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 B

Explanation

A. Keep the collection container at room temperature. The collection container should be kept refrigerated or on ice to prevent bacterial growth and preserve the sample.
B. At the beginning of the collection time, urinate and then discard the urine. This is the correct method to ensure the 24-hour collection period starts with an empty bladder.
C. At the end of the collection time, urinate and save the urine in a separate container. The final urine at the end of the collection period should be added to the collection container, not saved separately.
D. Save each urine collection in a separate container: All urine collected over the 24-hour period should be saved in the same container to provide an accurate total volume for analysis.

A. Hold the medication until the client has his evening meal. B. Inform the provider of the client's potassium level. C. Obtain a prescription to increase the dosage of the medication. D. Give the medication as prescribed.

Correct Answer is B

Explanation

A. Hold the medication until the client has his evening meal: Holding the medication for this reason is inappropriate because the issue is the elevated potassium level, not the timing with meals.
B. Inform the provider of the client's potassium level: Correct. A potassium level of 5.8 mEq/L is elevated (hyperkalemia), and the provider should be informed immediately before administering any more potassium.
C. Obtain a prescription to increase the dosage of the medication: Increasing the dosage would be dangerous given the elevated potassium level.
D. Give the medication as prescribed: Administering potassium chloride with a high potassium level is unsafe and could exacerbate the hyperkalemia.

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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

A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24-hr urine specimen. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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