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 C
Explanation
Choice A rationale
Traveling by plane is safe for individuals with pacemakers. Security procedures at airports can be managed with proper precautions and communication with security staff.
Choice B rationale
MRIs are generally contraindicated for individuals with pacemakers due to the strong magnetic fields. CAT scans are usually a safer alternative.
Choice C rationale
Holding the cell phone on the opposite side of the pacemaker is recommended to avoid potential interference with the device.
Choice D rationale
Modern microwave ovens are well shielded and do not pose a risk of interference with pacemakers. Individuals with pacemakers can safely use microwaves.
Correct Answer is C
Explanation
Choice A rationale
Placing throw rugs on the floor increases the risk of falls, which is particularly dangerous for clients with Alzheimer's disease due to potential mobility and cognitive impairments. Fall prevention measures are critical in their care.
Choice B rationale
Leaving the television on can contribute to sensory overload and confusion in clients with Alzheimer's disease. A calm and structured environment with minimal distractions is more beneficial for their cognitive function and well-being.
Choice C rationale
Installing locks at the top of doors helps prevent clients with Alzheimer's disease from wandering and ensures their safety. This modification addresses the common issue of wandering and helps keep the client secure in their environment.
Choice D rationale
Scheduling alternate caregivers is important for managing caregiver fatigue but is not directly related to environmental modifications in the home. Caregiver support is crucial, but the focus here is on physical safety within the home environment.
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