Author Question: The nurse assesses the postpartum patient who has not had a bowel movement by the third postpartum ... (Read 117 times)

jake · **on:** Jun 27, 2018

The nurse assesses the postpartum patient who has not had a bowel movement by the third postpartum day. Which nursing intervention would be appropriate?

1. Encourage the new mother to be patient, saying, It will happen soon.
2. Instruct the patient to eat a low-fiber diet.
3. Decrease fluid intake.
4. Obtain an order for a stool softener.

Question 2

A nurse is providing contraceptive counseling to a perimenopausal client in a monogamous relationship. What comment by the client indicates that further teaching is necessary?

1. The calendar method is the most reliable method for me to use.
2. If I use the IUC, I will be at minimal risk for pelvic inflammatory disease.
3. I should still use birth control, even though I had only three periods last year.
4. The contraceptive skin patch contains both estrogen and progesterone.

ntsoane kedibone · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Rationale 1: Saying It will happen soon does not address the patient's needs and could increase the chance for constipation.
Rationale 2: Eating a low-fiber diet would not increase bulk or moisture in the stool.
Rationale 3: Decreasing fluid intake would decrease moisture in the fecal material, encouraging constipation.
Rationale 4: Obtaining an order for a stool softener is the correct intervention by the third day. The patient might fear having a bowel movement due to perineal soreness, and stool softeners would increase bulk and moisture in the fecal material, allowing for more comfortable evacuation.

Answer to Question 2

1
Explanation: 1. The client who believes the calendar method is the most reliable method requires more teaching. The menstrual cycle of perimenopausal women is irregular, and it is difficult to determine safe and unsafe times.