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.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A Reason:
Before administering any medication, it is crucial to verify the client's allergies to prevent adverse reactions. This step is paramount as it ensures patient safety and is a standard practice in medication administration protocols.

Choice B Reason:
Locating the correct injection site is essential for the efficacy of the drug and to minimize discomfort or complications. The area 5 cm to the right or left of the umbilicus is chosen because it is typically well-padded and has a lower risk of hitting bone or major blood vessels.

Choice C Reason:
The presence of an air bubble in the prefilled enoxaparin syringe is necessary to ensure the full dose is administered. Enoxaparin is an anticoagulant medication, and the air bubble does not pose a risk when injected subcutaneously but helps to clear the syringe of medication.

Choice D Reason:
The technique of pinching the skin and inserting the needle at a 90-degree angle is used to create a skinfold for subcutaneous injections. This method helps to ensure that the medication is delivered into the subcutaneous tissue rather than into muscle or dermis.

Choice E Reason:
Injecting the medication slowly and without aspirating is specific to subcutaneous injections like enoxaparin. Aspiration is not recommended for subcutaneous injections as it can cause tissue damage and is unnecessary since large blood vessels are not present at the recommended injection sites.

A. The client had a hemorrhoidectomy 1 year ago. B. The client consumed citrus juice 3 days before the test. C. The client takes ibuprofen for headaches. D. The client has a history of breast cancer.

Correct Answer is C

Explanation

Choice A reason:
A hemorrhoidectomy performed 1 year ago is unlikely to cause a false-positive result on a fecal occult blood test (FOBT). Hemorrhoidectomy is a surgical procedure to remove hemorrhoids, and any bleeding related to the surgery would not persist a year later.

Choice B reason:
Consuming citrus juice 3 days before the test is not associated with false-positive results on an FOBT. Dietary factors that can affect the test typically include red meat, certain vegetables, and some fruits, but citrus is not commonly implicated.

Choice C reason:
Taking ibuprofen for headaches can indeed lead to a false-positive result on an FOBT. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation or bleeding, which can be detected as occult blood in the stool.

Choice D reason:
A history of breast cancer has no direct impact on the results of an FOBT. The test is specific to detecting blood in the stool and does not correlate with a history of cancer in other parts of the body.

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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 preparing to administer subcutaneous enoxaparin. In which order should the nurse perform the following steps? (Move the steps into the box on the right. placing them in the order of performance. Use all the steps.)

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is reviewing the results of a client's fecal occult blood screening test. Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?

Correct Answer is C

Explanation

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