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R 26 The Digestive System 319 2. A client informs the nurse that due to a busy work schedule, the need to defecate is often ignored and he then often feels constipated. Which action should the ous nurse take first? is a. Give the client a soapsuds enema b. Auscultate for bowel sounds c. Administer a laxative d. Instruct the client to defecate when the urge is present 3. The nurse is caring for a client with anal sphincter insufficiency who is bed confined and requires ADL (activities of daily living) assistance. Which nursing actions should be included when caring for this client? Select all that apply. a. Turn the client every 2 hours b. Insert a rectal tube c. Provide pads on the bed d. Ensure a bedside commode is readily accessible for the client e. Use barrier cream to protect the skin 4. A client is experiencing indigestion, bloating, excess gas, and constipation due to delayed gastric emptying. Which suggestion offered by the nurse may help alleviate these symptoms? a. Limit the amount of fluid intake b. Increase the amount of dairy in the diet c. Limit spicy and gas forming foods d. Decrease the amount of fiber ingested 5. A client has a diagnosis of pernicious anemia due to a loss of intrinsic factor. An order has been issued. Which treatment will the nurse most likely need to prepare to administer to the client? espong mil sol a. Vitamin B12 injection Newnigerage eld bevorusil b. A blood transfusion c. A dose of heparin subcutaneously d. Intravenous fluids CHAPTER RESOURCES a Point