Causes of constipation include:
High fiber diet, laxatives, increased water intake, increased reflex for defecation
Decreased fiber diet, decreased water intake, decreased reflex for defecation
Increased fiber diet, increased hydration, increased reflex for defecation, medications, absence of disease processes
Decreased fiber diet, decreased hydration, decreased reflex for defecation, medications, disease processes
The Correct Answer is D
A. High fiber diet, laxatives, increased water intake, increased reflex for defecation: These factors promote healthy bowel movements. Fiber adds bulk to stool, water softens it, laxatives stimulate movement, and an intact defecation reflex supports regular elimination, all of which prevent constipation.
B. Decreased fiber diet, decreased water intake, decreased reflex for defecation: These are contributing factors to constipation. However, it leaves out other significant causes like medications and medical conditions that impair bowel function.
C. Increased fiber diet, increased hydration, increased reflex for defecation, medications, absence of disease processes: Fiber, hydration, absence of disease and a strong reflex help prevent constipation. However, medications like opioids and anticholinergics often cause constipation regardless of diet and hydration.
D. Decreased fiber diet, decreased hydration, decreased reflex for defecation, medications, disease processes: A low-fiber diet and poor hydration lead to hard stools. A weak defecation reflex can result from neurological decline. Medications and chronic diseases such as diabetes or hypothyroidism can slow intestinal motility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is False
Explanation
Acute gastritis is indeed a transient inflammation of the gastric mucosa and often results from local irritants like aspirin, NSAIDs, alcohol, caffeine, and contaminated food. It is typically self-limiting and resolves once the irritant is removed. However, the statement is incorrect in describing it as "very serious" in most cases. While complications can occur, acute gastritis is usually mild and not considered very serious unless left untreated.
Correct Answer is ["B","C","D","E"]
Explanation
A. A 69-year-old female with anemia secondary to insufficient erythropoietin production: While anemia can occur due to chronic kidney disease, it does not directly cause urinary tract obstruction. The lack of erythropoietin affects red blood cell production, not urine flow.
B. A 70-year-old male with benign prostatic hyperplasia (BPH): BPH is a common cause of urinary obstruction in older men. The enlarged prostate compresses the urethra, leading to impaired urine outflow and increased risk of urinary retention.
C. A 58-year-old male with renal calculi: Kidney stones are a frequent cause of urinary tract obstruction. They can block the flow of urine in the ureters, renal pelvis, or bladder, leading to pain, hydronephrosis, and infection risk.
D. A 29-year-old female, pregnant for the first time: Pregnancy can cause urinary obstruction due to the enlarged uterus compressing the ureters, especially in the second and third trimesters, resulting in reduced urine flow and potential hydronephrosis.
E. A 28-year-old male with a neurogenic bladder secondary to spinal cord injury: Neurogenic bladder disrupts normal bladder function and control, which can lead to urinary retention and obstruction due to poor coordination of bladder muscle and sphincter activity.
F. A 43-year-old male with an acid-base imbalance secondary to malnutrition: While malnutrition can affect many organ systems, acid-base imbalance by itself is not a direct cause of urinary tract obstruction.
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