The nurse is creating a plan of care for an older adult client at risk for constipation. Which intervention by the nurse will decrease this risk?

Advise increasing milk or milk products in the diet to provide stool bulk.

Encourage physical activity to improve bowel regularity.

Advise decreasing dietary fiber in the diet to enhance stooling.

Suggest use of warm compresses on the abdomen to increase gastrointestinal motility.

Answer and Explanation

The Correct Answer is B

A. Increasing milk or milk products is not recommended because dairy can sometimes contribute to constipation rather than relieve it.
B. Encouraging physical activity is the best intervention to improve bowel regularity and decrease the risk of constipation by stimulating intestinal motility.
C. Decreasing dietary fiber would worsen constipation, as fiber adds bulk to stool and promotes regular bowel movements.
D. Warm compresses on the abdomen may provide comfort but do not significantly increase gastrointestinal motility to prevent constipation.

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Correct Answer is C

Explanation

A. Notifying the provider only after surgery misses the opportunity to clarify and honor the client’s wishes beforehand.
B. Administering preoperative medications without addressing the client’s wishes could lead to ethical and legal issues.
C.The nurse should discuss and clarify the client’s wishes regarding resuscitation, document them clearly, and ensure the healthcare team is informed so that the client’s autonomy and advance directives are respected.
D. Verbally reporting to the OR supervisor is important but insufficient without proper documentation and discussion with the healthcare team and client.

A. When preparing to discharge the client home B. When documenting the care that was provided to a client whose condition recently deteriorated C. When transferring a client from the emergency department to the acute care unit D. When reporting to a client's family member or significant other

Correct Answer is C

Explanation

A. Discharge preparation involves teaching and planning, but ISBARR is not typically used.
B. Documentation uses standard medical record formats, not ISBARR.
C. ISBARR is designed for clear, structured communication between healthcare providers, especially during client handoffs like transferring from the emergency department to acute care.
D. Reporting to family uses a different communication style focused on support and explanation.

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The nurse is creating a plan of care for an older adult client at risk for constipation. Which intervention by the nurse will decrease this risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

client scheduled for open heart surgery tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?

Correct Answer is C

Explanation

The nurse should utilize ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?

Correct Answer is C

Explanation

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