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 D

Explanation

Choice A rationale

Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.

Choice B rationale

Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.

Choice C rationale

Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.

Choice D rationale

Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.

A. Assess the client's vital signs. B. Determine if the client's IV is patent. C. Monitor the client's white blood count. D. Send a stool specimen to the laboratory.

Correct Answer is B

Explanation

Choice A rationale

Assessing the client's vital signs is important for monitoring overall health but does not directly address the need to ensure proper IV function before administering medication.

Choice B rationale

Determining if the client's IV is patent is crucial before administering any IV medication. A patent IV ensures the medication will be delivered directly into the bloodstream without complications such as infiltration or blockage.

Choice C rationale

Monitoring the client's white blood count is important for tracking infection or inflammation but is not the immediate step before administering an IV antibiotic.

Choice D rationale

Sending a stool specimen to the laboratory can help diagnose underlying conditions but is not the next step before administering an IV antibiotic.

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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

Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

Correct Answer is D

Explanation

A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis. The healthcare practitioner prescribes the IV antibiotic ceftazidime. After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?

Correct Answer is B

Explanation

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