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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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Correct Answer is B

Explanation

A. Increasing activity level may be unrealistic for a patient on strict bed rest due to a pelvic fracture.

B. Repositioning every 2 hours is a realistic and achievable goal for a patient on bed rest to prevent complications such as pressure ulcers and maintain circulation.

C. Using a walker for ambulation may not be feasible immediately after a pelvic fracture.

D. Transferring with a sliding board may not be safe or appropriate in the early stages post-injury, especially if bed rest is required.

Correct Answer is B

Explanation

A. An air vent allowing bubbles into the blood would be unsafe and can cause air embolism, so this option is incorrect.

B. Using tubing with a filter is standard practice for blood transfusions to prevent clots and debris from entering the patient’s bloodstream, making this the correct choice.

C. Mixing additional electrolytes into the blood is not a standard practice during transfusions, as it can cause complications; thus, this option is not appropriate.

D. Two-way valves are not typically used in blood transfusion setups; the goal is to keep the blood product separate from other fluids unless specifically indicated.

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