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Author Question: The client who had a cesarean section four days ago calls the obstetrician's office to report ... (Read 39 times)

Mr.Thesaxman

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The client who had a cesarean section four days ago calls the obstetrician's office to report constipation and excess flatulence leading to abdominal discomfort. The nurse advises the client to:
 
  1. Sit on the toilet and attempt to have a bowel movement.
  2. Increase fluid intake and fiber, and walk as much as tolerated.
  3. Follow a clear-liquid diet until symptoms subside.
  4. Take a laxative or administer an enema.

Question 2

The LPN/LVN who is researching current evidence will find the best evidence in which type of resources?
 
  1. Systematic reviews
  2. Critical research critiques
  3. Randomized, controlled clinical trials
  4. Textbooks
  5.



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Andromeda18

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Answer to Question 1

2
Rationale: The nurse's first suggestions would be to increase fluid and fiber intake and walk as much as tolerated, to help the client to evacuate the bowel. If this is not successful, a laxative, stool softener, or enema may be prescribed by the physician. The nurse does not advise medications because this is prescribing, and is outside the scope of practice.

Answer to Question 2

1
Rationale 1: Summaries of the evidence are the best sources, including evidence-based clinical practice guidelines



Mr.Thesaxman

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Both answers were spot on, thank you once again




 

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