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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Tachycardia: Tachycardia is more commonly associated with hypoxia rather than a direct adverse effect of oxygen therapy.

B. Excessive pulmonary secretions: Oxygen therapy does not directly cause excessive secretions; this is more related to the underlying condition, such as pneumonia.

C. Poor skin turgor: Poor skin turgor is associated with dehydration, not oxygen therapy.

D. Cracks in oral mucous membranes: Prolonged oxygen therapy can dry the mucous membranes, leading to cracks, discomfort, and increased risk of infection.

A. Peripheral edema B. Barrel chest C. Spoon nails D. Pleural friction rub

Correct Answer is B

Explanation

A. Peripheral edema: While peripheral edema can occur in late stages of COPD due to cor pulmonale, it is not a direct or early sign.

B. Barrel chest: A barrel chest is a classic finding in clients with COPD due to air trapping and hyperinflation of the lungs.

C. Spoon nails: Spoon nails (koilonychia) are associated with iron deficiency anemia, not COPD.

D. Pleural friction rub: Pleural friction rub is associated with pleuritis, not COPD.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client, the nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?

Correct Answer is D

Explanation

A nurse is collecting data on a client who has COPD. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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.)

A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?

A nurse is collecting data on a client who has mitral valve stenosis. Which of the following findings should the nurse expect?

A nurse is assisting with the care of a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is at risk for hypokalemia. The nurse should instruct the client that which of the following foods is the best source of potassium?

A nurse is collecting data on a client who has respiratory acidosis. Which of the following findings should the nurse expect?