When assessing the client’s bowel elimination, the nurse understands that which is not a factor?

Age

Diet

Fluid intake

Gender

Answer and Explanation

The Correct Answer is D

When assessing bowel elimination, the factors to be considered are: Age, use of laxatives or other bowel medications, dietary habits and fluid intake, history of bowel diseases or surgeries. Gender does not have an influence on bowel movements.

Geriatrics often have slowed bowel movements compared to the young.

Diet high in fiber usually enhances bowel movement.

Increased fluid intake improves stool consistency.

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Correct Answer is D

Explanation

Relieving pressure from the heel is essential to prevent further damage to the skin and underlying tissues. This can be achieved by using specialized cushions, repositioning the client regularly, or elevating the foot to reduce pressure.

While documenting the reddened area is important to monitor the progression of the wound, asking the client how the area became reddened and assessing their diet may not be the most relevant interventions in this situation.

A. No blood incompatibility occurs during a blood transfusion B. A surgical sponge is left in a client’s incision C. A client falls in his own home D. Inserting a urinary catheter before surgery

Correct Answer is B

Explanation

A surgical sponge left in a client's incision is considered a "never event." A never event is a serious, preventable medical error that should never occur in healthcare settings. Leaving a surgical sponge in a client's incision is a serious medical error that can cause harm, including infection, abscesses, and other complications.

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When assessing the client’s bowel elimination, the nurse understands that which is not a factor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a reddened area on his right heel. What is the best intervention by the nurse to prevent further skin and tissue breakdown?

Correct Answer is D

Explanation

The nurse knows which of the following is a “never event?”

Correct Answer is B

Explanation

What factors may interfere with sleep? (Select all that apply)

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