Author Question: The client complains to the nurse about being constipated. The nurse observes that the client has ... (Read 82 times)

renzo156 · **on:** Jul 17, 2018

The client complains to the nurse about being constipated. The nurse observes that the client has hard, dry stool. The nurse recognizes that several factors can contribute to constipation.

Which factor most frequently contributes to a client's chronic constipation? A) Insufficient exercise
B) Some type of medications, such as morphine
C) Occurs after surgery as a result of anesthesia and drying agents
D) Ignores the impulse to empty the rectum on a regular basis

Question 2

The nurse is assessing a client who is in shock and has an abnormal pulse rate. What is the most important technique for the nurse to use when assessing a client's carotid pulse?

A) Avoid reaching across the client's neck to count the pulse.
B) Count the pulse beats for 30 seconds.
C) Use the first finger to check the pulse.
D) Assess both carotid pulses simultaneously.

mrphibs · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

D
Feedback:
Chronic constipation most often occurs if a person ignores the impulse to empty the rectum on a regular basis. Constipation can also result if the person has not taken enough fluids or has not had sufficient exercise to stimulate peristalsis. Constipation can also result from some types of medications, such as morphine, or drugs to lower bladder motility, or can occur after surgery, as a result of immobility, anesthesia, and drying agents.

Answer to Question 2

A
Feedback:
The nurse should not reach across the client's neck to count the carotid pulse. The client's airway could be occluded by the pressure of the examiner's arm. The nurse should count the pulse for a full minute, because the pulse rate is abnormal. The pulse beats should be counted for 30 seconds only if the pulse rate is normal. The nurse should use two fingertips to palpate the carotid pulse. The nurse should never check the carotid pulse on both sides of the neck at the same time; doing so could cut off circulation to the brain, possibly causing cardiac arrest.