Author Question: A dying client with inadequate fluid intake is experiencing constipation. What would be an ... (Read 118 times)

naturalchemist · **on:** Jul 8, 2018

A dying client with inadequate fluid intake is experiencing constipation. What would be an appropriate nursing intervention for this client?

A) Administer psyllium
B) Tap water enema
C) Administer lactulose
D) Apricot juice

Question 2

A client has not been able to receive adequate pain control with several different medications that have been administered and is experiencing severe pain. What route of administration might be tried at this time?

A) Intraspinal
B) Intravenous
C) Rectal
D) Transdermal

onowka · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: C
Feedback:
Stimulants such as prune juice (not apricot juice), senna, or lactulose are preferable in dying clients. Avoid bulking agents (psyllium) in clients with inadequate fluid intake to avoid impaction. Monitor bowel function. Do not allow the client to go longer than 3 days without a bowel movement. A mineral oil, not tap water, enema may be necessary to prevent impaction.

Answer to Question 2

Ans: A
Feedback:
The administration of drugs into or around the spinal cord via the epidural or intrathecal routeknown as the intraspinal routeis reserved for those clients who cannot achieve pain control in any other manner. Some medications are available in suppository form, and the rectal route may be useful when the client can no longer swallow or has problems with nausea and vomiting. Medications such as the fentanyl patch require placement on the skin of the upper body every 72 hours for relief of pain and operate through the transdermal route. The intravenous and subcutaneous routes are useful when the client is unable to swallow.