A nurse is caring for an older adult client who reports constipation. Which of the following recommendations should the nurse make?

Limit fluid intake to 1,000 mL daily.

Bear down hard when defecating.

Reduce activity.

Eat raw vegetables.

Answer and Explanation

The Correct Answer is D

A. Limit fluid intake to 1,000 mL daily. Increasing fluid intake, not limiting it, helps alleviate constipation.
B. Bear down hard when defecating. Bearing down hard can cause harm, such as hemorrhoids, and does not help relieve constipation.
C. Reduce activity: Increasing physical activity helps promote bowel movements, so reducing activity is not advisable.
D. Eat raw vegetables. Raw vegetables are high in fiber and can help alleviate constipation.

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Correct Answer is A

Explanation

A. Urine output 20 mL/hr: Oliguria, or low urine output (less than 30 mL/hr), is a common sign of dehydration.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the body compensates for decreased blood volume.
C. Sodium 142 mEq/L: A sodium level of 142 mEq/L is within the normal range (135-145 mEq/L) and does not indicate dehydration.
D. Cool skin: Dehydration usually results in warm, dry skin due to decreased perfusion and sweating.

A. Muscle hypotonicity B. Tachycardia C. Positive Chvostek's sign D. Diarrhea

Correct Answer is A

Explanation

A. Muscle hypotonicity: Hypercalcemia can lead to muscle weakness and hypotonicity.
B. Tachycardia: Hypercalcemia more commonly causes bradycardia rather than tachycardia.
C. Positive Chvostek's sign: This is associated with hypocalcemia, not hypercalcemia.
D. Diarrhea: Hypercalcemia typically causes constipation, not diarrhea.

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A nurse is caring for an older adult client who reports constipation. Which of the following recommendations should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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