Author Question: A client complains of passing hard, pellet-like stools for several weeks and asks the nurse what ... (Read 26 times)

corkyiscool3328 · **on:** Jul 23, 2018

A client complains of passing hard, pellet-like stools for several weeks and asks the nurse what would cause the condition. The nurse explains that constipation has various possible causes, including:

Standard Text: Select all that apply.
1. pathogens.
2. toxins.
3. decreased dietary fiber.
4. inadequate fluid intake.
5. sedentary lifestyle.

Question 2

A client with severe diarrhea asks the nurse why so much water is being expelled with each bowel movement. The nurse explains that:

1. the intestines are not reabsorbing sufficient fluid.
2. the client needs to take a laxative at this time.
3. the intestines are reabsorbing too much fluid.
4. peristalsis is too slow.

peter · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3,4,5
Rationale 1: Pathogens are often a cause of diarrhea, not constipation.
Rationale 2: Toxins are often a cause of diarrhea, not constipation.
Rationale 3: Inadequate dietary fiber can often cause constipation.
Rationale 4: Inadequate fluid intake is often a cause of constipation.
Rationale 5: A sedentary lifestyle often leads to constipation.
Global Rationale: Constipation can be linked to inadequate dietary fiber, inadequate fluid intake, and to a sedentary lifestyle. Toxins and pathogens cause diarrhea, not constipation.

Answer to Question 2

Correct Answer: 1
Rationale 1: Diarrhea occurs when the small or large intestine fails to reabsorb sufficient fluid.
Rationale 2: Laxatives would be contraindicated in a client who is having severe diarrhea.
Rationale 3: If the intestines are reabsorbing too much fluid, the likely outcome is constipation.
Rationale 4: When the client has diarrhea, peristalsis is too fast for the fluids to be reabsorbed.
Global Rationale: Diarrhea occurs when the small or large intestine fails to reabsorb sufficient fluid. Peristalsis is too fast in this condition. There is no reason for the patient to take a laxative.