An older adult client planning to vacation with a group of senior citizens is concerned about developing constipation. The client shares this concern with the practical nurse (PN) at the retirement home. Which recommendation is best for the PN to provide?
Increase the daily oral fluid intake.
Decrease the fat content in your diet.
Use an over-the-counter (OTC) stool softener.
Eat a high-protein diet.
The Correct Answer is A
A. Increase the daily oral fluid intake: Increasing fluid intake is one of the best non-pharmacological strategies to prevent constipation, especially in older adults. Adequate hydration helps soften stool, promotes regular bowel movements, and supports overall digestive health during travel and routine changes.
B. Decrease the fat content in your diet: Reducing dietary fat is more related to managing cardiovascular health rather than preventing constipation. Fats themselves do not contribute significantly to constipation, and this advice would not directly address the client's specific concern.
C. Use an over-the-counter (OTC) stool softener: While stool softeners can be useful, recommending their routine use without first trying dietary and lifestyle modifications is not the best initial approach. Relying on medications can sometimes lead to dependency or mask underlying issues.
D. Eat a high-protein diet: High-protein diets without sufficient fiber and fluids can actually worsen constipation. Protein is important for overall health, but preventing constipation primarily requires fiber intake and adequate hydration rather than increased protein alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increase the daily oral fluid intake: Increasing fluid intake is one of the best non-pharmacological strategies to prevent constipation, especially in older adults. Adequate hydration helps soften stool, promotes regular bowel movements, and supports overall digestive health during travel and routine changes.
B. Decrease the fat content in your diet: Reducing dietary fat is more related to managing cardiovascular health rather than preventing constipation. Fats themselves do not contribute significantly to constipation, and this advice would not directly address the client's specific concern.
C. Use an over-the-counter (OTC) stool softener: While stool softeners can be useful, recommending their routine use without first trying dietary and lifestyle modifications is not the best initial approach. Relying on medications can sometimes lead to dependency or mask underlying issues.
D. Eat a high-protein diet: High-protein diets without sufficient fiber and fluids can actually worsen constipation. Protein is important for overall health, but preventing constipation primarily requires fiber intake and adequate hydration rather than increased protein alone.
Correct Answer is D
Explanation
A. An older adult with a blood pressure of 140/88 mm Hg: This blood pressure is slightly elevated but is common in older adults. It does not require immediate intervention unless accompanied by other concerning symptoms like chest pain or altered mental status.
B. An adult who has a respiratory rate of 18 breaths/minute: A respiratory rate of 18 is within the normal adult range (12–20 breaths/minute) and does not suggest respiratory distress or require urgent intervention.
C. A preschooler with an oral temperature of 98.2° F (36.7° C): This temperature is normal for a preschooler, and no immediate action is needed as it falls well within the expected range for healthy children.
D. A one-month-old infant with a heart rate of 80 beats/minute: A normal heart rate for a one-month-old infant ranges from about 100–160 beats per minute. A heart rate of 80 is dangerously low (bradycardia) for an infant and warrants immediate intervention to assess for respiratory or cardiac compromise.
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