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 B
Explanation
A. A 32-year-old with menstrual cramps. Cold therapy can help relieve pain and reduce pelvic inflammation.
B. A 78-year-old with peripheral arterial disease. Cold therapy causes vasoconstriction, which can further reduce circulation in clients with PAD, increasing the risk of tissue damage.
C. A 44-year-old with a hematoma to the leg: Cold therapy is recommended for hematomas as it reduces swelling and bleeding.
D. A 69-year-old with a pulled muscle: Cold therapy reduces inflammation and numbs pain, making it beneficial for muscle injuries.
Correct Answer is A
Explanation
A. Assess the patient: The priority action is to assess the patient for injuries before taking any further steps.
B. File a safety event report: This is important but should be done after assessing and ensuring the patient’s safety.
C. Place the patient on fall precautions: While necessary, this is a secondary intervention after assessment and ensuring immediate safety.
D. Get the patient back to bed: Moving the patient before assessing for injuries could worsen potential fractures or other injuries.
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