NRS 2024 - Fundamentals of Nursing - Quiz Questions for Exam 2

A client reports taking laxatives every day but the client is still constipated. The nurse's response is based on which reasoning? - Habitual laxative use is the most common cause of chronic constipation. Explanation: Occasional use of laxatives is not harmful for most people, but clients should not become dependent on them. Although many people do take laxatives because they believe they are constipated, most are unaware that habitual use of laxatives is the most common cause of chronic constipation. A client tells the nurse, "As long as I only eat 2,400 calories per day, it does not matter which foods I eat." Which response by the nurse is best? - "Can you share an example of what you ate yesterday?" Explanation: Healthy adult client on average require 1,800 to 2,400 cal/day. Unless the caloric intake includes an appropriate mix of proteins, carbohydrates, and fats, the person may be marginally nourished or malnourished. In other words, consuming 2,400 calories of chocolate, exclusive of any other food, is not adequate to sustain a healthy state. By asking the client for an example of the foods eaten, the nurse can help the client plan effectively. It is important to teach clients about healthy nutrition, so this response is most appropriate. The other responses from the nurse are not correct. A client visits the health care facility for a scheduled physical assessment. What should the nurse do when physically assessing the quality of the client's oxygenation? Select all that apply. - Monitor the client's respiratory rate. Check the symmetry of the client's chest. Observe the breathing pattern and effort. Explanation: When physically assessing the quality of the client's oxygenation, the nurse should monitor the client's respiratory rate, check the symmetry of the client's chest, and observe the breathing pattern and effort of the client. The nurse should also auscultate for lung sounds. Additional assessments include recording the heart rate and blood pressure, determining the client's level of consciousness, and observing the color of the skin, mucous membranes, lips, and nail beds. During the physical assessment, the nurse does not note the amount of oxygen administered to the client or check the device that is used to deliver oxygen to the client.