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. "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 C
Explanation
A. Ensure the patient is safe and leave to get them some water: The provider’s verbal statement is not an official order. The student nurse must ensure a written order is in place before implementing dietary changes.
B. Contact dietary to order the patient a full liquid meal: The student nurse cannot place orders. They must first verify that the provider has documented the order.
C. Request that the provider write the order in the chart: Orders must be documented in the patient’s medical record before they can be carried out. The student nurse should ensure the provider formally writes the order.
D. Record the information in the patient chart: The student nurse cannot chart an order that has not been officially written by the provider.
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