A nurse identifies a nursing diagnosis of Constipation related to ...

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A nurse identifies a nursing diagnosis of Constipation related to the effects of the prescribed cholinergic blocking drug. Which of the following would the nurse expect to include in the client's plan of care? Select all that apply.
 
  A) Encouraging the intake of a diet high in fiber
  B) Decreasing the dosage of the cholinergic blocking medication
  C) Increasing client's fluid intake to at least 2000 mL daily
  D) Withholding the drug until the client resumes usual bowel pattern
  E) Encouraging ambulation and exercise as appropriate

Question 2

A client has a nursing diagnosis of Impaired Comfort related to xerostomia from the daily administration of a cholinergic blocking drug. When assessing the client, the nurse would be alert for which of the following? Select all that apply.
 
  A) Dysphagia
  B) Tooth decay
  C) Gingivitis
  D) Impeded speech
  E) Gingival hyperplasia

[stanleka1]

Answer to Question 1

Ans: A, C, E
Feedback:
Appropriate interventions include encouraging a high-fiber diet, increasing fluid intake, and encouraging ambulation and exercise. It is not the nurse's decision to decrease the dosage. Withholding the drug until the client's bowel patterns return would be inappropriate.

Answer to Question 2

Ans: A, D
Feedback:
Dry mouth caused by daily use of cholinergic blocking drugs can result in dysphagia and impeded, difficult-to-understand speech. Tooth decay, gingivitis, and gingival hyperplasia are not associated with dry mouth.

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TYSM

[Alyson.hiatt@yahoo.com]

Thanks for the timely response, appreciate it