A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
Administer a cathartic suppository 30 min prior to scheduled defecation times.
Increase the amount of refined grains in the client's diet.
Provide the client with a cold drink prior to defecation.
Encourage a maximum fluid intake of 1,500 mL per day.
The Correct Answer is A
A. Administering a cathartic suppository 30 minutes prior to scheduled defecation times can help stimulate bowel movements in clients with spinal cord injuries, aiding in bowel training.
B. Refined grains can lead to constipation, and increasing fiber intake is typically preferred over refined grains in a bowel training program.
C. A cold drink is not a standard or recommended method to stimulate bowel movements in clients with spinal cord injuries.
D. Fluid intake should generally be higher than 1,500 mL per day, as adequate hydration is important to prevent constipation and support healthy bowel function.
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Related Questions
Correct Answer is B
Explanation
A. While progress notes are important, they do not necessarily promote communication among the entire team.
B. Regular interdisciplinary team meetings ensure that all staff are updated on the client's needs, fostering coordinated care.
C. Swallowing precautions should be communicated to the staff but are not directly related to communication about expressive aphasia or hemiparesis.
D. Noting changes in the treatment plan is important but does not specifically promote communication about the client’s condition across the team.
Correct Answer is C
Explanation
A. The newly licensed nurse will only have access to the records necessary for their role and will not have access to all client records.
B. Passwords are typically changed more frequently than once a year for security reasons.
C. IT will ensure that the system is secure through firewalls and other measures to protect sensitive client information.
D. Sensitive material is documented by the appropriate personnel, not just the charge nurse.
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