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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason:

Taking several antituberculosis medications does not primarily aim to protect the liver from toxic effects. While liver protection is a concern during TB treatment due to the hepatotoxicity of some TB medications, the primary reason for multiple drugs is not liver protection.

Choice B reason:

Some pain is expected after fracture and cast application. However, if the pain is severe, unrelieved by prescribed analgesics, or increases over time, it may indicate complications such as compartment syndrome. In such cases, prompt evaluation is necessary.

Choice C reason:

When a client has a long arm cast applied, it's crucial to monitor for signs of circulatory compromise, such as coolness in the fingers. Cool fingers may indicate inadequate blood flow, potentially leading to serious complications like compartment syndrome. Immediate reporting to the healthcare provider is necessary to prevent further complications.

Choice D reason:

The severity of TB does not determine the number of medications required. Both severe and less severe forms of TB typically require a combination of medications to effectively treat the disease and prevent the development of drug-resistant TB strains.

A. Refill the prescription every 12 months. B. Store the medication in the refrigerator. C. Swallow the tablet whole with a glass of water. D. Take a second tablet after 5 minutes if chest pain is unrelieved.

Correct Answer is D

Explanation

Choice A Reason:
Nitroglycerin tablets should not be refilled every 12 months without consulting a healthcare provider. The potency of nitroglycerin tablets can decrease over time, and they should be replaced every 6 months.

Choice B Reason:
Storing nitroglycerin in the refrigerator is not recommended. The medication should be kept at room temperature, away from light and moisture, and in its original container to maintain its stability and potency.

Choice C Reason:
Sublingual nitroglycerin tablets should not be swallowed whole with a glass of water. They are designed to be dissolved under the tongue to provide rapid relief from chest pain.

Choice D Reason:
This is the correct instruction. If chest pain is not relieved after taking the first sublingual nitroglycerin tablet, it is standard practice to take a second tablet after 5 minutes. If the pain persists after three doses taken 5 minutes apart, emergency medical attention is required.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who had a long arm cast applied 2 hours ago. Which of the following findings of the affected extremity should the nurse report to the provider immediately?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who has a prescription for sublingual nitroglycerin for unstable angina. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?

A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates the colostomy is functioning properly?

A nurse is reinforcing health promotion education at a community health fair. Which of the following statements by attendees indicates an understanding of the teaching?

A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?

A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?

A nurse is contributing to the plan of care for a client who has viral meningitis. Which of the following interventions should the nurse recommend?

A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?

A nurse is reinforcing teaching with a client following an upper gastrointestinal series using barium contrast. Which of the following instructions should the nurse include?