A nurse is reinforcing teaching with a client has reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Ignoring the urge to defecate
Increased activity
Excessive laxative use
Increased fiber in the diet
Inadequate fluid intake
Correct Answer : A,C,E
A. Ignoring the urge to defecate: Ignoring the urge allows stool to remain in the colon longer, leading to harder stools and constipation.
B. Increased activity: Increased activity promotes bowel motility and helps prevent constipation.
C. Excessive laxative use: Chronic use can lead to dependence and reduced natural bowel motility, contributing to constipation.
D. Increased fiber in the diet: Increased fiber typically alleviates constipation unless fluid intake is inadequate.
E. Inadequate fluid intake: Insufficient fluids lead to harder stools and decreased bowel motility, causing constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I will always have to wear a pouch.": An ileal conduit requires a pouch to collect continuously draining urine.
B. "I will need to measure my stoma each week.": Stoma size may change initially, so weekly measurements are necessary to ensure a proper pouch fit.
C. "I need to cleanse around the stoma with soap and water.": Gentle cleaning with soap and water helps maintain stoma hygiene and prevent irritation.
D. "I need to catheterize the stoma several times a day.": An ileal conduit is a urinary diversion where urine continuously drains through the stoma into a pouch. Catheterization is not required; this is typically associated with continent urinary diversions.
Correct Answer is A
Explanation
A. Upright: An upright position promotes optimal lung expansion by allowing the diaphragm to move downward effectively during inspiration.
B. Side-lying: This position may limit lung expansion on the dependent side.
C. Supine: The supine position can restrict lung expansion and promote pooling of secretions.
D. Prone: Although beneficial for severe ARDS, prone positioning is not typically recommended for general respiratory failure.
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