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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?

A.

It is painful to sit on a bedpan.

B.

The position encourages the Valsalva maneuver.

C.

The position does not facilitate downward pressure.

D.

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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Related Questions

Correct Answer is D

Explanation

A. "These help to get rid of clots that are in your legs that can cause problems." Pneumatic compression devices prevent clots; they do not treat existing ones.

B. "These help circulate air and provide compression to your legs." While compression is correct, the reference to circulating air is misleading, as the device improves blood circulation, not air movement.

C. "These will help you to perform passive range of motion to your legs." Pneumatic compression devices do not move the legs; they promote circulation through intermittent pressure.

D. "These will help to reduce the risk of developing a venous thrombus." Pneumatic compression devices improve venous circulation and prevent deep vein thrombosis (DVT), making this the most accurate response.

Correct Answer is A

Explanation

A. 46-year-old with a low neutrophil count: Neutrophils are essential for fighting infection. A low neutrophil count (neutropenia) significantly increases infection risk, making this the highest-priority patient.

B. 59-year-old seven days post abdominal surgery: While postoperative patients are at risk for infection, the greatest risk is within the first few days after surgery. By day seven, the risk decreases if no signs of infection are present.

C. 82-year-old with a history of leukemia ten years ago: While leukemia can affect the immune system, a history of leukemia from ten years ago is less concerning than an active condition causing immunosuppression.

D. 62-year-old on antibiotic therapy: While antibiotics can disrupt normal flora and increase the risk of infections like Clostridioides difficile, this risk is lower than that of a patient with neutropenia.

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