Author Question: A nurse implements a nursing care plan for a patient with constipation. Which of the following ... (Read 39 times)

Brittanyd9008 · **on:** Jul 11, 2018

A nurse implements a nursing care plan for a patient with constipation. Which of the following should the nurse include in the plan?

a. Increasing fiber in the diet
b. Administering aluminum hydroxide ant-acids
c. Bed rest
d. Restricting fluids

Question 2

Which of the following nursing actions would help minimize the psychosocial impact of bladder and/or bowel incontinence for individuals experiencing incontinence prior to going to a group dining room?

a. Assess for soiled clothing and change, if necessary.
b. Toilet the client and then promptly transport to the dining room.
c. Provide peri-care and fresh underclothing.
d. Ask the client if toileting is needed and assist as necessary.

javimendoza7 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A
Fluid intake of at least 1.5 L/day, unless contraindicated, is the cornerstone of constipation ther-apy, with fluids coming mainly from water. A gradual increase in fiber, either as supplements or incorporated into the diet, is generally recommended. Fiber helps stools become bulkier and soft-er and move through the body more quickly. Physical activity is important as an intervention to stimulate colon motility and bowel evacuation. Daily walking for 20-30 minutes, if tolerated, is helpful, especially after a meal. Aluminum hydroxide antacids are known to be constipating.

Answer to Question 2

ANS: A
Deviations from normal bowel and bladder toileting can lead to chastisement, ostracism, and so-cial withdrawal. By addressing incontinency issues prior to social interactions, such negative re-sponses can be minimized. While toileting is appropriate, it does not directly address the social impact that may result from soiled and/or odorous clothing. Providing peri-care and clean under-clothing is necessary only if incontinency has occurred. Asking to toilet the client is not neces-sarily an effective intervention when the client is consistently incontinent.