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Questions and Answers
A client reports consistent use of laxatives due to the belief that a daily bowel movement is necessary. Which nursing problem definition is MOST appropriate for this client?
A client reports consistent use of laxatives due to the belief that a daily bowel movement is necessary. Which nursing problem definition is MOST appropriate for this client?
- Perceived constipation related to self-diagnosis and reliance on laxatives (correct)
- Risk for dysfunctional gastrointestinal motility related to pharmaceutical agents
- Altered bowel elimination related toIgnoring the urge to defecate
- Anxiety related to bowel movement frequency
Which intervention is MOST important when initiating care for a client with perceived constipation?
Which intervention is MOST important when initiating care for a client with perceived constipation?
- Encourage keeping a 7-day log of bowel habits and lifestyle factors. (correct)
- Prescribe a high dose of a stimulant laxative
- Immediately discontinue all laxatives and suppositories.
- Administer a daily enema to promote regular bowel movements.
What dietary recommendation is MOST appropriate for a client aiming to establish a regular bowel elimination pattern without the use of aids?
What dietary recommendation is MOST appropriate for a client aiming to establish a regular bowel elimination pattern without the use of aids?
- Incorporating 18-25 grams of fiber per day through foods like prunes and leafy green vegetables. (correct)
- Consuming a diet low in fiber to decrease bowel stimulation.
- Avoiding whole wheat bread and opting for processed grains.
- Limiting fluid intake to less than 1 liter per day to reduce stool volume.
A patient is being treated for constipation with a care plan that includes increased fluids and fiber. Which outcome indicates improvement?
A patient is being treated for constipation with a care plan that includes increased fluids and fiber. Which outcome indicates improvement?
Which of the following assessment findings is a defining characteristic associated with perceived constipation?
Which of the following assessment findings is a defining characteristic associated with perceived constipation?
During the assessment of a client with constipation, what should be prioritized?
During the assessment of a client with constipation, what should be prioritized?
Which of the following factors is MOST likely to contribute to perceived constipation?
Which of the following factors is MOST likely to contribute to perceived constipation?
Which of the following statements aligns with patient education on perceived constipation?
Which of the following statements aligns with patient education on perceived constipation?
A client with perceived constipation has been educated on decreasing stimulant use. Which statement indicates the NEED for further teaching?
A client with perceived constipation has been educated on decreasing stimulant use. Which statement indicates the NEED for further teaching?
Which underlying psychological factor are you most likely to find in a client with perceived constipation?
Which underlying psychological factor are you most likely to find in a client with perceived constipation?
Flashcards
Perceived Constipation
Perceived Constipation
Self-diagnosis of constipation with abuse of laxatives, enemas, and/or suppositories to ensure a daily bowel movement.
Nursing Intervention: Bowel Patterns
Nursing Intervention: Bowel Patterns
Access usual patterns of defecation including bowel habits, lifestyles, past medical history, and emotional factors.
High Fiber Diet
High Fiber Diet
Maintain a high fiber diet between 18-25 g/day. Examples include prunes, leafy green vegetables, whole wheat bread and pasta.
Daily Fluid Intake
Daily Fluid Intake
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Long-Term Goal: Defecation
Long-Term Goal: Defecation
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Physical Activity
Physical Activity
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GI Motility Concern
GI Motility Concern
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Regular Laxative Use
Regular Laxative Use
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Daily BM Expectation
Daily BM Expectation
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Study Notes
- Primary concept/exemplar: Elimination
Assessment Findings: Defining Characteristics
- Expectation of a daily bowel movement (BM)
- Expectation of a daily BM at the same time every day
- Overuse/abuse of laxatives, enemas, suppositories
Objective Assessment Findings
- Observed taking regular laxatives, enemas, &/or suppositories
Risk Factors/Etiology
- Cultural health belief
- Family health belief
- Impaired thought process
Primary Nursing Problem Definition
- Perceived Constipation: self-diagnosis of constipation with abuse of laxatives, enemas, &/or suppositories to ensure a daily BM
Other Additional Appropriate Nursing Problems/Concerns
- Risk for dysfunctional gastrointestinal motility (pharmaceutical agent)
- Anxiety
Priority Nursing Interventions
- Access usual patterns of defecation including bowel habits, lifestyles, past medical history, and emotional factors
- Encourage client to keep a 7-day log of bowel habits, lifestyle
- Education that aids are not necessary for daily BM
- Recommend establishing a regular elimination routine
Patient Outcomes
- Explain need to decrease/eliminate requirement of stimulant
- Identify alternatives to stimulants
- Explain a BM does not have to
Ultimate Long-Term Goal
- Regularly defecate soft formed stool without use of aids
Additional Information (Therapy)
- Foods: high fiber diet of 18-25 g/day including prunes, leafy green vegetables, whole wheat bread, pasta, etc.
- Fluids: 1.5-2 L or quarts/day of water to soften fecal material unless contraindicated for other medical reasons
- Activity: increase physical activity within ability to mobilize which helps to stimulate peristalsis
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