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 C

Explanation

A. "I do my wheelchair exercises sitting in my chair.": Exercises improve circulation and promote bowel and bladder health.

B. "I carry a water bottle with me because I drink a lot of water.": Staying hydrated is essential for preventing urinary tract infections and promoting bowel health.

C. "I need to catheterize myself twice a day.": This indicates a need for further teaching. Catheterization for clients with neurogenic bladder is usually performed more frequently (every 4–6 hours) to prevent urinary retention, infections, or bladder distension.

D. "I use a suppository every night to have a bowel movement.": Establishing a bowel routine with suppositories is a standard practice for clients with spinal cord injuries.

A. Muscle weakness B. Hypertension C. Cerebral edema D. Hyperactive bowel sounds

Correct Answer is A

Explanation

A. Muscle weakness: Hypokalemia affects muscle function and can cause muscle weakness, cramps, or even paralysis due to decreased potassium levels disrupting normal muscle contractions.

B. Hypertension: Hypokalemia is more likely to cause hypotension, as potassium influences vascular tone.

C. Cerebral edema: This is not associated with hypokalemia; it is more related to increased intracranial pressure.

D. Hyperactive bowel sounds: Hypokalemia typically causes reduced gastrointestinal motility, leading to hypoactive bowel sounds or paralytic ileus.

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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 reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is collecting data on a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Correct Answer is A

Explanation

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