The Nurse Is Interviewing a Client Who Is Experiencing Constipation

question 56

Multiple Choice

The nurse is interviewing a client who is experiencing constipation. During the interview, the client states, "I don't understand what is going on. I feel the urge to go to the bathroom but, once I am in there and I begin pushing with my abdominal muscles, nothing happens." Which of the following represents the nurse's best response to the client?

• A)"Try taking an over-the-counter medication containing bismuth salts, such as Kaopectate or Pepto-Bismol. If your symptoms don't subside in 2 days, come back to the office."
• B)"Stop taking all medications until you have reestablished a normal elimination routine. Medication usage often leads to constipation."
• C)"Make sure that you are taking proper care of the skin in the anal area. Skin breakdown can result in hesitancy when defecating."
• D)"Try to avoid straining with the abdominal muscles during defecation. Doing so may actually close the anal sphincter, preventing feces from passing through."

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Definitions:

Negotiable Warehouse Receipt

A document issued by a warehouse listing goods being stored that is transferable by endorsement, allowing for the trading of the document as if it were the goods themselves.

Sale Or Return

A contract in which the seller delivers a quantity of goods to the buyer on the understanding that if the buyer desires to retain, use, or sell any portion of the goods, he will consider such part as having been sold to him, and that he will return the balance or hold it as bailee for the seller.

Risk Of Loss

Refers to the legal responsibility regarding who bears the cost of damage, destruction, or theft of goods during a transaction or after it, until delivery.

F.O.B. Seattle

A commercial term indicating that the seller of goods is responsible for them until they are loaded on board a shipping vessel in Seattle, at which point the buyer assumes risk and responsibility.