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 physical activity until bowel continence is achieved.
Limit the client's fluid intake to 1500 mL/day.
Instruct the client to limit their intake of high-fiber foods.
Assist the client to the restroom 30 minutes after meals.
The Correct Answer is D
Choice A Reason:
Limiting the client's physical activity is not generally recommended as part of bowel training for fecal incontinence. Regular physical activity can actually help with bowel movements by increasing muscle activity in the intestines. It is important for clients to maintain as much normal activity as possible.
Choice B Reason:
Limiting the client's fluid intake to 1500 mL/day is not advisable unless specifically recommended by a healthcare provider for another medical reason. Adequate hydration is essential for normal bowel function, and restricting fluids could exacerbate constipation, which can complicate fecal incontinence.
Choice C Reason:
Instructing the client to limit their intake of high-fiber foods would be counterproductive in managing fecal incontinence. A diet high in fiber can help form bulkier, softer stools, which can be easier to control. Fiber helps to regulate bowel movements, which is beneficial in bowel training programs.
Choice D Reason:
Assisting the client to the restroom 30 minutes after meals takes advantage of the gastrocolic reflex, which is a normal response where the act of eating stimulates movement in the gastrointestinal tract. This can help the client establish a regular pattern of bowel movements, which is a key goal in bowel training for fecal incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
The ammonia level of 55 mcg/dL falls within the normal range of 10 to 80 mcg/dL. Ammonia is a byproduct of protein metabolism and is converted to urea by the liver before being excreted by the kidneys. Elevated levels can indicate liver dysfunction, but in this case, the value does not warrant concern.
Choice B Reason:
A bilirubin level of 1.0 mg/dL is at the upper limit of the normal range, which is 0.3 to 1.0 mg/dL. Bilirubin is produced during the normal breakdown of red blood cells and is processed by the liver. While this value is at the higher end, it is not abnormal and does not require reporting to the provider unless there are symptoms of jaundice or other clinical signs of liver disease.
Choice C Reason:
The platelet count of 60,000/mm³ is significantly below the normal range of 150,000 to 450,000/mm³. Platelets are crucial for blood clotting, and a low count, known as thrombocytopenia, can increase the risk of bleeding, especially concerning in the context of an invasive procedure like a liver biopsy. This value should be reported to the provider as it may necessitate a change in the biopsy plan or require intervention to address the low platelet count.
Choice D Reason:
An AST level of 34 units/L is at the upper boundary of the normal range. AST is an enzyme found in high amounts in the liver, heart, and muscles, and it is released into the bloodstream when any of these tissues are damaged. While this value is at the upper limit, it is not elevated and typically would not need to be reported unless there are other indicators of liver injury or the patient is symptomatic.
Correct Answer is D
Explanation
Choice A reason:
Cabbage is a leafy green vegetable that is beneficial for overall health due to its vitamin content and fiber. However, when it comes to potassium, a cup of sliced cabbage contains approximately 151 mg, which is not particularly high. Potassium is an essential nutrient that plays a key role in cell function, including nerve transmission and muscle contraction. The recommended daily intake of potassium for adults is 2,600 to 3,400 mg¹. Therefore, while cabbage is healthy, it is not the best option for someone looking to significantly increase their potassium intake.
Choice B reason:
Apples are a popular fruit known for their fiber and vitamin C content. A small apple contains about 159 mg of potassium. Similar to cabbage, apples are not among the highest sources of potassium. They can be part of a balanced diet but are not the optimal choice for those who need a higher intake of this mineral.
Choice C reason:
Watermelon is a hydrating fruit with a high water content and is a good source of vitamins A and C. One cup of sliced watermelon provides roughly 170 mg of potassium. While watermelon does contribute to potassium intake, it does not contain as much potassium as other fruits and vegetables. It is best enjoyed as a refreshing snack rather than a primary source of potassium.
Choice D reason:
Potatoes are a starchy vegetable with a significant amount of potassium. A medium potato can contain up to 897 mg of potassium, making it one of the best choices for increasing potassium intake. Potatoes are versatile and can be prepared in various ways, which makes them an easy addition to many meals. Given their high potassium content, they are an excellent recommendation for someone needing to boost their intake of this mineral.
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