A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)
should decrease my physical activity."
should increase fluid intake."
should only take a laxative when necessary."
1 should increase fiber intake."
should strain when I try to have a bowel movement."
Correct Answer : B,C,D
A. "I should decrease my physical activity." Decreasing physical activity is not recommended as it can worsen constipation. Physical activity helps stimulate bowel movements, so this statement does not indicate proper understanding.
B. "I should increase fluid intake." Increasing fluid intake helps to soften the stool and promote bowel movements. Adequate hydration is essential in managing constipation, especially when taking opioids.
C. "I should only take a laxative when necessary." Taking a laxative only when necessary is a reasonable approach to managing constipation. Overuse of laxatives can lead to dependency and should be avoided. Using them judiciously can help manage symptoms effectively.
D. "I should increase fiber intake." Increasing dietary fiber can help to bulk up the stool and stimulate bowel movements, which is beneficial in preventing and treating constipation associated with opioid use.
E. "I should strain when I try to have a bowel movement." Straining during bowel movements is not recommended as it can lead to complications such as hemorrhoids or anal fissures. This statement indicates a misunderstanding of proper bowel habits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Replacement therapy with pancreatic enzymes: Pancreatic insufficiency results in a lack of digestive enzymes, leading to malabsorption of nutrients. Enzyme replacement therapy is essential to aid in digestion and nutrient absorption.
B. Treatment with stimulant laxatives: Stimulant laxatives are used to treat constipation by increasing bowel motility. They do not address the underlying enzyme deficiency in pancreatic insufficiency and can potentially cause further nutrient loss.
C. Treatment with PPIs to decrease stomach acid: Proton pump inhibitors (PPIs) reduce stomach acid production and are used for conditions like GERD. They do not address the enzyme deficiency caused by pancreatic insufficiency.
D. Decrease food intake: Reducing food intake does not treat pancreatic insufficiency and can lead to malnutrition. The goal is to support normal digestion and nutrient absorption through enzyme replacement.
Correct Answer is D
Explanation
A. The amount of blood pumped by the heart through the circulatory system in 1 minute. This statement describes cardiac output, which is unrelated to digestion. It refers to the volume of blood the heart pumps per minute.
B. Neutralization by use of bicarbonate from pancreatic and biliary secretions. This statement accurately reflects a component of digestion. Bicarbonate from the pancreas and biliary secretions neutralizes stomach acid in the small intestine, creating an optimal pH for digestive enzymes.
C. Smooth muscle movement of the GI tract by way of contractions. This statement describes peristalsis, the wave-like contractions that move food through the digestive tract. While peristalsis is essential for digestion, it does not explain the process of breaking down food into absorbable molecules.
D. It is the process when food is broken down into molecules that can be absorbed. This statement accurately defines digestion. It describes the process by which food is broken down into smaller molecules that can be absorbed into the bloodstream and used by the body.
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