A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

Withholding narcotic pain medication

Raising the head of the bed

Administering laxatives to the patient

Preparing to administer a barium enema

Answer and Explanation

The Correct Answer is B

A. Withholding pain medication could result in increased discomfort, which may further hinder the patient’s ability to defecate.

B. Raising the head of the bed promotes a more natural position for defecation, making it easier for the patient to use the bedpan.

C. Administering laxatives may be necessary in some cases but is not the first intervention to assist with positioning and comfort during defecation.

D. A barium enema is a diagnostic tool, not an appropriate intervention for immediate defecation assistance.

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Correct Answer is A

Explanation

A. Pressure points are critical to assess when evaluating skin integrity, particularly in patients who are immobile or bedridden, as these areas are at high risk for pressure ulcers.

B. Breath sounds are important but are not the priority in assessing skin integrity.

C. Pulse points assess circulation, but they are not directly related to skin integrity.

D. Bowel sounds are relevant for digestive assessments, not for skin integrity.

A. Immediately before the client has a meal B. After the client feels abdominal cramping C. Every 2 hr while the client is awake D. When the client has the urge to defecate

Correct Answer is D

Explanation

A. Taking the client to the toilet immediately before a meal does not correlate with the natural timing of defecation.

B. Abdominal cramping may indicate constipation or other issues, but waiting for cramping is not part of bowel training.

C. Taking the client to the toilet every 2 hours may not align with the client’s natural bowel habits.

D. The goal of bowel training is to help the client recognize and respond to the urge to defecate, promoting regular bowel habits and reducing incontinence.

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A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?

Correct Answer is A

Explanation

A nurse is implementing a bowel training program for a client. For the program to be effective, the nurse should take the client to the toilet at which of the following times?

Correct Answer is D

Explanation

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