A nurse is reinforcing teaching with a patient who reports constipation.
Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)

Ignoring the urge to defecate

Increased fiber in the diet

Excessive laxative use

Increased activity

Answer and Explanation

Correct Answer : A,C

The correct answers are Choices A and C.

Choice A rationale: Ignoring the urge to defecate can lead to constipation because the longer stool remains in the colon, the more water is absorbed from it, making it harder and more difficult to pass. This can lead to a cycle of further constipation and discomfort.

Choice B rationale: Increased fiber in the diet usually helps prevent constipation by adding bulk to the stool and making it easier to pass. Therefore, it is not a cause of constipation, but rather a preventive measure.

Choice C rationale: Excessive laxative use can lead to dependence on laxatives for bowel movements and can disrupt normal bowel function. Over time, this can lead to constipation as the bowel becomes less responsive to normal stimuli.

Choice D rationale: Increased activity generally helps to prevent constipation by stimulating bowel motility. Physical exercise can enhance the efficiency of the digestive system, so it is not a cause of constipation.

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Correct Answer is A

Explanation

Choice A rationale:

Urinary retention is a condition where the bladder doesn’t empty all the way or at all when you urinate. This can lead to leakage of urine, as the bladder is overfilled and may result in small amounts of urine escaping. This symptom is often associated with urinary retention and is therefore a likely finding in a client with this condition.

Choice B rationale:

Dark-colored urine is not typically a direct symptom of urinary retention. It can be a sign of dehydration, certain dietary factors, or a side effect of some medications. While it’s possible for a person with urinary retention to have dark-colored urine, it’s not a specific or direct symptom of the condition.

Cloudy urine can be a sign of a urinary tract infection (UTI), which can occur as a complication of urinary retention. However, it’s not a direct symptom of urinary retention itself. A nurse would not necessarily expect to see cloudy urine in a client with urinary retention unless a UTI or another complication was present.

Choice D rationale:

Blood in the urine, or hematuria, is not a typical symptom of urinary retention. It can be a sign of various conditions, including UTIs, kidney stones, or more serious conditions like bladder or kidney disease. While it’s possible for a person with urinary retention to have blood in their urine, it’s not a direct symptom of the condition.

A. Hypothermia B. Rigid abdomen C. Dehydration D. Decreased bowel sounds E. Decreased bowel sounds

Correct Answer is C

Explanation

Choice A rationale:

Hypothermia, or abnormally low body temperature, is not typically a symptom of diarrhea. While it’s possible for a person with severe diarrhea to experience chills or feel cold, hypothermia is not a direct result of diarrhea.

Choice B rationale:

A rigid abdomen is often a sign of a serious condition like peritonitis (inflammation of the peritoneum, the tissue that lines the inner wall of the abdomen), but it is not typically associated with diarrhea.

Choice C rationale:

Dehydration is a common complication of diarrhea. When a person has diarrhea, they can lose a lot of fluid and electrolytes quickly, leading to dehydration. Symptoms of dehydration can include thirst, less frequent urination, dark-colored urine, fatigue, dizziness, and confusion.

Choice D rationale:

Decreased bowel sounds are not typically associated with diarrhea. In fact, bowel sounds may actually increase in some cases of diarrhea due to increased gut motility.

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A nurse is reinforcing teaching with a patient who 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 collecting data on a client who has urinary retention. What findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is gathering information from a patient who has been experiencing diarrhea for several days. What symptoms should the nurse anticipate?

Correct Answer is C

Explanation

A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female patient. Which action by the nurse should prompt the charge nurse to intervene?

A nurse is reinforcing teaching with a patient who reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)

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A nurse is preparing to remove a patient’s urinary catheter. After performing hand hygiene, what should the nurse do next?

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A nurse is instructing a newly licensed nurse on how to obtain a fecal occult blood test from a patient. What information should the nurse include?

A nurse is educating a patient about food and drinks that can trigger diarrhea. Which items should the nurse include in the teaching?

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A nurse is reinforcing teaching with a patient who reports constipation.
Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)