Which factor contributes to constipation in an older person?
Slower gastric emptying of fluid
Decreased hydrochloric acid
Abdominal bloating
Lack of dietary fiber
The Correct Answer is D
A. Slower gastric emptying of fluid
This affects digestion, not necessarily bowel motility or stool formation. It is not the primary factor in constipation.
B. Decreased hydrochloric acid
This may impair digestion but is not directly responsible for constipation.
C. Abdominal bloating
Bloating is more of a symptom than a cause. It may occur after constipation develops.
D. Lack of dietary fiber
Older adults often consume less fiber, which is crucial for stool bulk and regular bowel movements. Low fiber intake is a leading contributor to constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cholesterol check
Cholesterol screening is usually done every 4–6 years unless there are risk factors requiring more frequent monitoring.
B. Colonoscopy
Colonoscopies are typically done every 10 years starting at age 50 unless abnormal findings or risk factors exist.
C. Visual acuity
Annual vision exams are recommended to monitor for age-related changes such as glaucoma, cataracts, and macular degeneration.
D. Check for Diabetes Mellitus
Diabetes screening is generally done every 3 years, unless risk factors (e.g., obesity, family history) warrant more frequent checks.
Correct Answer is B
Explanation
A. Obtain an order from the primary caregiver for a sedative
Not appropriate as a first step; sedatives in the elderly increase the risk of falls and confusion and should only be used after thorough evaluation.
B. Ask the patient if he is sleeping well at night
This helps identify underlying sleep disturbances, such as nocturia or insomnia, which may be the cause of daytime fatigue.
C. Tell the patient that he cannot take any more naps
Restricting naps without assessing the cause of tiredness is inappropriate and may worsen fatigue.
D. Plan activities to keep the patient awake during the day
May be helpful after assessing nighttime sleep habits and determining the cause of daytime drowsiness.
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