N105: Essentials of Nursing Care - Health Differences

Essentials of Nursing Study Guide

©2017 Achieve Test Prep Page 60 of 160 25. A client is caring for her husband who recently experienced a cerebral vascular accident. She tells the home care nurse that she has been very anxious lately about all the added responsibilities. She adds that she has not been sleeping well and has had several bouts of diarrhea. Which of the following statements by the nurse focuses on the most likely cause of the gastrointestinal problem? a. “Have you experienced increased gas and cramping in addition to the diarrhea?” b. “You are under a lot of stress; that can affect your bowels and result in diarrhea.” c. “I suggest you get some over-the-counter medication and keep it on hand to manage those bouts.” d. “Have you been eating a well-balanced diet since you brought your husband home?” 26. A client is caring for her daughter, who recently suffered multiple fractures in an automobile accident. The client tells the home care nurse that she has been, “really down since all this happened.” She adds that she has been constipated and not really interested in eating. Which of the following statements by the nurse focuses on the most likely cause of the gastrointestinal problem? a. “Actually, how long have you beenconstipated?” b. “Are you eating fiber-rich foods like fruit and wholegrains?” c. “You may be depressed; emotional depression can causeconstipation.” d. “I suggest you get some over-the-counter mild laxative and see if that helps.” 27. A 70-year-old client is discussing his recent difficulty with having regular bowel movements while on a cross-country bus tour with a senior citizens’ group. Which of the following assessment questions is directed toward themost likely cause of the problem? a. “Did the bus stop frequently so you could get up and walk around?” b. “Did you eat enough fiber while you were on thetrip?” c. “Do you find using public restrooms unsettling?” d. “Do you have any chronic bowel-relatedproblems?” 28. The nurse is caring for a 19-year-old male client with a fractured left femur whose leg was pinned 36 hours ago and is now in traction. Which of the following stressors is mostly likely the cause of this client’s difficulty related to constipation? a. Pain related to the fracture and its repair b. Anxiety regarding the serious nature of the injury c. The need to defecate in an unfamiliar, awkwardposition d. Poor fluid intake after the accident and ensuingsurgery