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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.
B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.
C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.
D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.
Correct Answer is ["A","B","D"]
Explanation
A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.
B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.
C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.
D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.
E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge incontinence.
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