The nurse is caring for a client from another culture. The client ...

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The nurse is caring for a client from another culture. The client tells the nurse that he is constipated. What is the nurse's initial action?
 
  A) Encourage the client to increase fluid intake and activity.
  B) Assess the client's intake of fiber and fluids.
  C) Determine what the client means by constipation.
  D) Obtain an order for a laxative and an enema from the physician.

Question 2

The nurse reviewing discharge instructions for a client diagnosed with urinary incontinence resulting from a urinary tract infection. Which statement made by the client indicates the need for further education?
 
  A) I should drink plenty of water to prevent damage to my kidneys while I am on the antibiotics for the infection.
  B) Drinking cranberry juice will decrease the risk for developing urinary tract infections.
  C) I will contact the healthcare provider prior to taking over-the-counter medications while on my antibiotic.
  D) I will continue to hold my urine while in public so that I do not get another infection.

[reversalruiz]

Answer to Question 1

Answer: C

The nurse should first carefully evaluate the client's concern and question the person as to what is meant by constipation. Determining the client's normal frequency of bowel movement, consistency of stool, and effort in passing stool is important before deciding to act. The other suggestions-achieving adequate fluid intake, exercising, including fiber in the diet, and using a laxative (and possibly an enema)-may be appropriate once the nurse has adequately assessed the client's concern of constipation

Answer to Question 2

Answer: D

A client who is diagnosed with urinary incontinence secondary to a urinary tract infection will require specific education. The client who states that he or she will hold their urine while in public to decrease the risk of another infection requires more education. Urinary retention is a contributing factor to urinary tract infections. The other statements are appropriate and indicate appropriate understanding of the information presented.

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Gracias!

[xiazhe]

TYSM