A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.<\/p>\n\n\n\n
Which of the following actions should the nurse include in the plan of care?<\/p>\n\n\n\n
A.
Encourage a maximum fluid intake of 1,500 mL per day.<\/p>\n\n\n\n
B.
Increase the amount of refined grains in the client\u2019s diet.<\/p>\n\n\n\n
C.
Provide the client with a cold drink prior to defecation.<\/p>\n\n\n\n
D.
Administer a cathartic suppository 30 min prior to scheduled defecation times.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is D. Administer a cathartic suppository 30 minutes prior to scheduled defecation times<\/strong>.<\/p>\n\n\n\n A bowel-training program is essential for clients with spinal cord injuries to establish a regular bowel routine and prevent constipation. Proper bowel management helps improve quality of life and can prevent complications related to bowel dysfunction, such as fecal incontinence or impaction.<\/p>\n\n\n\n Option A: Encourage a maximum fluid intake of 1,500 mL per day.<\/strong> This recommendation is inadequate for a bowel-training program. Typically, a higher fluid intake (at least 2,000-3,000 mL per day) is encouraged to help soften the stool and promote regular bowel movements. Adequate hydration is crucial for preventing constipation and ensuring the effectiveness of the bowel-training program.<\/p>\n\n\n\n Option B: Increase the amount of refined grains in the client\u2019s diet.<\/strong> Refined grains are low in fiber and can contribute to constipation. A diet high in fiber, including whole grains, fruits, and vegetables, is preferable for promoting bowel regularity. Increasing fiber intake helps form well-formed stools and stimulates bowel movements.<\/p>\n\n\n\n Option C: Provide the client with a cold drink prior to defecation.<\/strong> While some clients may find certain temperature-related stimuli (like warm drinks) helpful, this approach is not a standardized or effective method for bowel training. The primary goal of bowel training is to establish a routine rather than using temperature as a stimulus.<\/p>\n\n\n\n Option D: Administer a cathartic suppository 30 minutes prior to scheduled defecation times.<\/strong> This approach is effective and commonly used in bowel-training programs. Cathartic suppositories stimulate bowel movements by irritating the rectal mucosa, which promotes evacuation. Administering a suppository 30 minutes before a scheduled defecation time helps in establishing a regular bowel routine and ensures that the client can have a bowel movement at the planned time.<\/p>\n\n\n\n In summary, administering a cathartic suppository 30 minutes prior to scheduled defecation times is a practical strategy to help clients with spinal cord injuries establish a consistent and manageable bowel routine.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? A.Encourage a maximum fluid intake of 1,500 mL per day. B.Increase the amount of refined grains in the client\u2019s diet. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-138372","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138372","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=138372"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/138372\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=138372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=138372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=138372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n