A nurse is planning care for an older adult client who has constipation due to decreased intestinal motility.
Which of the following interventions should the nurse include in the plan?
Encourage fluid intake of at least 2 L/day.
Provide a low-fiber diet.
Administer a stimulant laxative daily.
Discourage physical activity.
The Correct Answer is A
Encourage fluid intake of at least 2 L/day.
This is because adequate hydration can help soften the stool and facilitate its passage through the intestines. Fluid intake should be increased gradually to avoid fluid overload or electrolyte imbalance.
Choice B is wrong because a low-fiber diet can contribute to constipation by reducing the bulk and water content of the stool.
Fiber helps retain water in the stool and stimulate peristalsis. A high-fiber diet is recommended for clients who have constipation.
Choice C is wrong because a stimulant laxative should not be used daily or for a long period of time, as it can cause dependence, dehydration, electrolyte imbalance, and damage to the intestinal mucosa. Stimulant laxatives should be used only as a last resort when other measures fail.
Choice D is wrong because physical activity can help prevent constipation by increasing intestinal motility and blood flow. Physical activity should be encouraged for clients who have constipation, unless contraindicated by other conditions.
Normal ranges for fluid intake are about 2 to 3 L/day for adults, depending on age, weight, activity level, and climate. Normal ranges for fiber intake are about 25 to 38 g/day for adults, depending on age and sex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B.
Older adults may experience changes in sexual response or function due to physiological factors.This is because aging can affect the sex organs, hormones, blood flow, and nerve signals that are involved in sexual arousal and performance.These changes do not mean that older adults cannot enjoy a satisfying sex life, but they may require some adjustments or treatments to overcome any difficulties.
Choice A is wrong because older adults have the same need for intimacy and affection as younger adults, and sexuality is an important component of emotional and physical intimacy that can enhance well-being and quality of life.
Choice C is wrong because older adults with chronic diseases or disabilities can still have sexual activity, as long as they are comfortable and safe.They may need to consult with their health care providers about any precautions or modifications they should make to accommodate their conditions.
Choice D is wrong because older adults are not at lower risk for sexually transmitted infections (STIs) than younger adults.In fact, older adults may be more vulnerable to STIs due to lower immune function, thinner vaginal tissues, lack of condom use, and other factors.
Therefore, older adults should practice safe sex and get tested regularly for STIs.
Normal ranges for sexual response or function vary widely depending on the individual, the partner, the situation, and other factors.
There is no one standard or ideal way to experience sexuality and intimacy in older adulthood.The most important thing is to communicate openly with one’s partner and health care provider about any concerns or preferences, and to seek help if needed.
Correct Answer is D
Explanation
The correct answer is D.
“Social interaction can help me avoid stress and anxiety.” This statement indicates a need for further teaching because social interaction does not necessarily help older adults avoid stress and anxiety.
In fact, some social situations may cause or increase stress and anxiety for some people, especially if they are negative, unpleasant, or conflictual.
Therefore, the nurse should explain to the client that social interaction can help them cope with stress and anxiety, but not avoid them altogether.
Choice A is correct because social interaction can help lower blood pressure and cholesterol levels by reducing the effects of stress hormones and promoting physical activity.
Choice B is correct because social interaction can help boost the immune system by enhancing positive emotions, increasing antibody production, and reducing inflammation.
Choice C is correct because social interaction can help improve memory and learning ability by stimulating brain regions involved in cognition, communication, and social perception.
Normal ranges for blood pressure are less than 120/80 mmHg for adults, and normal ranges for cholesterol are less than 200 mg/dL for total cholesterol, less than 100 mg/dL for LDL cholesterol, and more than 40 mg/dL for HDL cholesterol.
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