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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Asking the client to explain without language support may lead to miscommunication and incomplete information.
B. The neighbor may not have accurate or complete details and is not a reliable source for medical information.
C. Arranging for a professional interpreter ensures accurate and confidential communication, respecting the client’s rights.
D. Family members may unintentionally filter or alter information and might not be appropriate interpreters for medical details.
Correct Answer is B
Explanation
A. While loneliness can contribute to distress, the specific behaviors observed (excessive religious reading, crying, and poor sleep) suggest something deeper than just social isolation.
B. These behaviors are signs of spiritual distress, which may occur when a person is facing a serious illness or surgery and is struggling with questions of meaning, faith, or fear. Spiritual distress can manifest emotionally and behaviorally, as seen here.
C. While some anxiety is expected before major surgery, persistent emotional signs like excessive crying and poor sleep, along with intense religious focus, indicate more than normal preoperative nerves.
D. Labeling the client as “naturally emotional” is an assumption and dismisses the need for assessment and appropriate support.
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