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 B

Explanation

A. Ripe bananas can help alleviate diarrhea due to their fiber content and are often recommended to regulate bowel movements.

B. Caffeinated beverages, such as coffee and tea, are known to increase intestinal motility and can lead to diarrhea.

C. White rice is a low-fiber, easily digestible food that typically helps manage diarrhea.

D. Low-fiber cereals are not likely to cause diarrhea, as fiber tends to bulk stool rather than loosen it.

A. Client will not look at stoma B. Client states they are not interested in learning about stoma care C. Skin surrounding stomas reddened and has small open areas D. Ileostomy pouch changed. E. stoma with small amount of bleeding noted during cleaning. F. Abdomen soft, nondistended G. Ileostomy present. Stoma is red.

Correct Answer is ["A","B","C"]

Explanation

The client’s avoidance of looking at the stoma may indicate anxiety, denial, or emotional distress regarding their condition. This can hinder their ability to engage in self-care and proper management of the ileostomy. The nurse should address these feelings, provide emotional support, and encourage the client to participate in their care.

A lack of interest in learning about stoma care could lead to inadequate management of the ileostomy and increase the risk of complications. It is essential for the nurse to explore the reasons behind this statement, provide education, and emphasize the importance of self-care to promote independence and prevent potential complications.

Redness and open areas around the stoma suggest irritation or possible skin breakdown, which can lead to infection or complications if not treated promptly. The nurse should assess the condition of the skin, implement appropriate skin care measures, and educate the client on maintaining skin integrity around the stoma.

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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

A nurse is teaching a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?

Correct Answer is B

Explanation

Correct Answer is ["A","B","C"]

Explanation

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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?

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

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