A nurse is caring for an older adult client who reports constipation. Which of the following recommendations should the nurse make?
Limit fluid intake to 1,000 mL daily.
Bear down hard when defecating.
Reduce activity.
Eat raw vegetables.
The Correct Answer is D
A. Limit fluid intake to 1,000 mL daily. Increasing fluid intake, not limiting it, helps alleviate constipation.
B. Bear down hard when defecating. Bearing down hard can cause harm, such as hemorrhoids, and does not help relieve constipation.
C. Reduce activity: Increasing physical activity helps promote bowel movements, so reducing activity is not advisable.
D. Eat raw vegetables. Raw vegetables are high in fiber and can help alleviate constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tetany: A calcium level of 8 mg/dL is below the normal range (8.5-10.5 mg/dL) and can cause tetany, which includes muscle cramps, spasms, and positive signs like Chvostek and Trousseau signs.
B. Constipation: Constipation is more commonly associated with hypercalcemia, not hypocalcemia.
C. Negative Chvostek sign: A positive Chvostek sign is expected in hypocalcemia, indicating neuromuscular irritability.
D. Elevated blood pressure: Elevated blood pressure is not specifically associated with hypocalcemia.
Correct Answer is B
Explanation
A. Massage the injection site after administration of the medication. Massaging the site after heparin injection can cause bruising and should be avoided.
B. Inject the medication into the abdomen above the level of the iliac crest: This is the recommended site for subcutaneous heparin injections.
C. Use a 1-inch needle to inject the medication. A shorter needle (5/8 inch) is typically used for subcutaneous injections, not a 1-inch needle.
D. Use a 22-gauge needle to inject the medication: A smaller gauge needle (25 to 27 gauge) is typically used for subcutaneous injections, not 22-gauge.
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