A nurse is caring for a client who has dysphagia following a stroke.When assisting the client at mealtime, which of the following actions should the nurse plan to take?

Choice A rationale

Limiting fluid intake to 1500 mL/day is not recommended for bowel training. Adequate fluid intake is important for maintaining regular bowel movements and preventing constipation. Limiting fluids can worsen constipation and interfere with bowel training.

Choice B rationale

Assisting the client to the restroom 30 minutes after meals takes advantage of the gastrocolic reflex, which stimulates bowel movements following food intake. This helps establish a regular bowel routine and manage fecal incontinence.

Choice C rationale

Limiting physical activity is not advised for bowel continence. Regular physical activity promotes gastrointestinal motility and overall bowel health. Physical inactivity can lead to constipation and negatively impact bowel training efforts.

Choice D rationale

High-fiber foods are important for bowel health as they add bulk to stool and promote regular bowel movements. Limiting intake of high-fiber foods can lead to constipation and is counterproductive to bowel training.

Choice A rationale

Increased respiratory rate is a compensatory mechanism in metabolic acidosis to expel excess carbon dioxide and decrease blood acidity.

Choice B rationale

Positive Trousseau's sign indicates hypocalcemia, not metabolic acidosis. It is seen in patients with low calcium levels.

Choice C rationale

Tingling of the fingers is usually associated with electrolyte imbalances such as hypocalcemia, rather than metabolic acidosis.

Choice D rationale

Dizziness upon standing is typically a sign of orthostatic hypotension, not directly related to metabolic acidosis.