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Question 1 of 5

A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?

Correct Answer: A

Rationale: The correct answer is A: Dysrhythmias. Straining while defecating can lead to increased intra-abdominal pressure, which can stimulate the vagus nerve and result in dysrhythmias such as bradycardia or even atrial fibrillation. This occurs due to the vagal response triggered by the increased pressure.

Choices B, C, and D are incorrect because straining while defecating does not directly cause dilated pupils, gastric ulcers, or diarrhea. By understanding the physiological implications of increased intra-abdominal pressure on the vagus nerve, we can conclude that dysrhythmias are the most likely consequence of straining during defecation in an older adult client.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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