A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence.Which of the following interventions should the nurse recommend?
Limit the client's fluid intake to 1500 m/day.
Assist the client to the restroom 30 min after meals.
Limit the client's physical activity until bowel continence is achieved.
Instruct the client to limit their intake of high-fiber foods.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Padded tongue blades are not recommended as they can cause injury or block the airway during a seizure.
Choice B rationale
A backboard is not necessary for a client with a seizure disorder. The focus should be on airway management and safety.
Choice C rationale
Wrist restraints are not appropriate and can cause harm during a seizure. The client should be kept safe and comfortable.
Choice D rationale
Suction equipment is essential to clear the client's airway of secretions or vomit during a seizure, helping to maintain a patent airway. .
Correct Answer is D
Explanation
Choice A rationale
Performing breast exams on the first day of the menstrual cycle is not recommended because hormonal fluctuations can affect breast tissue.
Choice B rationale
Breast self-examinations should be performed monthly, not every other month, to detect any changes in breast tissue.
Choice C rationale
Skin dimpling on the breast can be a sign of breast cancer and should not be considered common. It requires medical evaluation.
Choice D rationale
It is normal for one breast to be slightly larger than the other, and this variation is common among women.
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