When assessing the client’s bowel elimination, the nurse understands that which is not a factor?

Age

Diet

Fluid intake

Gender

Answer and Explanation

The Correct Answer is D

When assessing bowel elimination, the factors to be considered are: Age, use of laxatives or other bowel medications, dietary habits and fluid intake, history of bowel diseases or surgeries. Gender does not have an influence on bowel movements.

Geriatrics often have slowed bowel movements compared to the young.

Diet high in fiber usually enhances bowel movement.

Increased fluid intake improves stool consistency.

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Correct Answer is D

Explanation

The most appropriate intervention for this client is to collaborate with the client and provider to develop a client-centered plan of care. As a healthcare provider, it is important to respect the client's cultural and religious beliefs while ensuring the client's safety and well-being. Fasting during Ramadan is an important religious practice for many Muslims, and it may not be appropriate to ask the client to abandon this practice.

However, it is also important to ensure that the client's diabetes is well-controlled and that the client is not at risk for complications such as hypoglycemia.

A. Call the chaplain for support B. Allow the unlicensed assistive personnel to interpret C. Call for a Cambodian interpreter D. Continue to work with the daughter for interpretation

Correct Answer is C

Explanation

The best thing to do is to involve a professional interpreter when there is a language barrier as the daughter may fail to provide accurate information if there is sensitive information needed.

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When assessing the client’s bowel elimination, the nurse understands that which is not a factor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client states that he is Muslim. The client has type two diabetes mellitus and has been prescribed a long -acting insulin. The client says that he fasts for Ramadan. What intervention is most appropriate for this client?

Correct Answer is D

Explanation

A client arrives only speaking Cambodian. The daughter is interpreting for her. What is the priority responsibility of the nurse?

Correct Answer is C

Explanation

An eight year old child is eating a hotdog and begins coughing. What is the priority action of the nurse?

The nurse is teaching a community group about poisoning prevention. Which of the following statements from an attendee would indicate the need for further teaching?

A fire is found in a client’s room during a routine medication pass. What is the nurse’s first action?

A nurse is orienting the client to their room. What safety measure is a priority during the orientation?

What expected physiological changes of the older adult put them at risk of falls? (Select all that apply)

A nurse and client work on strategies to reduce weight. What phase of the therapeutic relationship are the nurse and client in?

Accepting pauses or silences that may extend for some time without interjecting a verbal response is considered which of the following?

Which set of vital signs, taken on an adult, is cause for concern and requires further evaluation?