A client, who is on bedrest after surgery, complains of feeling bloated and having continuous oozing of small amounts of liquid stool. The nurse recognizes this as being symptomatic of which condition?

Diarrhea

Flatus

Overflow

Impaction

Answer and Explanation

The Correct Answer is D

A. Diarrhea: Diarrhea typically involves the passage of loose or watery stools, often occurring frequently throughout the day. It is characterized by increased frequency, urgency, and volume of stool output. While diarrhea can cause bloating, it is not usually associated with continuous oozing of small amounts of liquid stool.

B. Flatus: Flatus refers to the passage of gas through the rectum, commonly known as "passing gas" or "flatulence." While flatus can contribute to feelings of bloating or discomfort, it does not involve the continuous oozing of liquid stool.

C. Overflow: Overflow typically occurs in the context of fecal impaction, where liquid stool leaks around a fecal mass that is blocking the rectum. However, overflow is characterized by the intermittent leakage of liquid stool, often preceded by constipation and fecal impaction. Continuous oozing of small amounts of liquid stool is not typically associated with overflow alone.

D. Impaction: Fecal impaction occurs when a large, hardened mass of stool accumulates in the rectum, making it difficult or impossible to pass stool. Continuous oozing of small amounts of liquid stool can occur around the impacted fecal mass, leading to symptoms such as bloating, discomfort, and leakage of liquid stool. Therefore, fecal impaction is the most likely condition associated with the client's symptoms.

In summary, option D (Impaction) is the correct answer as it best aligns with the client's symptoms of feeling bloated and experiencing continuous oozing of small amounts of liquid stool in the context of being on bedrest after surgery

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Correct Answer is C

Explanation

A. Is aware that some health problems affect clients from various social levels: While being aware of health disparities related to social factors is important for providing comprehensive care, it does not fully capture the professional value of social justice. Social justice involves more than just awareness; it entails taking action to address inequalities and ensure fair treatment and access to care for all individuals, regardless of their background.

B. Does safe, research-based interventions for clients: While providing safe, evidence-based interventions is a fundamental aspect of nursing practice, it does not directly relate to the professional value of social justice. Social justice focuses on addressing systemic barriers and inequalities in healthcare to ensure equitable treatment and access for all individuals, rather than solely on the delivery of interventions.

C. Ensures equal treatment & access to care regardless of clients' background: This option best describes the professional value of social justice. Nurses who uphold social justice advocate for fair and equal treatment of all individuals, regardless of factors such as socioeconomic status, race, ethnicity, gender, or sexual orientation. They work to identify and address systemic barriers that contribute to health disparities and advocate for policies and practices that promote equitable access to healthcare services.

D. Collects data about unique needs of individual clients prior to planning care: While collecting data about clients' unique needs is essential for providing individualized care, it does not directly relate to the professional value of social justice. Social justice focuses on broader systemic issues and ensuring fair treatment and access to care for all individuals, rather than solely on individualized care planning.

A. Type of diet B. Cultural considerations C. Gender D. History of onset

Correct Answer is D

Explanation

A. Type of diet: While the type of diet may be relevant to the overall health and well-being of the older adult client, it may not directly contribute to understanding the change in mental status. While nutritional deficiencies or imbalances could potentially impact mental status, other factors are more immediately relevant to assessing the change in mental status.

B. Cultural considerations: Cultural considerations are important in providing holistic care to the older adult client, but they may not directly contribute to understanding the change in mental status. Cultural factors could influence communication styles, beliefs about health and illness, and preferences for care, but they may not be the primary focus when assessing a change in mental status.

C. Gender: Gender may have some relevance to the overall health and well-being of the older adult client, but it may not directly contribute to understanding the change in mental status. While certain gender-related factors, such as hormonal changes or gender-specific health conditions, could potentially impact mental health, they may not be the primary focus when assessing a change in mental status.

D. History of onset: This represents a critical thinking approach because understanding the history of onset of the change in mental status is essential for identifying potential causes and determining appropriate interventions. The timing and circumstances surrounding the onset of the change can provide valuable information about possible contributing factors, such as recent illnesses, medication changes, trauma, or environmental changes. By gathering information about the history of onset, the nurse can engage in critical thinking to formulate hypotheses, prioritize assessments, and develop a plan of care tailored to the client's needs.

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A client, who is on bedrest after surgery, complains of feeling bloated and having continuous oozing of small amounts of liquid stool. The nurse recognizes this as being symptomatic of which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the best description for the professional value of social justice? The nurse…

Correct Answer is C

Explanation

An older adult client experiences a change in mental status. Which assessment finding represents a critical thinking approach?

Correct Answer is D

Explanation

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