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 ["A","D","E"]
Explanation
A. Iron supplements: Iron supplements often cause constipation by slowing gastrointestinal motility and hardening stool.
B. Magnesium-containing antacids: Magnesium has a laxative effect, which can lead to diarrhea, not constipation.
C. Antibiotics: Antibiotics are more commonly associated with diarrhea, not constipation, due to altered gut flora.
D. Anticholinergics/antispasmodics: These medications reduce gastrointestinal motility, leading to constipation.
E. Opioid narcotics: Opioids cause constipation by decreasing peristalsis in the intestines.
Correct Answer is D
Explanation
A. Use toilet paper to transfer the stool specimen: Incorrect. Toilet paper is not sterile and can contaminate the sample. Use a clean applicator or stick.
B. Collect two stool specimens from the same area of the stool: Incorrect. Collect specimens from two different areas to increase accuracy.
C. Apply four drops of developing solution to each stool specimen: Incorrect. The number of drops may vary depending on the test kit instructions.
D. Wait 30 seconds after applying the developing solution to obtain the results: This allows the solution to react with any blood present in the stool, providing accurate results.
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