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. Speaking slowly to the interpreter may cause delays in communication, but it does not enhance understanding. The interpreter is capable of processing normal speech speed.
B. The nurse should speak directly to the client, not the interpreter, to maintain rapport and respect. The interpreter will relay the information.
C. Pausing in the middle of sentences can disrupt the flow of conversation and make it harder for the interpreter to convey the message effectively.
D. Gestures should not be relied upon in place of clear verbal communication, as they can be misinterpreted and are culturally variable.
Correct Answer is D
Explanation
A. Crossing the arms across the chest is not a recommended practice in postmortem care. The arms should be placed at the sides of the body or in a natural position.
B. Dentures should be left in the mouth unless there are specific cultural or legal reasons to remove
them. The client’s appearance should be as natural as possible.
C. Placing the client in a high-Fowler's position is not recommended after death. It can be uncomfortable and may distort the body.
D. Holding the client’s eyes shut is important to prevent the eyes from remaining open after death. This is commonly done as part of postmortem care to make the body appear more peaceful.
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