An elderly client has constipation. He asks the nurse the reason ...

[mia]

An elderly client has constipation. He asks the nurse the reason for this. What is the best response by the nurse?
 
  1. You could have a serious illness, and should check with your doctor.
  2. You probably drink too much alcohol, and end up constipated.
  3. You probably don't eat enough fiber, so the stool stays in your intestine too long.
  4. Your large intestine is old and does not work as well as it used to.

Question 2

The nurse designs a teaching plan for the client with chronic pancreatitis who receives pancrelipase (Pancreaze). What will the best plan by the nurse include as it relates to the rationale for the client to receive this drug?
 
  1. These enzymes replace what your ineffective pancreas cannot make.
  2. These enzymes will help promote healing of your pancreas.
  3. These enzymes promote digestion of starches and fats.
  4. These enzymes will help digest all of the food you eat.

[ntsoane kedibone]

Answer to Question 1

Correct Answer: 3
Rationale 1: The client could have a serious illness, but constipation in the elderly is more likely related to dietary habits.
Rationale 2: Alcohol can be a contributing factor to constipation, but the nurse should first assess alcohol intake and not just assume excessive alcohol intake.
Rationale 3: If the waste material remains in the intestine too long due to lack of fiber, too much water is reabsorbed leading to small, hard stools.
Rationale 4: Telling an elderly client that his intestine is old is very non-therapeutic.

Answer to Question 2

Correct Answer: 1
Rationale 1: Chronic pancreatitis eventually leads to pancreatic insufficiency that may necessitate replacement of pancreatic enzymes.
Rationale 2: Pancreatitis enzymes do not help heal the pancreas.
Rationale 3: Pancreatic enzymes will help digest food, but this is not the reason the client is receiving them.
Rationale 4: Pancreatic enzymes will help digest food, but this is not the reason the client is receiving them.

[mia]

Excellent

[kusterl]

Gracias!