When assessing the older adult for bowel health, the nurse is most effective in obtaining subjective data when asking:
"Would you describe your bowel movements as usually normal?"
"Do you have a problem with constipation?"
Have your bowel movements changed recently?
"How often do you usually have a bowel movement?"
The Correct Answer is C
A. This question can provide some subjective data, but it is somewhat vague and open-ended. It may not elicit detailed information about specific changes or issues related to bowel health. The term "normal" can be interpreted differently by different individuals, leading to potentially ambiguous responses.
B.A This question is direct and focused on a specific issue—constipation. It is useful for identifying if the patient is experiencing problems with bowel movements, but it may not capture the full range of bowel health issues or provide insight into other aspects of bowel function such as frequency, consistency, or recent changes.
C. This question is effective in obtaining subjective data because it prompts the patient to consider and describe any recent changes in their bowel habits. Changes in bowel movements can be indicative of underlying health issues, and this question encourages the patient to provide specific information about any deviations from their usual pattern, such as increased or decreased frequency, consistency changes, or the presence of pain.
D. This question directly addresses the frequency of bowel movements, which is a key component of bowel health. It helps establish a baseline for normal bowel patterns for the individual. However, it does not address other aspects of bowel health such as consistency, difficulty, or recent changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Amount of gentamycin sulfate to administer= (desired dose ÷ available dose) × available quantity. In this case,
The desired dose is 100 mg, and the available dose is 60 mg in 1.5 mL.
Using the formula, the calculation would be: (100 mg ÷ 60 mg) × 1.5 mL = 2.5 mL.
Therefore, the nurse should prepare 2.5 mL of gentamycin sulfate to administer to the patient.
Correct Answer is A
Explanation
A. This activity involves assessing individuals for high blood pressure, which is a common risk factor for cardiovascular diseases. Blood pressure screening is a classic example of secondary prevention because it aims to detect hypertension early so that it can be managed before complications, such as heart disease or stroke, develop. This activity is appropriate for secondary prevention as it helps identify those with undiagnosed hypertension and provides an opportunity for early intervention.
B. Fitting glasses addresses a specific need related to vision but does not primarily focus on early detection or intervention for diseases. It falls more under the category of tertiary prevention, which aims to manage existing conditions and prevent further complications or disabilities. While improving vision is beneficial, this activity does not primarily fit the secondary prevention model of detecting disease early in asymptomatic individuals.
C. This activity is an example of primary prevention, not secondary prevention. Primary prevention aims to prevent diseases before they occur, such as through vaccination to prevent influenza. Although flu vaccines are important for public health, they do not fit the secondary prevention model, which is concerned with early detection and intervention for existing or developing health issues.
D. This activity is also an example of primary prevention. Teaching about sun exposure risks aims to prevent skin cancer by promoting behaviors that reduce the risk of developing the disease. It focuses on educating people to avoid sunburns and protect their skin to prevent skin cancer from developing in the first place. Thus, it does not fit the secondary prevention model.
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