Author Question: A female client 89 years of age has been admitted to the hospital with a diagnosis of failure to ... (Read 41 times)

urbanoutfitters · **on:** Jul 23, 2018

A female client 89 years of age has been admitted to the hospital with a diagnosis of failure to thrive. She has become constipated in recent days, in spite of maintaining a high fluid intake and taking oral stool softeners.

She admits to her nurse that the problem is rooted in the fact that she feels mortified to attempt a bowel movement on a commode at her bedside where staff and other clients can hear her. The nurse should respond by modifying which of the following resources?

A) Environment
B) Personnel
C) Equipment
D) Patient and visitors

Question 2

A male client 30 years of age is postoperative day 2 following a nephrectomy (kidney removal) but has not yet mobilized or dangled at the bedside. Which of the following is the nurse's best intervention in this client's care?

A) Educate the client about the benefits of early mobilization and offer to assist him.
B) Respect the client's wishes to remain in his bed and ask him when he would like to begin mobilizing.
C) Show the client the expected outcomes on his clinical pathway that relate to mobilization.
D) Document the client's noncompliance and reiterate the consequences of delaying mobilization.

Anonymous · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Providing an environment for the client that is more conducive to privacy and, ultimately, to her elimination needs is necessary in this case. The equipment itself (i.e., the commode) is not the problem, but rather its proximity to others. The staff and the client herself are not central to the client's new problem.

Answer to Question 2

Ans: A

Educating the client about the benefits of mobilizing, and offering to assist combines teaching with the promotion of self-care. It is likely premature to label the client as noncompliant, and showing him the expected outcomes on his clinical pathway is unlikely to motivate him if he is reluctant. It is appropriate for the nurse to educate and encourage the client rather than simply accepting his refusal and providing no other interventions.