A nurse is teaching a client who has constipation.
Which of the following statements should the nurse include?
Reduce your daily activity.
Try to defecate at different times of the day.
Increase your daily fluid intake.
Consume a low-fiber diet.
The Correct Answer is C
Choice A rationale
Reducing daily activity is not advised for clients with constipation. Physical activity helps stimulate bowel movements and can relieve constipation.
Choice B rationale
Trying to defecate at different times of the day is not recommended. Establishing a regular bowel routine helps promote consistent bowel movements and can prevent constipation.
Choice C rationale
Increasing daily fluid intake is beneficial for constipation. Fluids help soften stool, making it easier to pass and promoting regular bowel movements.
Choice D rationale
Consuming a low-fiber diet is not advisable for clients with constipation. A high-fiber diet helps bulk up and soften stool, making it easier to pass through the intestines.
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Correct Answer is A
Explanation
Choice A rationale
Neobladder urinary diversion involves creating an internal reservoir or pouch from a segment of the intestine to store urine. This new bladder is then connected to the urethra,
enabling the client to void through the urethra. This method closely mimics natural urination, allowing the client to have some control over urination.
Choice B rationale
This is incorrect because a neobladder is designed to allow the client to control urination. While there might be a learning curve for the client to adapt to the new bladder, the ultimate
goal is to achieve continence.
Choice C rationale
This describes an ileal conduit, another type of urinary diversion, where a stoma is created on the abdomen for urine to pass into an external bag. The neobladder does not involve a
stoma for urination.
Choice D rationale
This is incorrect as it pertains to an ileal conduit or urostomy. Clients with a neobladder do not require an external collection bag since urine is stored internally in the constructed
bladder and can be passed through the urethra. .
Correct Answer is B
Explanation
Choice A rationale
White rice is a low-fiber food that is usually recommended to help manage diarrhea, as it can help firm up stools.
Choice B rationale
Caffeinated beverages can increase intestinal motility and secretions, leading to diarrhea. They can also be irritating to the gastrointestinal tract.
Choice C rationale
Low-fiber cereals are less likely to cause diarrhea and are often recommended for those with diarrhea because they are easy to digest.
Choice D rationale
Ripe bananas are low in fiber and high in potassium, which is beneficial for those with diarrhea as they help in firming up the stool.