The nurse is providing care of a client who ignores the urge to ...

[karen]

The nurse is providing care of a client who ignores the urge to defecate when at work. The client states, I don't like to have a bowel movement anywhere but at home. Which response by the nurse is the most appropriate?
 
  A) This is a common practice, and it will strengthen the reflex later.
  B) You will get the urge later, so you should not worry about it.
  C) If you continue to ignore the urge to defecate, it can lead to problems.
  D) It is better to suppress the urge than to suffer embarrassment at work.

Question 2

A client in the ambulatory care clinic tells the nurse about experiencing frequent diarrhea. The nurse inquires about the client's diet. Which statement from the client would be of greatest concern for the nurse?
 
  A) I like to eat a bran muffin and applesauce every morning for breakfast.
  B) I like to eat popcorn for an afternoon snack.
  C) I like to eat cottage cheese, peaches, and a turkey sandwich for lunch.
  D) I like to eat baked chicken, yeast rolls, and a small salad for dinner.

[lorealeza]

Answer to Question 1

Answer: C

When the normal defecation reflexes are inhibited, these conditioned reflexes tend to be progressively weakened. When the urge to defecate is ignored, water continues to be reabsorbed, making the feces hard and difficult to expel. Ignoring the urge repeatedly will eventually cause the urge to be lost. Embarrassment, while unwarranted, is preferable to losing the urge to defecate. Ignoring the urge will not strengthen the reflex later; it will weaken it.

Answer to Question 2

Answer: C

Dairy products can contain lactose, which might be difficult for certain clients to digest, resulting in diarrhea. The remaining selections are not associated with diarrhea.