What should the nurse teach family caregivers when a patient has fecal incontinence because of cognitive impairment?

Cleanse the skin with antibacterial soap and apply talcum powder to the buttock.

Initiate a bowel or habit training program to promote continence.

Use sanitary pads in the patient's underwear.

Help the patient go to the toilet once every hour.

Answer and Explanation

The Correct Answer is B

A. "Cleanse the skin with antibacterial soap and apply talcum powder to the buttock." Antibacterial soap can be too harsh for the skin, and talcum powder is not recommended because it does not provide an effective moisture barrier.

B. "Initiate a bowel or habit training program to promote continence." A scheduled toileting program helps establish a routine and reduce episodes of incontinence.

C. "Use sanitary pads in the patient's underwear." While absorbent products may be used, they do not address the underlying issue or promote continence.

D. "Help the patient go to the toilet once every hour." Frequent toileting may be impractical and unnecessary. Habit training with scheduled bathroom times is more effective.

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Correct Answer is A

Explanation

A. Grapes and walnut chicken salad sandwich on whole wheat bread. Whole wheat bread and grapes are rich in fiber, which promotes regular bowel movements and prevents constipation.

B. Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing. This meal lacks sufficient fiber. Cheese and eggs can contribute to constipation.

C. Broccoli and cheese soup with potato bread. While broccoli has fiber, the cheese and potato bread are low in fiber and may contribute to constipation.

D. Turkey and mashed potatoes with brown gravy. This meal is low in fiber, and gravy can be high in fat, which may slow digestion.

A. Reflex incontinence B. Urge incontinence C. Stress incontinence D. Overflow incontinence

Correct Answer is D

Explanation

A. Reflex incontinence occurs due to a neurological impairment where the bladder empties involuntarily without sensation of fullness (e.g., spinal cord injury). This client’s symptoms suggest retention rather than involuntary reflex voiding.

B. Urge incontinence is characterized by a sudden, strong urge to urinate followed by involuntary leakage, typically caused by an overactive bladder. This does not match the description of small, continuous leakage with bladder distention.

C. Stress incontinence is due to weakened pelvic muscles, leading to urine leakage during activities like coughing, sneezing, or laughing. This does not describe constant leakage with a distended bladder.

D. Overflow incontinence occurs when the bladder becomes overly full due to incomplete emptying, leading to continuous dribbling of urine. The presence of a distended and palpable bladder strongly supports this diagnosis.

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What should the nurse teach family caregivers when a patient has fecal incontinence because of cognitive impairment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend?

Correct Answer is A

Explanation

A nurse assessing a client’s notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?

Correct Answer is D

Explanation

The nurse performing a fecal occult blood test should take what action?

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

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A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

A nurse administers an antimuscarinic to a patient. A decrease in which findings indicate the patient is having therapeutic effects from this medication? (Select all that apply.)

A nurse is reviewing the laboratory values of a client who has chronic glomerulonephritis. Which of the following is an expected finding for this client?

A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

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