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
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.
You might also like to view...
A method of identifying a person's priorities in life, including values about God, family, truth, love, sex, and pleasure is known as:
a. cultural values c. personal values b. ethical reasoning d. values clarification
An ____ point of view encourages one to see connections between society and individual or societal health
1. Educated 2. Ecumenical 3. Ecological 4. Environmental
Which client statement indicates a good understanding regarding antibiotic therapy for recurrent urinary tract infections?
a. "If my urine becomes lighter and clearer, I can stop taking my medicine." b. "Even if I feel completely well, I should take the medication until it is gone." c. "When my urine no longer burns, I will no longer need to take the antibiotics." d. "If I have a fever higher than 100° F (37.8° C), I should take twice as much medicine."
An African-American woman has taken on the responsibility of raising her grandchild. Which intervention will best address a need commonly identified in this specific population?
a. Providing her with a list of local afterschool children's programs b. Suggesting she enroll in a local community center's senior support group c. Scheduling her for a complete physical examination d. Encouraging her to walk 1 mile 3 days a week