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":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"D"},"D":{"answers":"A"}}
Explanation
SBAR Format:
Situation:
I am holding the digoxin because the client's heart rate is too low.
Background:
The client is a 59-year-old male with hypertension and heart failure. He is currently taking furosemide and digoxin.
Assessment:
Heart rate is 48 beats/minute, blood pressure is 109/76 mm Hg.
Recommendation:
Do you want to recheck the digoxin level to see if there is toxicity? I will monitor the client's heart rate, blood pressure, and perfusion with a continuous monitor until his heart rate returns to normal.
Correct Answer is ["31"]
Explanation
Total volume to be infused: 250 mL of tube feeding.
To be infused over 8 hours.
Calculate the infusion rate in mL per hour.
Infusion rate (mL/hour) = Total volume (mL) / Total infusion time (hours)
= 250 mL / 8 hours
= 31.25
Round to the nearest whole number: 31.
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