A client with the diagnosis of hypothyroidism has diminished bowel sounds and reports feeling constipated. Which action should the practical nurse (PN) implement?
Withhold the next scheduled dose of levothyroxine.
Obtain the supplies needed for insertion of a nasogastric tube.
Assist the client with ambulation in the room and hallway.
Remove any food or fluid from the client's bedside and room.
The Correct Answer is C
A. Withhold the next scheduled dose of levothyroxine: Levothyroxine should not be withheld for constipation, as it is the primary treatment for hypothyroidism. Stopping the medication could worsen metabolic function and is not indicated for mild gastrointestinal symptoms.
B. Obtain the supplies needed for insertion of a nasogastric tube: Inserting a nasogastric tube is invasive and unnecessary for constipation unless there is severe obstruction or other complications. Routine constipation is managed with noninvasive measures first.
C. Assist the client with ambulation in the room and hallway: Physical activity stimulates bowel motility and helps relieve constipation. Assisting the client with safe ambulation supports gastrointestinal function and promotes overall recovery in hypothyroid patients.
D. Remove any food or fluid from the client's bedside and room: Restricting food and fluid would worsen constipation and is inappropriate. Adequate hydration and dietary intake are essential for promoting normal bowel function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Provide sips of water to a client who is 4 hours postoperative: Offering fluids is within the UAP’s scope of practice as a non-invasive, routine activity. It does not require clinical judgment or direct supervision by the PN.
B. Assist a client to the car for discharge home: Assisting with ambulation or mobility for discharge is appropriate for a UAP. It involves physical support and safety measures but does not require clinical decision-making or supervision during the task.
C. Administer oral medications to a client with paraplegia: Medication administration requires assessment, knowledge of indications, contraindications, and monitoring for adverse effects, which is beyond the UAP’s scope. The PN must perform this task.
D. Collect a voided specimen before client is catheterized: Collecting a non-invasive urine specimen is appropriate for the UAP. It involves standard precautions and proper labeling but does not require clinical judgment or supervision.
E. Insert a foley catheter in a frail elderly client: Catheter insertion is an invasive procedure requiring sterile technique and assessment skills. This task must be performed by licensed nursing personnel and cannot be delegated to a UAP.
Correct Answer is "{\"xRanges\":[54.246018005540165,56.462084487534625],\"yRanges\":[47.52851711026616,50.57034220532319]}"
Explanation
Point A
Rationale:
Pins penetrate the skin and bone, creating a pathway for bacteria. If not monitored, this can lead to local infection or progress to osteomyelitis. Early signs of complication include redness, swelling, warmth, drainage, or pain at the pin site may indicate inflammation or infection. Catching these early prevents systemic spread. Children are especially vulnerable to skin breakdown. Regular assessment helps maintain skin integrity and supports healing. Infection or loosening at the pin site can compromise the stability of the traction, reducing its therapeutic effectiveness.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today