What activity will the nurse perform when assessing a client's ...

[Alainaaa8]

What activity will the nurse perform when assessing a client's fecal elimination status?
 
  1. Obtain a nursing history
  2. Interpret results of diagnostic tests
  3. Perform a physical examination
  4. Goal setting with the client

Question 2

Which client would benefit from interventions to decrease the risk of developing constipation?
 
  1. An adult who is on bed rest
  2. An infant who is breast-fed
  3. A school-age child at recess
  4. A toddler who is now walking

[brittrenee]

Answer to Question 1

Correct Answer: 1
Rationale 1: Assessment of fecal elimination includes a nursing history and also a review of any data from the client's records.
Rationale 2: Interpretation of diagnostic test results would demonstrate evaluation of the nursing process.
Rationale 3: Performing a physical examination would demonstrate implementation of the nursing process.
Rationale 4: Setting goals for the client demonstrates the planning step of the nursing process.

Answer to Question 2

Correct Answer: 1
Rationale 1: Adults who are on bed rest are at greatest risk for developing constipation.
Rationale 2: Infants that are breast-fed pass stools frequently, usually after each feeding, because the intestine is immature and water is not well absorbed.
Rationale 3: School-age children may delay defecation because of play, but their activity still promotes regular bowel movements.
Rationale 4: A toddler who is now walking has some control of defecation, and the nervous and muscular systems are sufficiently well developed to permit bowel control.

[Alainaaa8]

Excellent

[helenmarkerine]

Gracias!