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A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

“I drink an average of 2,000 milliliters of water daily."

“I take a prescribed opioid pain medication at bedtime."

"I love to eat apples and black-eyed peas."

"I drink two hot cups of coffee each morning."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Drinking an average of 2,000 milliliters of water daily is a healthy habit that promotes bowel elimination.

B. Taking a prescribed opioid pain medication at bedtime can cause constipation and impaired bowel elimination.

C. Eating apples and black-eyed peas is a healthy dietary choice that promotes bowel elimination.

D. Drinking two hot cups of coffee each morning can promote bowel elimination for some individuals.

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Correct Answer is ["D","E"]

Explanation

Rationale:

A. These neurological findings are within normal limits and do not require immediate follow-up.

B. These musculoskeletal findings are not indicative of an emergency and can be addressed during routine care.

C. Clear lung sounds are a normal finding and do not require immediate follow-up.

D. An irregular heart rate may indicate an arrhythmia or other cardiovascular issue that requires further assessment and intervention.

E. Hyperactive bowel sounds can indicate a variety of gastrointestinal issues, including bowel obstruction or ileus, which may require immediate intervention or further investigation.

A. Photograph B. Medical diagnosis C. Room number D. Age

Correct Answer is A

Explanation

Rationale:

A. A photograph is a unique identifier that helps ensure the correct client receives the correct medications.

B. A medical diagnosis is not a unique identifier and may not be accurate if the client has multiple diagnoses.

C. A room number is not a unique identifier and may not be accurate if the client has been moved to a different room.

D. Age is not a unique identifier and may not be accurate if the client has multiple ages.

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A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["D","E"]

Explanation

A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

Correct Answer is A

Explanation

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