A client is having difficulty having a bowel movement laying on the bedpan. What is the physiologic reason for this problem?

It is painful to sit on a bedpan.

The position encourages the Valsalva maneuver.

The position does not facilitate downward pressure.

The cause is unknown and requires further study.

Answer and Explanation

The Correct Answer is C

A. It is painful to sit on a bedpan. Discomfort may be a factor, but pain alone does not explain the difficulty in having a bowel movement.
B. The position encourages the Valsalva maneuver. The Valsalva maneuver (straining against a closed airway) can occur in any position, but posture is the primary problem here.
C. The position does not facilitate downward pressure. The seated position allows for gravity and proper abdominal muscle engagement, making defecation easier. Lying down does not facilitate intra-abdominal pressure.
D. The cause is unknown and requires further study. The relationship between position and defecation is well understood in physiology.

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Correct Answer is D

Explanation

While this provides technical information, the surgical mask part is incorrect; the nurse should wear an N95 respirator, not a surgical mask.

B. "It sounds like you have some questions about your new diagnosis. What are you most concerned about?"

While this is a therapeutic communication technique, it does not directly answer the patient's question about airborne precautions.

C. "Tuberculosis can seriously impair the lungs and requires a long course of antibiotics to treat it."

This statement provides disease information but does not explain why airborne isolation is necessary.

D. "Tuberculosis is a small particle that can spread through the air. This new room has a special filter that reduces the spread of the bacteria through the air."

This provides a concise and accurate explanation of airborne precautions in terms the patient can understand.

A. The relationship occurs spontaneously. B. It is based on the needs of the nurse. C. The nurse and client will have a social relationship. D. The nurse is accountable for the outcome.

Correct Answer is D

Explanation

A. The relationship occurs spontaneously: Therapeutic relationships are intentional and structured, unlike spontaneous social interactions.

B. It is based on the needs of the nurse: The relationship is centered on the needs of the client, not the nurse.

C. The nurse and client will have a social relationship: A therapeutic nurse-client relationship is professional, not social. It focuses on supporting the client’s well-being.

D. The nurse is accountable for the outcome: The nurse is responsible for maintaining professional boundaries and ensuring that the relationship supports the client’s health goals.

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A client is having difficulty having a bowel movement laying on the bedpan. What is the physiologic reason for this problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care to a patient who has tested positive for tuberculosis. The patient is moved into an airborne isolation room and the patient asks. "Why do I need to be moved into this new room?" How should the nurse respond?

Correct Answer is D

Explanation

The nurse is attempting to develop a therapeutic nurse-client relationship with a newly admitted client. What expectations does the nurse have when developing the relationship?

Correct Answer is D

Explanation

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