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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Respiratory rate 28/min: A high respiratory rate suggests ongoing respiratory distress and that the intervention has not yet been effective.

B. Pink mucous membranes: Pink mucous membranes indicate adequate oxygenation and improved perfusion, showing that supplemental oxygen is effective.

C. Restlessness: Restlessness is a sign of hypoxia and indicates the oxygen therapy is not sufficient.

D. Heart rate 110/min: Tachycardia often occurs with hypoxia and does not indicate effective oxygen therapy.

A. "We will rotate the probe of the pulse oximeter every 24 hours." B. "The probe of the pulse oximeter can be applied to a finger or a toe." C. "The pulse oximeter might not be accurate during times of excessive movement." D. "We will notify the doctor if the pulse oximeter consistently reads 100%."

Correct Answer is D

Explanation

A. "We will rotate the probe of the pulse oximeter every 24 hours.": Rotating the probe prevents skin breakdown from prolonged pressure.

B. "The probe of the pulse oximeter can be applied to a finger or a toe.": This is an appropriate placement for infants to ensure accurate readings.

C. "The pulse oximeter might not be accurate during times of excessive movement.": Movement artifacts can lead to inaccurate readings.

D. "We will notify the doctor if the pulse oximeter consistently reads 100%.": A consistent reading of 100% is likely inaccurate, as it suggests potential equipment malfunction or improper placement. Oxygen saturation of 100% is rare, especially in clients requiring supplemental oxygen.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?

Correct Answer is B

Explanation

A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client, the nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?

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A nurse is caring for a client who has COPD. The nurse should identify the client is at risk for which of the following acid-base imbalances?

A nurse is collecting data on a client who has oxygen toxicity. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?