A nurse is assisting with teaching a patient who has constipation. Which of the following statements should the nurse include?
"Try to form a routine at different times of the day."
"Increase your daily fluid intake."
"Increase your daily activity."
"Consume a low-fiber diet."
The Correct Answer is B
Choice A reason: Forming a routine at different times of the day does not specifically address constipation and can be confusing for the patient.
Choice B reason: Increasing daily fluid intake can help alleviate constipation by softening the stool and promoting bowel movements.
Choice C reason: Increasing daily activity can help with constipation, but it is not as immediate or effective as increasing fluid intake.
Choice D reason: Consuming a low-fiber diet is not recommended for constipation; in fact, a high-fiber diet is beneficial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.
Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.
Choice C reason: Taking a deep breath before coughing helps to increase the effectiveness of the cough, which can clear secretions from the lungs.
Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and effectiveness of the cough.
Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more effective.
Correct Answer is C
Explanation
Choice A reason: Metabolic alkalosis is characterized by a high pH and a high HCO3 level, which is not present in this scenario.
Choice B reason: Respiratory acidosis is characterized by a high PaCO2 and a low pH. Although the pH is low here, the PaCO2 is also low, ruling out respiratory acidosis.
Choice C reason: Metabolic acidosis is indicated by a low pH and a low HCO3 level, which aligns with the patient's ABG results.
Choice D reason: Respiratory alkalosis would present with a high pH and a low PaCO2, which is not the case here.
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