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A terminally ill patient is experiencing constipation secondary to pain medication. Which is the best method for the nurse to improve the patient's constipation problem?

A.

Contact the health care provider to discontinue pain medication.

B.

Massage the patient's abdomen.

C.

Use a laxative.

D.

Administer enemas twice daily for 7 days.

Answer and Explanation

The Correct Answer is C

A. Discontinuing pain medication may not be appropriate, as it can lead to inadequate pain management for the patient. Pain management is crucial for terminally ill patients.  

 

B. While abdominal massage may help relieve mild constipation, it is not a reliable primary intervention for more severe constipation caused by medication.  

 

C. Laxatives are commonly prescribed for constipation related to pain medication and are an effective method to promote bowel movements, making this the best choice.  

 

D. Administering enemas twice daily can be excessive and may cause discomfort or lead to dependency, making this option less favorable than using laxatives.


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Explanation

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Correct Answer is C

Explanation

A. Atelectasis can occur in anyone, not just those with chronic conditions; this statement is incorrect.

B. While hyperventilation may temporarily open alveoli, it is not a preventative measure for atelectasis.

C. Breathing exercises, such as incentive spirometry or deep breathing, are effective in preventing atelectasis by promoting lung expansion and alveolar ventilation.

D. A chest tube is typically used to remove air or fluid from the pleural space, not for the treatment of atelectasis, which is often managed with respiratory therapies.

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