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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer an antibiotic. While antibiotics may be needed, they must be ordered by the provider. The nurse should notify the provider first to evaluate for infection.
B. Provide a warm water soak to the area. Warm soaks can worsen infection by promoting bacterial growth.
C. Provide education about pain management. While pain management education is important, the wound findings (purulent drainage, warmth, erythema) suggest possible infection, which requires medical intervention first.
D. Notify the provider about the findings. Signs of infection (erythema, warmth, purulent drainage) need to be reported immediately for further evaluation and treatment (e.g., wound culture, antibiotics).
Correct Answer is B
Explanation
A. Protective prone: The prone position (lying on the stomach) does not allow easy enema administration and is not recommended.
B. Left lateral recumbent: The left lateral position allows gravity to assist with enema administration and helps the fluid move efficiently through the colon.
C. High Fowler's: Sitting upright does not promote proper enema flow, making it ineffective.
D. Dorsal recumbent: Lying on the back does not facilitate enema administration effectively.
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