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Author Question: The nurse is caring for a 71-year-old who underwent a total hip replacement and then developed ... (Read 33 times)

CharlieWard

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on: Jul 24, 2018
The nurse is caring for a 71-year-old who underwent a total hip replacement and then developed constipation from lack of activity. What action by the nurse could have prevented constipation in this client?
 
  a. encouraging the client to get out of bed more often after surgery
  b. collaborating with the dietician to provide more high-protein foods for the client during hospitalization
  c. increasing the client's postoperative intravenous fluids
  d. collaborating with the health care provider about prophylactic use of stool softeners

Question 2

For pregnant women, which type of laxative usually is recommended?
 
  a. stimulants c. bulk-forming laxatives
  b. saline laxatives d. lubricant laxatives


coyin

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Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: D

Feedback
A Incorrect: The activity following joint replacement is restricted by both the procedure and the client's energy level.
B Incorrect: High protein foods will not prevent constipation following surgery.
C Incorrect: Oral fluids help decrease the risk of constipation; however, with this surgery and activity restrictions, even this would not prevent constipation.
D Correct: Hospitalized clients and especially surgical clients should receive prophylactic stool softeners.

Answer to Question 2

ANS: C

Feedback
A Incorrect: These could stimulate uterine contractions as well as bowel contractions.
B Incorrect: These could stimulate uterine contractions as well as bowel contractions.
C Correct: These produce normally formed stools without the risk of fluid and electrolyte imbalances or the stimulation of uterine contractions.
D Incorrect: These decrease fluid absorption in the large intestines and could lead to dehydration.


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CharlieWard

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Reply #2 on: Jul 24, 2018
TY


coyin

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Reply #3 on: Jul 24, 2018
You're welcome


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