Answers
A nurse is teaching a client who has a new prescription for docusate. Which of
the following information should the nurse include in the teaching?
-"Do not take this medication before bedtime."
-"Take the medication with a full glass of water."
-"Expect abdominal pain with this medication."
-"Take this medication on an empty stomach." correct answer --"Do not
take this medication before bedtime." (Morning or evening before bedtime is
fine.)
-"Take the medication with a full glass of water." (Unless contraindicated, but
yes to reduce risk for constipation.) !!!
-"Expect abdominal pain with this medication." (Notify provider if this
occurs.)
-"Take this medication on an empty stomach." (With or without food is fine.)
A nurse is teaching a client who has constipation. Which of the following
should the nurse discuss as causes of constipation? (Select all that apply.)
-Excessive laxative use
-Ignoring the urge to defecate
-Inadequate fluid intake
-Increased fiber in the diet
-Increased activity correct answer --Excessive laxative use (Chronic use of
laxatives causes the large intestine to lose muscle tone and become less
responsive to stimulation by laxatives.) !!!
-Ignoring the urge to defecate (Anything that prevents the client from
responding to the urge to defecate and disrupts regular habits can cause
alteration in bowel habits, such as constipation.) !!!
, -Inadequate fluid intake (Reduced fluid intake slows the passage of food
through the intestine and can result in hardening of stool.) !!!
-Increased fiber in the diet (Increased fiber promotes more efficient bowel
emptying.)
-Increased activity (Increased activity promotes bowel emptying.)
A nurse is teaching an older adult client who reports constipation. Which of
the following instructions should the nurse include in the teaching?
-Bear down hard when defecating.
-Drink four to five glasses of water daily.
-Increase dietary intake of raw vegetables.
-Limit activity. correct answer --Bear down hard when defecating. (Avoid
because can cause the client to develop hemorrhoids.)
-Drink four to five glasses of water daily. (Should drink at least 6-8 glasses of
fluids each day, which is recommended to keep the stool soft and prevent
constipation.)
-Increase dietary intake of raw vegetables. (To help provide fiber in the diet,
which will increase stool bulk and move the stool through the colon to prevent
constipation.) !!!
-Limit activity. (Increasing activity actually is recommended to increase
peristalsis and prevent constipation.)
A nurse is caring for a client who reports taking bisacodyl to promote a daily
bowel movement. Which of the following assessment questions should be the
nurse's priority?
-"What do your bowel movements look like?"
-"How long have you been taking the bisacodyl?"
-"Do you take the bisacodyl with a glass of milk?"