An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)

I will walk 30 minutes a day 3 times a week on the gym treadmill.

I will take a stool softener in the morning.

I will give myself enemas twice a day.

I will increase my intake of fluids throughout the day.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

Walking 30 minutes a day, three times a week, promotes cardiovascular health, helps maintain a healthy weight, and can improve bowel function. Regular physical activity is recommended to prevent constipation, which can be particularly beneficial for someone recovering from a hemorrhoidectomy. This activity also improves overall well-being.

Choice B rationale

Taking a stool softener in the morning helps prevent constipation by ensuring that bowel movements are easy to pass. This is crucial for someone who has undergone a hemorrhoidectomy to avoid straining during defecation, which can exacerbate pain or cause complications in the healing process.

Choice C rationale

Giving oneself enemas twice a day is not recommended after a hemorrhoidectomy. Frequent enemas can irritate the rectal area, disrupt natural bowel habits, and potentially cause injury or infection. It contradicts the standard postoperative care advice aimed at promoting gentle bowel movements.

Choice D rationale

Increasing fluid intake throughout the day is beneficial for preventing constipation. Adequate hydration helps soften stools and makes them easier to pass. This practice is particularly important after a hemorrhoidectomy to avoid straining and to promote healing and comfort.

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Correct Answer is B

Explanation

Choice A rationale

Active bowel sounds are indicative of normal or increased gastrointestinal motility, which is not expected in severe peritonitis. Peritonitis typically leads to decreased or absent bowel sounds due to inflammation and paralysis of the intestines.

Choice B rationale

Leukocytosis, an elevated white blood cell count, is a common finding in severe peritonitis. It indicates an immune response to infection or inflammation within the abdominal cavity.

Choice C rationale

A pain report of "0" on a 0-10 scale is highly unlikely in severe peritonitis. This condition causes significant abdominal pain due to widespread inflammation of the peritoneum.

Choice D rationale

An undistended abdomen is not expected in severe peritonitis. The condition often results in abdominal distension due to fluid accumulation, inflammation, and decreased bowel motility.

Correct Answer is ["25"]

Explanation

Calculate the total volume per hour. 100 mL/hour Step 2: Determine the drip factor in drops per minute. (100 mL ÷ 60 minutes) × 15 gtt/mL = 1.6667 mL/minute × 15 gtt/mL = 25 gtt/min The final infusion rate is 25 drops per minute.

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An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?

Correct Answer is B

Explanation

The nurse receives an order to administer ranitidine 300 mg IVPB over one hour. Ranitidine is available 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. How should the nurse infuse the drug in drops/minute? .

Correct Answer is ["25"]

Explanation

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