When assessing the client's bowel elimination, the nurse understands that which is not a factor?
Age.
Diet.
Fluid intake.
Gender.
The Correct Answer is D
Gender is not a factor that affects bowel elimination.
Many factors affect bowel elimination including age, diet, fluid intake, physical activity, psychological factors, personal habits, and medications1.
Choice A is not the correct answer because age is a factor that affects bowel elimination.
Choice B is not the correct answer because the diet is a factor that affects bowel elimination.
Choice C is not the correct answer because fluid intake is a factor that affects bowel elimination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The best intervention by the nurse to prevent further skin and tissue breakdown on a reddened area on a client’s right heel is to relieve pressure from the right heel1.
Heels are particularly vulnerable to skin breakdown and when patients lie supine, all of the pressure of their lower legs and feet rest on the heels1.
Preventing heel ulcers primarily involves the use of simple devices, like pillows and offloading devices, to protect delicate heels1.
Choice A is not correct because documenting the reddened area alone will not prevent further skin and tissue breakdown.
Choice B is not correct because asking the client how the area became reddened alone will not prevent further skin and tissue breakdown.
Choice C is not correct because assessing the client’s diet alone will not prevent further skin and tissue breakdown.
Correct Answer is A
Explanation
Bounding pulses are not a sign of inadequate perfusion.
Inadequate perfusion is when blood flow to a specific part of your body is reduced and that part will not receive essential nutrients.
Signs of inadequate perfusion include cyanosis (bluish discoloration of the skin due to lack of oxygen), pallor (paleness of the skin), and coolness1.
Choice B is incorrect because cyanosis is a sign of inadequate perfusion.
Choice C is incorrect because pallor is a sign of inadequate perfusion.
Choice D is incorrect because coolness is a sign of inadequate perfusion.
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