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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Docusate sodium is a stool softener, and it may take 1-3 days to produce a bowel movement, so this statement reflects proper understanding.
B. Docusate is used to prevent constipation, not treat diarrhea, so this statement is incorrect.
C. Taking docusate sodium with mineral oil can increase the risk of absorption of mineral oil into the system, which is harmful, so this combination should be avoided.
D. The client should drink plenty of fluids, around 8 ounces or more, to help soften the stool.
Correct Answer is B
Explanation
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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