Which finding, if identified in a client who is being treated for fecal incontinence would indicate that the bowel training is attaining the desired outcome?
Formed stool two times per day, every day, for one week.
Use of soap sud enemas weekly to promote elimination.
Continued use of laxatives at half of the prescribed dose.
A formed, soft stool at regular intervals without the use of a laxative.
The Correct Answer is A
Formed stool two times per day, every day, for one week. This indicates that bowel training is attaining the desired outcome because it shows regularity and consistency of bowel movements without the use of laxatives or enemas.
Choice B is wrong because soap sud enemas are not recommended for bowel training as they can irritate the bowel and cause fluid and electrolyte imbalance.
Choice C is wrong because continued use of laxatives can inhibit the natural defecation reflexes and cause dependency.
Choice D is wrong because a formed, soft stool at regular intervals without the use of a laxative is a normal defecation pattern, not an indication of fecal incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Reminiscing about the spouse with significant others. This is an important need for a widowed client during the grieving period following the death of the client’s spouse because it helps them process their loss, express their emotions, and honor their memories. Reminiscing can also provide comfort, support, and meaning to the bereaved.
Choice B. Self-indulgence in order to fill the emptiness left by the spouse’s death is wrong because it can be unhealthy, addictive, or harmful to the client’s well-being. Self-indulgence may also prevent the client from coping with their grief in a constructive way.
Choice C. Reassurance that the client did all that could be expected for their spouse is wrong because it may imply that the client is responsible for their spouse’s death or that they could have prevented it.
This may increase the client’s guilt, regret, or self-blame. Reassurance should focus on the client’s strengths, resilience, and coping skills.
Choice D. Engagement in activities that will take the client’s mind off the loss of the spouse is wrong because it may suggest that the client should avoid or deny their grief.
This may interfere with the healing process and lead to unresolved or complicated grief. Engagement in activities should be balanced with time for reflection, mourning, and self-care.
Normal ranges for grief vary depending on the individual, the relationship, and the circumstances of the death. However, some general guidelines are that grief can last from a few months to several years and that it may involve physical and emotional symptoms such as trouble sleeping, loss of appetite, difficulty concentrating, crying, sadness, anger,
Correct Answer is C
Explanation
Hand hygiene techniques are the first line of defense in medical asepsis because they prevent the transmission of microorganisms from one person or object to another. Hand hygiene techniques include washing hands with soap and water or using an alcohol-based handrub.
Choice A is wrong because isolation or barrier procedures are not the first line of defense in medical asepsis, but rather a way of preventing the spread of infection to other patients or health care workers when a patient has a known or suspected infection.
Choice b is wrong because the nature of detergent used on the unit is not the first line of defense in medical asepsis, but rather a factor that affects the effectiveness of cleaning and disinfection of surfaces and equipment.
Choice D is wrong because the ventilation system type is not the first line of defense in medical asepsis, but rather a factor that affects the quality of air and the risk of airborne transmission of microorganisms.
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