The nurse teaches a 65-year-old client with a chronic constipation problem. In reviewing her dietary habits, the nurse finds that the client's diet is low in fiber.
Which of the following points should the nurse prioritize when teaching about increasing fiber intake? A) Add 20 g of fiber to other foods (such as wheat bran to ground beef or muffins).
B) Attempt a bowel movement following breakfast.
C) Use a suppository to stimulate elimination.
D) Add fiber gradually to minimize symptoms of gas or bloating.
Question 2The children of an elderly resident at a nursing home are concerned that their parent is alone and lonely. A staff nurse can assure the family that the elderly should be allowed periods of solitude because such times:
A) Are essential for reflecting, analyzing, and better understanding the dynamics of life
B) Decrease loneliness, insecurity, and self-imposed isolation
C) Help the elderly face the misfortunes of growing old
D) Affect displays of anxiety, depression, and anorexia
Question 3When caring for the patient who is in shock, the nurse should provide
a. adequate oral fluids to replace blood loss.
b. external heat to combat shivering.
c. sedatives to decrease anxiety and apprehension.
d. oxygen to support respiratory function.
Question 4A young couple are looking for a new home. They want to move into a neighborhood that has no elderly neighbors. Such ageism carries several consequences. By separating themselves from the elderly, the couple:
A) Are less likely to see the similarities between themselves and older adults
B) Will lose their insights into aging
C) Will not experience the challenges of old age
D) May have an easier time minimizing their socioeconomic challenges
Question 5A patient, age 45, has had a left intramedullary rod placed into his left femur. He is presenting with signs and symptoms of postoperative shock. The recommended position for a person going into shock is
a. semi-Fowler's.
b. supine.
c. Fowler's
d. Trendelenburg.
Question 6The nurse assesses a client with abdominal and rectal discomfort, diarrhea, and fever. What initial data source should the nurse use to determine a possible cause of his symptoms?
A) Medical history, for prostatic hypertrophy
B) Nutritional record, for the amount of dietary fiber
C) Defecation record, for frequency and character of bowel movements
D) Medication record, for use of anticholinergic medications