Author Question: The nurse is planning care for a newly admitted client. Which of the following nursing diagnoses ... (Read 149 times)

littleanan · **on:** Jul 22, 2018

The nurse is planning care for a newly admitted client. Which of the following nursing diagnoses would be most appropriate for a client on bed rest?

1. Bowel Incontinence
2. Constipation
3. Diarrhea
4. Disturbed Body Image

Question 2

A nurse has taken a position in the hospital setting and is aware of the federal and state patient rights legislation. In preparation to act as a client advocate, the nurse would also check:

1. The hospital's patient rights statement.
2. The unit policy manual.
3. The health department's patient rights statement.
4. The rights of a client in a long-term care facility.

cclemon1 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Constipation

Rationale:
Lack of activity, like bed rest, is a major contributor to constipation. Lack of movement slows bowel movements. Lack of sphincter control, not bed rest, contributes to bowel incontinence. Diarrhea would come from a GI upset triggered by diseases, medication, or diet. Disturbed body image would affect a client who has undergone a bowel diversion.

Answer to Question 2

1. The hospital's patient rights statement.

Rationale:
The nurse reviews the rights statement of the hospital because it more specifically identifies which hospital workers assist clients who feel their rights have been violated. The unit policy manual will not have a separate policy statement from the hospital. The health department will have a patient rights statement, but the hospital's statement is more specific to the client's need. The nurse will not need the rights of long-term care facilities as the client is in the hospital.