A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Increased fiber in the diet
Ignoring the urge to defecate
Inadequate fluid intake
Increased activity
Excessive laxative use
Correct Answer : B,C,E
A. Increased fiber in the diet is not a cause of constipation, but rather a preventive measure that can help promote regular bowel movements by adding bulk and softness to the stool.
B. Ignoring the urge to defecate is a cause of constipation, as it can lead to hardening and accumulation of fecal matter in the colon, resulting in difficulty and pain during defecation.
C. Inadequate fluid intake is a cause of constipation, as it can contribute to dehydration and reduced stool moisture, making it harder and drier to pass.
D. Increased activity is not a cause of constipation, but rather a beneficial factor that can stimulate intestinal motility and facilitate bowel elimination.
E. Excessive laxative use is a cause of constipation, as it can interfere with the normal functioning of the colon and cause dependence, leading to decreased bowel tone and reduced peristalsis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Standing 1.8 m (6 feet) away from the client is not sufficient for airborne precautions.
Proper respiratory protection is required, such as an N95 mask.
B. Allowing the client to ambulate in the hall is not a specific action related to airborne precautions. If the client needs to leave their room, they should wear a mask to prevent the spread of airborne particles.
C. A positive-pressure airflow room is not typically required for airborne precautions.
However, ensuring proper ventilation in the room is important.
D. Airborne precautions are required for clients with illnesses that spread via small droplets or dust particles that can remain in the air for extended periods. This includes diseases like tuberculosis, chickenpox, and measles. The nurse should wear an N95 respirator mask to provide protection against inhaling these particles.
Correct Answer is B
Explanation
A. Incorrect. If the nurse administers the next bag at 1700, the current bag will run out before then, leaving the client without IV fluid for some time.
B. Correct. If the nurse administers the next bag at 1600, the current bag will have infused 750 ml by then, leaving 250 ml to infuse over the next hour. This will ensure a continuous and consistent infusion rate of 125 ml/hr.
C. Incorrect. If the nurse administers the next bag at 1500, the current bag will have infused only 625 ml by then, leaving 375 ml to infuse over the next hour. This will result in a faster infusion rate of 187.5 ml/hr, which may cause fluid overload or hyperglycemia in the client.
D. Incorrect. If the nurse administers the next bag at 1800, the current bag will run out before then, leaving the client without IV fluid for some time.
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