Which outcome is expected for a client who has a diagnosis of constipation? The client:.
Takes a laxative daily.
Has a return to their normal bowel habits.
Requests a bedpan every four hours.
Has a bowel movement within 72 hours.
The Correct Answer is B
This outcome indicates that the client has resolved their constipation and has a regular pattern of defecation without difficulty or discomfort.
Choice A is wrong because taking a laxative daily can worsen constipation by causing dependency and reducing the natural peristalsis of the colon.
Choice C is wrong because requesting a bedpan every four hours does not necessarily mean that the client has bowel movements. It may indicate that the client has difficulty passing stool or has a sensation of incomplete emptying.
Choice D is wrong because having a bowel movement within 72 hours is still considered constipation. Constipation is diagnosed when bowel movements are associated with at least two of the following symptoms, occurring in the past three months with an onset of symptoms of at least six months: Less than three spontaneous bowel movements per week, Lumpy or hard stools from at least 25% of bowel movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is because hepatitis C is a viral infection that spreads through contaminated blood and body fluids. IV drug use is one of the most common ways to get hepatitis C, especially if people share needles or other equipment.
Choice A is wrong because drinking contaminated water is not a risk factor for hepatitis
C. Hepatitis A and E are transmitted by the fecal-oral route, which can happen through contaminated water.
Choice B is wrong because eating raw chicken is not a risk factor for hepatitis C. Hepatitis E can be transmitted by eating undercooked meat from infected animals, but not chicken.
Choice D is wrong because unprotected intercourse is not a major risk factor for hepatitis
C. Hepatitis B and D are more likely to be transmitted by sexual contact than hepatitis
C. However, having multiple sexual partners or having sexually transmitted diseases can increase the risk of hepatitis
C. Normal ranges for hepatitis C tests depend on the type of test and the laboratory that performs it.
Some common tests are:
- Anti-HCV antibody test: This test detects antibodies to the hepatitis C virus in the blood.
A positive result means that the person has been exposed to the virus, but does not necessarily mean that they have an active infection. A negative result means that the person has never been exposed to the virus or has cleared it from their body.
- HCV RNA test: This test measures the amount of hepatitis C virus in the blood.
A positive result means that the person has an active infection and can transmit the virus to others. A negative result means that the person does not have an active infection or has cleared it from their body.
- HCV genotype test: This test identifies the strain or type of hepatitis C virus that the person has. There are six major genotypes of hepatitis C, numbered 1 to 6, and each one may respond differently to treatment.
Correct Answer is A
Explanation
“It wouldn’t have mattered what you had worn.” This response by a nurse is appropriate because it validates the client’s feelings and helps to reduce self-blame. It also conveys that rape is not caused by the victim’s clothing or behavior, but by the perpetrator’s violence and lack of respect.
Choice B. “The current styles are an invitation to disaster.” is wrong because it implies that the client is responsible for the rape and that she could have prevented it by dressing differently. This response is judgmental and insensitive, and may increase the client’s guilt and shame.
Choice C. “Never mind about blame.
That will be determined by the court.” is wrong because it dismisses the client’s feelings and does not address her emotional needs.
It also suggests that the nurse does not believe the client or support her. This response may make the client feel isolated and distrustful.
Choice D. “Some people don’t have very good self-control.
We have to help them all we can.” is wrong because it excuses the perpetrator’s behavior and shifts the blame to the victim.
It also implies that rape is a result of sexual desire, rather than an act of violence and domination. This response may make the client feel powerless and helpless.
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