Answer to Question 1
Correct Answer: 4
Rationale 1: Defecating regularly once the diarrhea has subsided can be a goal, but it is too soon for this goal. The problem needs to be corrected first.
Rationale 2: Increasing the amount of sugar in the diet will just add to the diarrhea.
Rationale 3: Since the client is experiencing diarrhea, which can dehydrate the client and promote electrolyte loss, limiting fluid would not be appropriate.
Rationale 4: Since this client is experiencing diarrhea, the goal would be to regain normal stool consistency which would be less water in the stool and more formed consistency.
Answer to Question 2
Correct Answer: 2
Rationale 1: Lack of sphincter control contributes to bowel incontinence, not bed rest.
Rationale 2: Lack of activity, like bed rest, is a major contributor to constipation. Lack of movement slows bowel movements.
Rationale 3: Diarrhea would come from a GI upset triggered by diseases, medication, or diet.
Rationale 4: Disturbed body image would affect a client who has undergone a bowel diversion.