StudyQuestionExam2

A nurse is providing preoperative teaching to a client who will undergo surgery to create a temporary colostomy. The client asks the nurse about the difference between colostomies and ileostomies. Which of the following responses should the nurse make? A."A colostomy drains stool, and an ileostomy drains urine." B."A colostomy is temporary, and an ileostomy is permanent." C."A colostomy is from the large intestine, and an ileostomy is from the small intestine." D."An ileostomy requires dietary restrictions, while a colostomy does not."

"A colostomy is from the large intestine, and an ileostomy is from the small intestine." The name of the ostomy reflects the region the surgeon brings to the surface of the abdominal wall. Therefore, when the colon is the site of surgical intervention, the site is a colostomy (colon + ostomy). When the ileum is the site of surgical intervention, the abdominal stoma is an ileostomy (ileum + ostomy).

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include? "To prevent dehydration, drink an additional liter of fluid during preparation time." "Expect bowel movements to begin 3 hr following completion of solution." "Abdominal bloating might occur." "Drink 400 mL every hour until bowel movements are clear."

"Abdominal bloating might occur." Rationale: While PEG is well-tolerated, adverse effects include nausea, bloating, and abdominal discomfort.

A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching? "I'm glad that my child's ostomy is only temporary." "I'm glad my child will have normal bowel movements now." "I want to learn how to use my child's feeding tube as soon as possible." "I want to learn how to empty my child's urinary catheter bag."

"I'm glad that my child's ostomy is only temporary." Rationale: Hirschsprung disease is also known as aganglionic megacolon and is characterized by an area of the large intestine without nerve innervation. The child will probably require two surgeries over an 18- to 24-month period before normal bowel function is obtained. The initial surgery creates an ostomy, which relieves the obstructed area and allows the bowel distal to the ostomy to rest.

Which child is at risk for acute glomerulonephritis? 3-year-old female with a history of recurrent urinary tract infections 6-year-old male with a family history of renal disorders 7-year-old male with a recent history of an upper respiratory infection 2-year-old male with hypertension

7-year-old male with a recent history of an upper respiratory infection Rationale: Acute glomerulonephritis often follows a group A streptococcal infection. Strep A infections may manifest as an upper respiratory infection. It occurs more frequently in males and children over the age of 3, peaking around 7 years of age.Chapter 43: Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder - Page 1571-1572

A nurse is providing dietary teaching a client who has late-stage chronic kidney disease (CKD). Which of the following nutrients should the nurse instruct the client to increase in her diet? A. Calcium B. Phosphorous C. Potassium D. Sodium

A. Calcium

The most common early sign of kidney disease is: A. Sodium retention B. Elevated BUN level C. Development of metabolic acidosis D. Inability to dilute or concentrate urine

B. Elevated BUN level Rationale: Increased BUN is usually an early indicator of decreased renal function.

Which cause of HTN is the most common in acute renal failure? A. Pulmonary edema B. Hypervolemia C. Hypovolemia D. Anemia

B. Hypervolemia Rationale: Acute renal failure causes hypervolemia as a result of over expansion of extracellular fluid and plasma volume with the hyper secretion of renin. Therefore, hypervolemia causes HTN.

A nurse in a provider's office is assessing a client who has GERD. When documenting the client's history, the nurse should expect the client to report that symptoms worsen with which of the following actions? A.Stair-climbing B.Bending over C.Sitting D.Walking

Bending over Gastroesophageal reflux symptoms are most evident with activities that increase intraabdominal pressure (e.g. bending over, straining, lifting, and lying down).

A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? Steatorrhea Blood Bacteria Parasites

Blood Rationale: A guaiac test detects the presence of occult or hidden blood in the stool. The guaiac test is an extremely useful diagnostic screening test for the presence of colon cancer and gastrointestinal ulcers.

Your patient returns from the operating room after abdominal aortic aneurysm repair. Which symptom is a sign of acute renal failure? A. Anuria B. Diarrhea C. Oliguria D. Vomiting

C. Oliguria Rationale: Urine output less than 50 mL in 24 hrs signifies oliguria, an early sign of renal failure. Anuria is uncommon except in obstructive renal disorders.

A patient with diabetes has had many renal calculi over the past 20 years and now has chronic renal failure. Which substance must be reduced in this patient's diet? A. Carbohydrates B. Fats C. Protein D. Vitamin C

C. Protein Rationale: Because of damage to the nephrons, the kidney can't excrete all the metabolic wastes of protein, so this patient's protein intake must be restricted. A higher intake of carbs, fats, and vitamin supplements is needed to ensure the growth and maintenance of the patient's tissues.

A nurse is caring for a client who has just returned from the surgical suite following a right nephrectomy. Which of the following indicates that the client is meeting a successful short-term goal following this procedure? A. The client requests pain medication upon arrival from surgery. B. A chest X-ray shows consolidation in the right lower lobe. C. Urinary output is 35 to 50 mL/hr consistently. D. The client has slight abdominal distention.

C. Urinary output is 35 to 50 mL/hr consistently.

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? Dietary iron restrictions Intestinal malabsorption syndrome Chronic blood loss Intestinal parasites

Chronic blood loss Rationale: A client with long-standing ulcerative colitis is most likely anemic due to chronic blood loss in small amounts that occurs over time, although the colitis may result in erosion of the intestine and hemorrhage. These clients often report bloody stools and are therefore at increased risk for developing anemia.

An older adult client seeks help for chronic constipation. What factor related to aging can cause constipation in elderly clients? Decreased abdominal strength Increased intestinal motility Increased intestinal bacteria Decreased production of hydrochloric acid

Decreased abdominal strength Rationale: Decreased abdominal strength, muscle tone of the intestinal wall, and motility all contribute to chronic constipation in the elderly. A decrease in hydrochloric acid causes a decrease in absorption of iron and vitamin B12, whereas an increase in intestinal bacteria actually causes diarrhea.

A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following findings should the nurse expect? A.Emesis with a coffee-ground appearance B.Increased blood pressure C.Decreased heart rate D.Bright green stools

Emesis with a coffee-ground appearance The nurse should expect a client who has a bleeding duodenal ulcer to have emesis that resembles coffee-grounds or is bright red in color. Hematemesis indicates upper gastrointestinal bleeding, occurring at or above the duodenojejunal junction.

A nurse is teaching dietary-modification strategies to a client who has been newly diagnosed with cirrhosis. Which of the following foods should the nurse recommend? A.Grilled chicken B.Potato soup C.Fish sticks D.Baked ham

Grilled chicken The nurse should identify that a client who has cirrhosis requires protein to compensate for disease-related weight loss. Increasing protein intake from animal or plant sources will also provide the client with more energy.

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders? Encopresis Enterocolitis Pyloric stenosis Hirschsprung's disease

Hirschsprung's disease Rationale: Hirschsprung's disease is an inadequate motility of part of the intestine resulting in a mechanical obstruction.

A nurse is providing dietary teaching for a client who has a new diagnosis of celiac disease which of the following statements by the client indicates an understanding of teaching I can return to my regular diet when I am free of symptoms I will need to avoid taking vitamin supplements while on his diet I will need to avoid taking vitamin supplements while on his diet I will eat beans to ensure I get enough fiber in my diet

I will eat beans to ensure I get enough fiber in my diet Clients who have celiac disease must maintain a gluten-free diet which illuminates fiber rich whole wheat products clients should eat beans nuts fruits and vegetables ensuring adequate intake of fiber

Which nursing diagnosis would the nurse select as the priority when caring for a pediatric client with nephrotic syndrome? Imbalanced nutrition Altered skin integrity Altered comfort Anxiety

Imbalanced nutrition Rationale: The priority nursing intervention for the client is Imbalanced nutrition. Clients diagnosed with nephrotic syndrome should be consulted by a nutritionist and stay on a high-protein, renal diet for optimal resultsChapter 43: Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder - Page 1571

A nurse is planning an in-service training session regarding nutrition. Which of the following minerals should the nurse identify as involved in oxygen transportation? A.Zinc B.Iron C.Phosphorus D.Magnesium

Iron Iron transports oxygen by means of hemoglobin and myoglobin. It is also a component of enzyme systems.

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain? Lower left quadrant Upper left quadrant Lower right quadrant Upper right quadrant

Lower left quadrant Rationale: The nurse should expect the client to have abdominal pain in the lower left quadrant of the abdomen. The disease is usually found in the sigmoid colon, where high pressure to move fecal contents from the rectum causes pouch formation.

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort? Lower the height of the solution container. Encourage the client to bear down. Allow the client to expel some fluid before continuing. Stop the enema and document that the client did not tolerate the procedure.

Lower the height of the solution container. Rationale: If nausea or cramping occurs, the flow of water should momentarily be slowed or stopped by lowering the device or clamping the tubing. This allows the intestinal spasm to pass while leaving the catheter in place. The nurse should then continue administering the enema at a slower rate once the cramping has passed.

A nurse is assessing a client who is 3 days postoperative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flatus. Which of the following conditions should the nurse suspect? Ulcerative colitis Cholecystitis Paralytic ileus Wound dehiscence

Paralytic ileus Rationale: A paralytic ileus in a postoperative client is indicated by the absence of bowel sounds, abdominal distention, and the client passing no stool or flatus. It is often caused by bowel handling during surgery and opioid analgesic use.

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider? Stoma oozing red drainage Shiny, moist stoma Purplish-colored stoma Rosebud-like stoma orifice

Purplish-colored stoma Rationale: A stoma that is purplish in color indicates ischemia. The nurse should notify the provider immediately.

A nurse is providing dietary teaching to a client who has ulcerative colitis. Which of the following food selections by the client indicates an understanding of the teaching? A.Raw vegetable salad with low-fat dressing B.Roast chicken and white rice C.Fresh fruit salad and milk D.Peanut butter on whole wheat bread

Roast chicken and white rice Clients who have ulcerative colitis are restricted to a low-fiber diet, which omits whole grains and raw fruits and vegetables. Roast chicken with white rice is the best choice.

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? Sudden decrease in abdominal pain Absent Rovsing's sign Flaccid abdomen Low-grade fever

Sudden decrease in abdominal pain Rationale: A sudden decrease in abdominal pain should indicate to the nurse that the appendix might be ruptured. If the appendix ruptures, the pain can disappear for a short period and the client might feel suddenly better. However, once peritonitis sets in, the pain returns and can spread into the whole abdomen.

A nurse is teaching a group of middle adult clients about early detection of colorectal cancer. The nurse should include the American Cancer Society recommendation that men and women beginning at age 50 who are at average risk should have a fecal occult blood test (FOBT) and a colonoscopy at which of the following intervals? Five years Ten years One year Two years

Ten years Rationale: Ten years is the recommended interval for colonoscopy screening for clients who have an average risk.

A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan? Soak in a sitz bath for 20 min after each stool. Administer a soap-suds enema to cleanse the colon. Cleanse with antimicrobial scrub and vigorously dry. Wipe perianal area with warm water and apply a barrier cream

Wipe perianal area with warm water and apply a barrier cream Rationale: The nurse should instruct the client to wipe the perianal area and apply a barrier cream to decrease skin breakdown when in contact with fecal material.

A nurse is giving a client with polycystic kidney disease instructions in replacing elements lost in the urine as a result of impaired kidney function. The nurse instructs the client to increase intake of which of the following in the client? a) sodium and potassium b) sodium and water c) water and phosphorus d) calcium and phosphorus

b) sodium and water Clients with polycystic kidney disease waste sodium rather than retain it and therefore need an increase in sodium and water in the diet. Potassium, calcium, and phosphorus do not need to be increased in this condition.

A nurse is planning care for a client who is postoperative following a nephrectomy. Which of the following assessments is the priority for the nurse to evaluate? a. bowel sounds b. WBC count c. pain level d. blood pressure

d. blood pressure The greatest risk to the client is acute adrenal insufficiency. The adrenal gland can be removed or damaged during nephrectomy. The nurse should evaluate the client for hypotension, decreased urine output, and decreased level of consciousness.

A nurse is performing an admission assessment on a client who has severe chronic kidney disease (CKD). Which of the following findings should the nurse expect for this client? a. tachypnea b. hypotension c. exophthalmos d. insomnia

tachypnea The nurse should expect the client who has severe CKD to have tachypnea due to metabolic acidosis

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate? "Don't worry; most clients dislike the prep more than the procedure itself." "Before the examination, your provider will give you a sedative that will make you sleepy." "I know you're anxious, but this procedure is recommended for people your age." "After you have signed the consent form, we can talk more about this."

"Before the examination, your provider will give you a sedative that will make you sleepy." Rationale: This therapeutic response appropriately addresses the client's concerns. The client is seeking information and this response provides the client with accurate information. It can also lead to further discussion about the procedure.

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching? "Do not take this medication before bedtime." "Take the medication with a full glass of water." "Expect abdominal pain with this medication." "Take this medication on an empty stomach."

"Take the medication with a full glass of water." Rationale: The nurse should instruct the client to take this medication with a full glass of water, unless contraindicated, to reduce the risk for constipation.

A nurse is teaching a client who is lactose intolerant. Which of the following statements regarding lactose intolerance should the nurse include in the teaching plan? "You should increase the fiber in your diet." "You should increase the calories in your diet." "You should decrease the dairy products in your diet." "You should decrease the proteins in your diet."

"You should decrease the dairy products in your diet." Rationale: Dairy products are lactose-containing foods and therefore should be decreased or avoided by the client who is lactose intolerant.

The nurse is teaching the mother of a 5-year-old boy with a history ofimpaction how to administer enemas at home. Which response from the motherindicates a need for further teaching? A) "I should position him on his abdomen with knees bent." B) "He will require 250 to 500 mL of enema solution." C) "I should wash my hands and then wear gloves." D) "He should retain the solution for 5 to 10 minutes."

A) "I should position him on his abdomen with knees bent." A 5-year-old child should lie on his left side with his right leg flexed toward thechest. An infant or toddler is positioned on his abdomen. Using 250 to 500 mL ofsolution, washing hands and wearing gloves, and retaining the solution for 5 to 10minutes are appropriate responses.

A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain which of the following is a priority nursing action? A) Relieve the client's pain B) Encourage the client to increase fluid intake C) Monitor the client's I and O D) Strain the clients urine

A) Relieve the client's pain

What is the appropriate infusion time for the dialysate in your 38 y/o patient with chronic renal failure? A. 15 min B. 30 min C. 1 hr D. 2 to 3 hrs

A. 15 min Rationale: Dialysate should be infused quickly. The dailysate should be infused over 15 min or less when performing peritoneal dialysis. The fluid exchange takes place over a period ranging from 30 min to several hours.

A nurse is teaching a client who has chronic kidney disease. Which of the following instructions should the nurse include? A. Limit fluid intake B. Limit caloric intake C. A diet high in phosphorus D. Eat a diet high in protein

A. Limit fluid intake

Which criterion is required before a patient can be considered for continuous peritoneal dialysis? A. The patient must be hemodynamically stable B. The vascular access must have healed C. The patient must be in a home setting D. Hemodialysis must have failed

A. The patient must be hemodynamically stable Rationale: Hemodynamic stability must be established before continuous peritoneal dialysis can be started.

A nurse is completing a history and physical assessment for a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client's condition? A.High-calorie diet B.Prior gastrointestinal illnesses C.Tobacco use D.Alcohol use

Alcohol use Alcohol consumption is a major cause of chronic pancreatitis in the US. Long-term alcohol use disorder produces hypersecretion of protein in pancreatic secretions, which results in protein plugs and calculi within the pancreatic ducts. Alcohol also has a direct toxic effect on the cells of the pancreas. Damage to these cells is more likely to occur and to be more severe in clients whose diets are poor in protein content and either very high or very low in fat.

A nurse is caring for a client who has acute pancreatitis. Which of the following serum laboratory values should return to the expected reference range within 72 hr of treatment beginning? Aldolase Lipase Amylase Lactic dehydrogenase

Amylase Pancreatitis is the most common diagnosis for marked elevations in serum amylase. Serum amylase begins to increase about 3 to 6 hours following the onset of acute pancreatitis. The amylase level peaks in 20 to 30 hours and returns to the expected reference range within 2 to 3 days.

A nurse is caring for a client who has Gerd and a new prescription of metoclopramide the nurse should plan to monitor for which of the following adverse effects Thrombocytopenia hearing loss hypersalivation ataxia

Ataxia Monitor for extraparametal symptoms

The nurse is conducting a physical examination of a child with suspected Crohn disease. Which finding would be the most suspicious of Crohn disease? A) Normal growth patterns B) Perianal skin tags or fissures C) Poor growth patterns D) Abdominal tenderness

B) Perianal skin tags or fissures Perianal skin tags and/or fissures are highly suspicious of Crohn disease. Poorgrowth patterns and abdominal tenderness are common to Crohn disease but arealso seen with many other conditions. Normal growth patterns would not point toCrohn disease because of problems with absorbing nutrients.

A nurse is teaching a client about urinary tract infections. Which of the following manifestations should the nurse include? A) Weight gain B) back pain C) vaginal discharge D) Muscle cramps

B) back pain

A nurse is caring for a client who has a percutaneous endoscopicgastrostomy (PEG) tube and is receiving intermittent feedings. Prior toinitiating the feeding, which of the following actions should the nursetake first? A. Flush the tube with water B. Place the client in semi-fowler's position C. Cleanse the skin around the tube site D. Aspirate the tube prior to each feeding

B. Place the client in semi-fowlers position The nurse should apply the ABC priority-setting framework. A client receiving PEG tube feedings should be positioned with the head of the bed elevated at least 30 degrees during and after feedings to decrease the risk of aspiration.

A nurse is caring for a client who is scheduled to undergo anesophagogastroduodenoscopy (EGD). The nurse should identify that thepurpose of this procedure is which of the following? A. To visualize colon polyps B. To detect ulceration in the stomach C. To identify an obstruction in the biliary duct D. To determine the presence of free air in the abdomen

B. To detect an ulceration in the stomach An EGD is used to visualize the esophagus, stomach, and duodenum with a lighted tube to detect tumors, ulcerations, or obstructions

I nurse is assessing a client who has cirrhosis which of the following findings as a priority for the nurse to report to the provider Spider angiomas peripheral edema bloody stools jaundice

Bloody stools greatest risk for patients with cirrhosis is hemorrhaging shock due to bleeding and esophageal varices

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include? Both are inflammatory Both begin in the rectum Both manifest fistula formation Both require frequent surgery

Both are inflammatory Rationale: The nurse should inform the client that both disease processes are an inflammatory process of the gastrointestinal tract.

A nurse is teaching a client who is pre-operative for renal biopsy. Which of the following statements should the nurse make? A) you will be NPO for eight hours following the procedure B) an allergy to shellfish is a contraindication to this procedure C) you will need to be on bed rest following the procedure D) A creatinine clearance is needed for this procedure

C) You will need to be on bed rest following the procedure

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the client's dialysate output is less than the input, and his abdomen is distended. Which of the following actions should the nurse take? A) Insert an indwelling urinary catheter B) administer pain medication to the client C) change the clients position D) place the drainage bag above the clients abdomen

C) change the clients position

A nurse is caring for a client who has gastrointestinal bleeding. The provider suspects a bleeding lesion in the colon. The initial approach to treatment likely will involve which of the following procedures? A.Exploratory laparotomy B.Double-contrast barium enema C.Magnetic resonance imaging D.Colonoscopy

Colonoscopy A colonoscopy requires the insertion of a flexible scope into the rectum. The provider advances the scope carefully until it enters the colon. It can provide direct visualization of the inside of the colon and helps the provider identify the exact cause and location of bleeding.

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client? Constipation Metallic taste Headache Muscle spasms

Constipation Rationale: Constipation is a common side effect of aluminum-based antacids. The nurse should instruct the client to increase fiber intake and that stool softeners or laxatives may be

A nurse is assessing a client who is post operative following a transurethral resection of the prostate. After the nurse discontinues the clients urinary catheter which of the following findings should the nurse report to the provider? A) pink tinged urine B) Report of burning upon urination C) stress incontinence D) decreased urine output

D) decreased urine output

A nurse is teaching a client who is pre-operative for a cytoscopy. Which of the following statements should the nurse make? A) you will need to keep the sutures clean after this procedure B) you will be placed on your left side for this procedure C) expect to be on bed rest for 24 hours after this procedure D) expect to have pink tinged urine after this procedure

D) expect to have pink tinged urine after this procedure

A nurse is collecting data from a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client's condition? A. High-calorie diet B. Prior gastrointestinal illness C. tobacco use D. Alcohol use

D. Alcohol Use alcohol consumption is one of the major causes of chronic pancreatitis in the u.s Long-term Alcohol use disorder produces hyper secretion of protein in pancreatic secretions. Alcohol has a direct toxic effect on the cells of the pancreas

A nurse is assessing a client who has acute kidney injury (AKI). According to the RIFLE classification system, which of the following findings indicates that the client has end-stage kidney disease? A. <0.5 mL/kg of urine output for 12 hr B. No urine output for 12 hr C. No urine output without renal replacement therapy for 4 to 12 weeks D. No urine output without renal replacement therapy for more than 3 months

D. No urine output without renal replacement therapy for more than 3 months

A nurse is performing an admission assessment of a client who has acute glomerulonephritis. The nurse should expect which of the following findings? a. low blood pressure b. polyuria c. dark-colored urine d. weight loss

Dark-colored urine The client who has acute glomerulonephritis usually has urine that is a dark, reddish-brown color.

A nurse is reviewing the provider's prescriptions for a client experiencing a paralytic ileus following an appendectomy. Which of the following actions should the nurse expect to take? Administer an antacid. Provide a bulk-forming agent. Insert nasogastric tube. Apply a truss.

Insert nasogastric tube. Rationale: The nurse should expect to insert a nasogastric tube for the client who has no peristaltic activity to decompress the gastrointestinal system of draining fluid and flatus.

A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings? Tracheoesophageal fistula Inguinal hernia Hypertrophic pyloric stenosis Intussusception

Intussusception Rationale: These findings are associated with a diagnosis of intussusception. Other associated findings include vomiting, lethargy, periods of screaming and drawing the knees to the chest followed by periods of normal behavior, and eventual fever and signs of peritonitis.

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching? The client should drink two to three 8 oz glasses of water each day. The client should follow a high-fiber diet to establish bowel regularity. The client should try to take in all of the required dietary fiber with the morning meal. The client should be taught that the goal of therapy is to have a bowel movement daily.

The client should follow a high-fiber diet to establish bowel regularity. Rationale: The client who has chronic constipation should consume a diet with high-fiber food sources, including bran and complex carbohydrates.