increased fiber in the diet
Inadequate fluid intake
Correct Answer : A,C,E
A. Ignoring the urge to defecate: Ignoring the urge allows stool to remain in the colon longer, leading to harder stools and constipation.
B. Increased activity: Increased activity promotes bowel motility and helps prevent constipation.
C. Excessive laxative use: Chronic use can lead to dependence and reduced natural bowel motility, contributing to constipation.
D. Increased fiber in the diet: Increased fiber typically alleviates constipation unless fluid intake is inadequate.
E. Inadequate fluid intake: Insufficient fluids lead to harder stools and decreased bowel motility, causing constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decrease in systolic blood pressure: Incorrect. Aging often results in increased systolic blood pressure due to arterial stiffening, not dehydration risk.
B. Decrease in kidney function: Aging decreases kidney function, reducing the ability to concentrate urine and regulate fluid balance, increasing the risk of dehydration.
C. Increase in percentage of body water: Incorrect. Aging is associated with a decrease, not an increase, in body water, contributing to dehydration risk.
D. Increase in saliva production: Incorrect. Aging leads to reduced saliva production, not an increase, but this is not directly related to dehydration.
Correct Answer is A
Explanation
A. Heart murmur: A murmur is caused by turbulent blood flow through the narrowed mitral valve, commonly a hallmark of mitral valve stenosis.
B. Barrel chest: Barrel chest is associated with chronic obstructive pulmonary disease (COPD), not mitral valve stenosis.
C. Clubbing of the fingers: Clubbing occurs in chronic hypoxia, often linked to pulmonary diseases, not directly related to mitral valve stenosis.
D. Bradycardia: Tachycardia, rather than bradycardia, is more likely due to the heart's attempt to compensate for reduced cardiac output.
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