A nurse is caring for a client who has bowel incontinence and is placed on a bowel training program. Which of the following actions should the nurse take?

Teach the client to strain when having a bowel movement.

Encourage the client to drink a hot beverage just before she needs to defecate.

Allow the client to sit on the toilet for 1 hr to defecate.

Limit exercise for the client while she is on the bowel training program.

Answer and Explanation

The Correct Answer is B

A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.

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Correct Answer is A

Explanation

A. "You should get a dental assessment every 6 months." This is correct. It is recommended that adults visit the dentist every 6 months for a check-up and cleaning to maintain oral health.
B. "You should get a tuberculosis screening every 5 years." Routine tuberculosis screening every 5 years is not typically recommended for middle adults unless they are at high risk for TB exposure.
C. "You should get a breast examination every 3 years." Clinical breast exams are recommended every 3 years for women in their 20s and 30s and annually for women aged 40 and older, not for middle-aged adults specifically.
D. "You should get a glaucoma screening every 4 years." Glaucoma screening frequency can vary, but it is often recommended that adults have their eyes checked every 2 to 4 years starting at age 40, with more frequent screenings as they age.

A. Overweight B. Extremely obese C. Normal D. Obese

Correct Answer is D

Explanation

To calculate the BMI:

Convert weight to kilograms: 90 kg (198 lb)
Convert height to meters: 160 cm = 1.6 m
Use the BMI formula: BMI = weight (kg) / height (m)^2

BMI = 90 / (1.6)^2 BMI = 90 / 2.56 BMI ≈ 35.2

A. Overweight: Overweight is typically classified with a BMI from 25 to 29.9. This BMI is higher.
B. Extremely obese: The term "extremely obese" is not commonly used. The classification for a BMI above 40 would be "extremely obese."
C. Normal: A normal BMI ranges from 18.5 to 24.9. The calculated BMI is higher than this range.
D. Obese: A BMI of 35.2 falls into the category of obesity (30 to 39.9).

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A nurse is caring for a client who has bowel incontinence and is placed on a bowel training program. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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