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.

Answer and Explanation

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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

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

Explanation

A. Breath sounds
The presence of crackles at the bases of the lungs indicates possible pulmonary congestion or fluid accumulation in the lungs. This could be a sign of pulmonary edema, which may be due to chemotherapy-related side effects such as cardiotoxicity, or other complications like infection (e.g., pneumonia). Given the client's history of chemotherapy, this finding requires follow-up, as it could indicate a serious condition that needs to be addressed promptly.
B. Potassium level
: The client's potassium level is within normal limits (3.5 to 5 mEq/L). Although some chemotherapy drugs may affect electrolyte balance, this potassium level is not concerning at this time.
C. Blood pressure
This blood pressure is within normal limits, as the typical range for adult blood pressure is generally around 120/80 mm Hg. The reading does not indicate hypotension or hypertension, which would be concerning in the context of chemotherapy, which can affect blood pressure.
D. WBC count
A WBC count of 3,800/mm3 is below the normal range of 5,000 to 10,000/mm3, indicating leukopenia or a decreased immune response. This is a common side effect of chemotherapy, which suppresses bone marrow function, leading to lower white blood cell counts. This finding could increase the risk of infection and should be followed up to ensure the patient does not develop an infection, as the lower WBC count could compromise their ability to fight infections.
E. Temperature
A fever of 38.6°C (101.5°F) is significant and suggests the presence of infection, which is especially concerning in a patient with leukopenia due to chemotherapy. A fever in a chemotherapy patient is a medical emergency because of the risk of serious infections like neutropenic fever. This requires immediate follow-up and potentially further diagnostic tests, including blood cultures and a review of the patient's clinical status.

A. Excessive sweating B. Metallic taste in mouth C. Dry cough D. Increased urinary frequency

Correct Answer is A

Explanation

A. Excessive sweating is a common side effect of selective serotonin reuptake inhibitors (SSRIs), including sertraline.
B. A metallic taste is more commonly associated with medications like certain antibiotics, not sertraline.
C. A dry cough is not a known side effect of sertraline; this might be seen with ACE inhibitors, for example.
D. Increased urinary frequency is not typically an adverse effect of sertraline.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up? Select all that apply.

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

Explanation

A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

Correct Answer is A

Explanation

A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

A nurse in an emergency department is assessing an adolescent who has conduct disorder. Which of the following questions is the priority for the nurse to ask the client?

A nurse is caring for a client who is postoperative following a right hip arthroplasty. Exhibits For each assessment finding, click to specify if the finding is consistent with malignant hyperthermia, latex allergy, or hypovolemic shock. Each finding may support more than 1 disease process.

A nurse is caring for a postpartum client in an outpatient setting. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developingdropdownas evidenced by the clientdropdown

Complete the following sentence by using the lists of options. The nurse anticipates the client will likely require dropdownas evidenced by the client's dropdown

A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds. Which of the following actions should the nurse take?