Which option is part of a program that addresses bowel incontinence in an older adult client?

Ensuring ready access to a toilet or commode client

Encouraging the intake of 1 L of water each day

Expecting a rapid and full recovery

Toileting the client 10 to 15 minutes after meals

Answer and Explanation

The Correct Answer is A

A. Ensuring ready access to a toilet or commode.

Explanation: Ensuring ready access to a toilet or commode for the client is a practical measure to address bowel incontinence. This proactive approach allows the client to respond to the urge to defecate promptly, reducing the risk of incontinence episodes.

B. Encouraging the intake of 1 L of water each day.

Explanation: While maintaining adequate hydration is important for overall bowel health, it may not directly address the issue of bowel incontinence.

C. Expecting a rapid and full recovery.

Explanation: The expectation of rapid and full recovery does not constitute a specific intervention for addressing bowel incontinence. The approach to managing bowel incontinence is typically individualized and may involve various strategies depending on the underlying causes.

D. Toileting the client 10 to 15 minutes after meals.

Explanation: Toileting the client after meals is a timing strategy that may help take advantage of the gastrocolic reflex, but it is only one aspect of a comprehensive program for managing bowel incontinence. Other interventions, such as dietary adjustments, exercise, and toileting schedules, may also be considered based on the client's specific needs.

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Correct Answer is C

Explanation

A. Assist with obtaining informed consent from the client.
Explanation: Informed consent is a critical aspect of healthcare procedures, but it requires the patient to have the capacity to understand and make decisions. In this scenario, the client is intubated and on mechanical ventilation, which might compromise their ability to communicate effectively. If the client lacks capacity, obtaining consent from the durable power of attorney (POA) is more appropriate.

B. Refer to the client's advance directive for a name.
Explanation: Advance directives, including the durable POA, provide guidance on a person's wishes for healthcare decisions when they are unable to communicate. However, the advance directive may not always specify a particular person's name for decisions related to specific medical interventions. The key consideration in this situation is to determine the current decision-making capacity and involve the appropriate decision-maker if needed.

C. Determine the client's inability to make reasonable decisions.
Explanation: This is the correct answer. In this scenario, the nurse should assess the client's capacity to make decisions. If the client lacks capacity, the durable POA can be activated to make healthcare decisions on behalf of the client. Capacity involves the ability to understand relevant information, appreciate the consequences of decisions, and communicate a choice.

D. Use the oral trail-making test to measure cognitive function.
Explanation: The oral trail-making test is a cognitive screening tool, but it may not be suitable in this critical care scenario with an intubated and mechanically ventilated patient. Moreover, the primary concern in this situation is determining the capacity to make healthcare decisions, which requires a more comprehensive evaluation than a specific cognitive function test. The focus should be on decision-making capacity rather than a cognitive assessment.

A. Two servings of deep-colored fruit B. Six or more servings of fortified, enriched, or whole grain foods C. Three or more servings of low-fat or nonfat dairy products D. Three 8 ounce glasses of water E. Four or more servings of high quality protein F. One or two servings of brightly colored vegetables

Correct Answer is ["B","C","D","E"]

Explanation

A. Two servings of deep-colored fruit.

While fruits are recommended, the "deep-colored" specification is not a specific focus in the MyPlate for Older Adults.

B. Six or more servings of fortified, enriched, or whole grain foods.

Correct. Whole grains are an important source of fiber, vitamins, and minerals.

C. Three or more servings of low-fat or nonfat dairy products.

Correct. Dairy products provide calcium and vitamin D, important for bone health.

D. Three 8-ounce glasses of water.

Correct. Staying hydrated is crucial for overall health, especially for older adults.

E. Four or more servings of high-quality protein.

Correct. Protein is essential for muscle maintenance and repair. Sources of high-quality protein include lean meats, poultry, fish, eggs, dairy, and plant-based protein sources.

F. One or two servings of brightly colored vegetables.

While vegetables are recommended, the "brightly colored" specification is not a specific focus in the MyPlate for Older Adults.

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Which option is part of a program that addresses bowel incontinence in an older adult client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A health care provider asks the nurse about an older adult client's durable power of attorney (POA) because consent is needed for a medically necessary invasive procedure. The client has end-stage disease, is intubated, and is on mechanical ventilation. Which steps should the nurse implement?

Correct Answer is C

Explanation

Which recommendations for daily food intake is correct for older adults according to the MyPlate for Older Adults? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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When assessing your client who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)

In assessing an older adult, you question his cognitive skills when you notice that

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