A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

Withholding narcotic pain medication

Raising the head of the bed

Administering laxatives to the patient

Preparing to administer a barium enema

Answer and Explanation

The Correct Answer is B

A. Withholding pain medication could result in increased discomfort, which may further hinder the patient’s ability to defecate.

B. Raising the head of the bed promotes a more natural position for defecation, making it easier for the patient to use the bedpan.

C. Administering laxatives may be necessary in some cases but is not the first intervention to assist with positioning and comfort during defecation.

D. A barium enema is a diagnostic tool, not an appropriate intervention for immediate defecation assistance.

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Correct Answer is D

Explanation

A. A urine specific gravity of 1.015 is within the normal range, so it is not indicative of dehydration.

B. Cloudy urine may indicate infection but is not a hallmark sign of dehydration.

C. A urine osmolality of 200 mOsm/kg is low and more consistent with overhydration rather than dehydration.

D. Dark-colored urine is a common sign of dehydration, as concentrated urine results from reduced fluid intake.

A. The client should be taught that the goal of therapy is to have a bowel movement daily. B. The client should try to take in all of the required dietary fiber with the morning meal. C. The client should follow a high fiber diet to establish bowel regularity D. The client should take two to three 8 oz glasses of water each day.

Correct Answer is C

Explanation

A. Having a daily bowel movement may not be realistic or necessary for all clients. The goal should be regularity based on the client's usual patterns.

B. Fiber intake should be spread throughout the day, not concentrated in a single meal, to aid digestion and prevent bloating.

C. A high fiber diet is essential in managing chronic constipation as it helps increase stool bulk and promotes regular bowel movements.

D. The client should drink at least 8 glasses of water daily, not just 2-3, to aid in bowel movements and prevent constipation.

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A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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