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. The nurse applies the sterile drape prior to cleansing the perineal area: This maintains a sterile field during catheter insertion.
B. The nurse separates the client's labia with her dominant hand: The dominant hand must remain sterile throughout the procedure. Separating the labia should be done with the non-dominant hand, which becomes non-sterile during perineal cleansing.
C. The nurse coats the indwelling urinary catheter with lubricant: Lubrication reduces discomfort and facilitates insertion.
D. The nurse provides perineal care prior to inserting the urinary catheter: Cleaning the perineal area reduces the risk of infection.
Correct Answer is C
Explanation
A. "I do my wheelchair exercises sitting in my chair.": Exercises improve circulation and promote bowel and bladder health.
B. "I carry a water bottle with me because I drink a lot of water.": Staying hydrated is essential for preventing urinary tract infections and promoting bowel health.
C. "I need to catheterize myself twice a day.": This indicates a need for further teaching. Catheterization for clients with neurogenic bladder is usually performed more frequently (every 4–6 hours) to prevent urinary retention, infections, or bladder distension.
D. "I use a suppository every night to have a bowel movement.": Establishing a bowel routine with suppositories is a standard practice for clients with spinal cord injuries.
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