What should the nurse teach family caregivers when a patient has fecal incontinence because of cognitive impairment?

Cleanse the skin with antibacterial soap and apply talcum powder to the buttock.

Initiate a bowel or habit training program to promote continence.

Use sanitary pads in the patient's underwear.

Help the patient go to the toilet once every hour.

Answer and Explanation

The Correct Answer is B

A. "Cleanse the skin with antibacterial soap and apply talcum powder to the buttock." Antibacterial soap can be too harsh for the skin, and talcum powder is not recommended because it does not provide an effective moisture barrier.

B. "Initiate a bowel or habit training program to promote continence." A scheduled toileting program helps establish a routine and reduce episodes of incontinence.

C. "Use sanitary pads in the patient's underwear." While absorbent products may be used, they do not address the underlying issue or promote continence.

D. "Help the patient go to the toilet once every hour." Frequent toileting may be impractical and unnecessary. Habit training with scheduled bathroom times is more effective.

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Correct Answer is ["A","B","C"]

Explanation

A. Urgency: Antimuscarinic medications reduce bladder contractions, thereby decreasing the sudden urge to urinate.

B. Frequency: These medications help by increasing bladder capacity and reducing the need to urinate frequently.

C. Dysuria: Some antimuscarinics can alleviate bladder irritation, which may improve dysuria (painful urination) in certain conditions.

D. Prostate size: Antimuscarinics do not reduce prostate size. Medications like 5-alpha reductase inhibitors (e.g., finasteride) are used for this purpose.

E. Bladder infection: Antimuscarinics do not treat infections. Antibiotics are required to treat bladder infections (UTIs).

A. Sodium B. Potassium C. Calcium D. Albumin

Correct Answer is D

Explanation

A. Sodium: Measures fluid balance, not protein status.

B. Potassium: Related to muscle function, heart rhythm, and renal function, not protein synthesis.

C. Calcium: Bone and nerve function, not a protein marker.

D. Albumin: Best indicator of protein status because it reflects protein intake and synthesis. Low levels can indicate malnutrition, liver disease, or chronic illness.

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What should the nurse teach family caregivers when a patient has fecal incontinence because of cognitive impairment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

Correct Answer is D

Explanation

A nurse is educating a group of older adults in a community center on weight management using the BMI scale. Using the client's height and weight to calculate BMI, which of the following clients has a healthy BMI?

A nurse assessing a client’s notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?

Which patient is most at risk for increased peristalsis

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?

A nurse is teaching a client about which foods she should include in her low-fiber diet. Which of the following statements indicates the client understands the teaching?

A nurse is watching a nursing assistive personnel (AP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?

What should the nurse teach family caregivers when a patient has fecal incontinence because of cognitive impairment?

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?