The nurse is providing education on how to prevent constipation to a group of older adults in a nursing facility. What should be included in the education?

"It is okay to take laxatives every day to help you have a bowel movement."

"Do not ignore the urge to have a bowel movement even if you feel it is inconvenient."

“Do not take opiate medications as those can cause constipation."

"Be sure to eat at least 20 grams of fiber and drink at least 1,000mL per day.”

Answer and Explanation

The Correct Answer is B

A. "It is okay to take laxatives every day to help you have a bowel movement." Frequent laxative use can lead to dependence and decreased bowel function over time. Instead, non-pharmacologic measures such as fiber intake, hydration, and physical activity should be encouraged first.

B."Do not ignore the urge to have a bowel movement even if you feel it is inconvenient." Ignoring the urge can lead to constipation as stool remains in the colon longer, resulting in increased water absorption and harder stools. Encouraging regular bowel habits helps maintain normal function.

C. "Do not take opiate medications as those can cause constipation." While opiates can cause constipation, this statement is too broad. Some individuals may require opioid therapy for pain management. Instead, the focus should be on preventing and managing opioid-induced constipation rather than avoiding these medications altogether.

D. "Be sure to eat at least 20 grams of fiber and drink at least 1,000mL per day." While increasing fiber intake is important, 20 grams may not be sufficient (the recommended daily fiber intake for older adults is about 25–30 grams). Additionally, 1,000 mL (1 liter) of fluid may be inadequate, as older adults should aim for at least 1,500–2,000 mL per day unless contraindicated.

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Correct Answer is ["B","D"]

Explanation

A. Schedule an in-person appointment with the provider for the next month: This does not address the challenge of frequent travel or accessibility.

B. Setting up a telehealth visit for the patient: Telehealth reduces travel burdens and allows for frequent monitoring without unnecessary trips.

C. Assist the patient in arranging for transportation to and from the appointment: Assisting the patient in arranging transportation can be beneficial, but telehealth visits offer a more sustainable solution for frequent appointments

D. Ensure that the patient has access to their patient portal: A patient portal allows for easy communication with providers, medication refills, and appointment scheduling.

A. Assess the patient. B. File a safety event report C. Place the patient on fall precautions. D. Get the patient back to bed.

Correct Answer is A

Explanation

A. Assess the patient: The priority action is to assess the patient for injuries before taking any further steps.

B. File a safety event report: This is important but should be done after assessing and ensuring the patient’s safety.

C. Place the patient on fall precautions: While necessary, this is a secondary intervention after assessment and ensuring immediate safety.

D. Get the patient back to bed: Moving the patient before assessing for injuries could worsen potential fractures or other injuries.

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The nurse is providing education on how to prevent constipation to a group of older adults in a nursing facility. What should be included in the education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient lives in a rural area and requires frequent appointments related to their health condition. Which of the following interventions should the nurse facilitate?

Correct Answer is ["B","D"]

Explanation

A nurse enters a patient's room and finds that the patient has fallen on the way to the bathroom. What action should be implemented first?

Correct Answer is A

Explanation

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