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.

Answer and Explanation

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.

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

Explanation

The correct answer is A, B, and D.These are some of the strategies to prevent orthostatic hypotension, which is a sudden drop in blood pressure caused by a change in posture, such as when a person stands up quickly.

Some explanations for the other choices are:.

• Choice C is wrong because drinking caffeinated beverages can cause dehydration, which can worsen orthostatic hypotension by reducing the fluid volume in the blood vessels.

• Choice E is wrong because increasing salt intake can raise blood pressure, but it can also cause fluid retention, which can strain the heart and kidneys.People with hypertension, heart failure, or kidney disease should limit their salt intake.

Some normal ranges for blood pressure are:.

• Systolic blood pressure (the top number) should be less than 120 mmHg for most adults.

• Diastolic blood pressure (the bottom number) should be less than 80 mmHg for most adults.

• Orthostatic hypotension is diagnosed when there is a drop of 20 mmHg or more in systolic blood pressure or 10 mmHg or more in diastolic blood pressure within 2 to 5 minutes of standing.

A. Avoid drinking grapefruit juice while taking this medication. B. Brush your teeth gently with a soft-bristled toothbrush C. Wear a medical alert bracelet or necklace at all times. D. Stop taking this medication if you develop a rash or fever. E. Have your blood levels checked regularly as directed by your provider.

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

Explanation

The correct answer is B, C, and E.

Phenytoin (Dilantin) is an anticonvulsant medication that is used to control seizures.

It can have several side effects, some of which are serious and require medical attention.

Here are some explanations for each choice:.

A. Avoid drinking grapefruit juice while taking this medication.

This iswrongbecause grapefruit juice does not interact with phenytoin.However, grapefruit juice can affect the levels of other medications, such as statins, calcium channel blockers, and some antidepressants.

B. Brush your teeth gently with a soft-bristled toothbrush.This isrightbecause phenytoin can causegingival hyperplasia, which is an overgrowth of the gums that can lead to bleeding, infection, and difficulty chewing.

To prevent this, patients should practice good oral hygiene, avoid alcohol and tobacco, and see a dentist regularly.

A. Avoid drinking grapefruit juice while taking this medication B.

Brush your teeth gently with a soft-bristled toothbrush C.

Wear a medical alert bracelet or necklace at all times D.

Stop taking this medication if you develop a rash or fever E.

Have your blood levels checked regularly as directed by your provider

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include? (Select all that apply.).

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

Explanation

A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin). Which of the following instructions should the nurse include? (Select all that apply.).

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

Explanation

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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?

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?