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 B
Explanation
A. Obtain a prescription to check the client's glucose level: Incorrect. While glucose monitoring is essential, addressing hypoxia takes precedence.
B. Obtain a prescription for supplemental oxygen: Hypoxia is life-threatening and must be addressed first to restore oxygenation and prevent further complications. The priority aligns with the Airway, Breathing, Circulation (ABC) framework.
C. Obtain a prescription to administer intravenous fluids: Incorrect. IV fluids are critical for DKA management, but oxygenation is a higher priority if hypoxia is present.
D. Obtain a prescription to administer insulin: Incorrect. Insulin is necessary to correct hyperglycemia in DKA but is not the immediate priority over addressing hypoxia.
Correct Answer is D
Explanation
A. Choose a wool blanket when using oxygen: Wool blankets can generate static electricity, posing a fire risk. Cotton blankets are safer.
B. Keep oxygen tanks 4 feet away from an electric stove: Oxygen tanks should be kept at least 6 feet away from heat sources to reduce fire hazards.
C. Use petroleum-based ointments to moisturize lips: Petroleum-based products are flammable and should not be used near oxygen. Water-based lubricants are safer.
D. Store oxygen tanks upright: Oxygen tanks must be stored upright and secured to prevent them from tipping over, which could cause accidents or leaks.
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