The nurse is prioritizing the day's interventions. Which client should be the first to be taught about the hazards of straining when having a bowel movement? The:
17-year-old who has just had an ankle cast applied.
60-year-old recovering from a heart attack.
80-year-old admitted for an infected tooth.
28-year-old new mother of twins.
The Correct Answer is B
A. 17-year-old who has just had an ankle cast applied: While constipation may occur due to reduced mobility after having an ankle cast applied, teaching about the hazards of straining during bowel movements is not the priority for this client. The immediate concern may be related to cast care and mobility.
B. 60-year-old recovering from a heart attack: This client is recovering from a heart attack, and straining during bowel movements can increase intra-abdominal pressure and potentially lead to complications such as vagal stimulation, which may trigger arrhythmias or further stress the heart. Therefore, teaching about the hazards of straining during bowel movements is essential for this client to prevent complications and promote cardiac safety.
C. 80-year-old admitted for an infected tooth: While constipation may occur as a side effect of certain medications or due to decreased oral intake, teaching about straining during bowel movements is not the immediate priority for this client, given the primary reason for admission is an infected tooth. However, if constipation becomes a concern during the admission, it can be addressed accordingly.
D. 28-year-old new mother of twins: While postpartum mothers may experience constipation due to various factors such as changes in hormone levels, reduced mobility after delivery, and opioid use for pain management, teaching about the hazards of straining during bowel movements may not be the priority compared to other immediate postpartum care needs, such as breastfeeding support, perineal care, and newborn care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. gender identity: Gender identity refers to how a person internally perceives and identifies their gender, which may be male, female, both, neither, or another gender identity. It is a deeply-held sense of being male, female, a blend of both genders (androgyny), or neither gender. Gender identity is an intrinsic aspect of a person's self-concept and may or may not align with the sex assigned at birth.
B. sexual orientation: Sexual orientation refers to a person's romantic or sexual attraction to individuals of the same gender, different gender, or multiple genders. It is distinct from gender identity and encompasses identities such as heterosexual, homosexual, bisexual, pansexual, etc.
C. androgyny: Androgyny refers to a combination of masculine and feminine characteristics or qualities in a single individual. It is a term used to describe a gender expression that does not conform strictly to traditional gender roles or expectations. While related to gender expression, it is not synonymous with gender identity.
D. body image: Body image refers to a person's perception, thoughts, and feelings about their own body's appearance, size, shape, and function. It includes attitudes towards physical attributes, such as weight, height, and physical features, and can influence self-esteem and overall well-being. Body image is related to, but distinct from, gender identity, which focuses specifically on one's internal sense of gender.
Correct Answer is D
Explanation
A. White meats and breads: While white meats and breads may be part of a balanced diet, they do not contribute significant amounts of dietary fiber. White bread, in particular, is often lower in fiber compared to whole grain varieties.
B. Red meats and milk: Red meats and milk are good sources of protein and calcium but do not provide significant amounts of dietary fiber. While milk products contain some lactose, a type of sugar that may have a mild laxative effect in some individuals, they are not considered primary sources of fiber.
C. Fats and bran: While bran is a good source of dietary fiber, consuming excessive amounts of fats is not recommended for promoting regular bowel movements. While some fats may be necessary in the diet, they should be consumed in moderation.
D. Fruits and vegetables: This is the correct answer. Fruits and vegetables are rich sources of dietary fiber, including both soluble and insoluble fiber. Soluble fiber helps soften stools, while insoluble fiber adds bulk to the stool, facilitating easier defecation. Including a variety of fruits and vegetables in the diet can significantly increase fiber intake and promote regular bowel movements.
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