An older adult client presents with chronic constipation, decreased urine output, and a history of recurrent urinary tract infections (UTIs). Which of the following conditions should the nurse evaluate as a likely contributing factor to the client's current symptoms?
Age-related decreased thirst perception
Use of a bedside commode for toileting
Increased dietary fiber intake
Daily fluid intake of 2,500 mL
The Correct Answer is A
A. Age-related decreased thirst perception: Older adults often experience a reduced sensation of thirst, which can lead to inadequate fluid intake. Low fluid intake contributes to chronic constipation, concentrated urine, and increased susceptibility to urinary tract infections.
B. Use of a bedside commode for toileting: While convenient, a bedside commode does not directly cause constipation or UTIs. It may influence toileting habits, but it is not a primary contributing factor to the symptoms described.
C. Increased dietary fiber intake: Higher fiber intake generally improves bowel regularity and prevents constipation. It is unlikely to contribute to the client’s chronic constipation and associated urinary issues.
D. Daily fluid intake of 2,500 mL: Adequate fluid intake at this level usually helps prevent constipation and urinary tract infections. The client’s symptoms suggest insufficient fluid intake, making this inconsistent with the clinical picture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1170"]
Explanation
Calculate the total volume of intake in ounces (oz).
First, convert all items measured in cups to ounces (1cup=8oz).
Coffee: 1cup=8oz
Gelatin: 1cup=8oz
Tea: 1cup=8oz
Total fluid from cups = 8oz + 8oz + 8oz
=24oz.
Total fluid from direct ounces = 4oz + 3oz + 5oz + 3oz
=15oz.
Total intake in ounces = 24oz +15oz
=39oz.
Convert the total intake from ounces (oz) to milliliters (mL).
Use the standard conversion factor: 1oz = 30mL.
Total intake (mL) =39oz × 30mL/oz
=1170mL.
Correct Answer is A
Explanation
A. Polypharmacy: Polypharmacy refers to the use of multiple medications by a patient, particularly common in older adults with multiple chronic conditions. It increases the risk of drug interactions, adverse effects, and medication nonadherence, making careful monitoring essential.
B. Medical reconciliation: Medication reconciliation is the process of verifying and updating a patient’s medication list during transitions of care to prevent errors. While it helps reduce risks, it is not the definition of using multiple medications.
C. Drug toxicity: Drug toxicity occurs when a medication reaches harmful levels in the body, often due to overdose or impaired metabolism. It can be a consequence of polypharmacy but is not synonymous with it.
D. Adverse drug reaction: An adverse drug reaction is an unwanted or harmful effect caused by a medication at normal doses. It may result from polypharmacy, but the term specifically describes the reaction, not the practice of taking multiple drugs.
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