Chapter 57, 58 and 59
When considering the tendency of antiemetic agents to cross the placenta, which assessment question should the nurse initially ask every childbearing aged woman before initiating the therapy? "Have you ever been pregnant?" "Are you aware that this medication crosses the placenta?" "Do you plan to get pregnant anytime soon?" "Are you pregnant?"
"Are you pregnant?"
A nurse is teaching a client who is prescribed diphenoxylate with atropine. Which statement by the client indicates the teaching was effective? "I will add this medication to my daily medication schedule." "I will start working out at the gym before my bowel habits become more normal." "My urine should be dark and cloudy." "As my stools decrease, I will discontinue this medication."
"As my stools decrease, I will discontinue this medication."
A client develops Clostridium difficile after receiving antibiotic therapy. The client asks the nurse how this occurs. Which is the nurse's best response? "By suppressing normal flora, antibiotics allow proliferation of the organism." "This is common of all antibiotic therapy and hospitalized clients." "The diarrhea is a result of overgrowth of viruses attacking the cells in the bowels." "The antibiotic decreases the white blood count, which allows for bacteria to invade the body."
"By suppressing normal flora, antibiotics allow proliferation of the organism."
After teaching a client who is receiving sucralfate about the drug, which statement indicates that the teaching has been successful? "I need to limit my fluid intake." "I should eat a high-fiber diet." "I may need something to control diarrhea." "I need to avoid sugarless lozenges."
"I should eat a high-fiber diet."
An older client has been prescribed omeprazole for the treatment of gastroesophageal reflux disease (GERD). What explanation should the nurse provide when asked by the client why they are not being treated with famotidine? "Famotidine is more expensive than omeprazole." "Proton pump inhibitors, like omeprazole, produce fewer adverse effects among the older population." "Omeprazole is taken at bedtime making it easier to remember." "Famotidine and omeprazole are both histamine-2 antagonists and could be used interchangeably."
"Proton pump inhibitors, like omeprazole, produce fewer adverse effects among the older population."
A client receiving chemotherapy has begun receiving aprepitant. The client also takes oral contraceptives. What should the nurse tell the client in regard to birth control? "You should practice abstinence because the aprepitant will cause severe sores in the vagina." "Use alternative means of birth control for 1 month after taking aprepitant." "Double the dose of the oral contraceptive while you are taking aprepitant." "There is no need to do anything; your oral contraceptive will continue to be effective."
"Use alternative means of birth control for 1 month after taking aprepitant."
The nurse is assessing a client who reports constipation. The use of a medication to treat this problem is contraindicated if the client reports what symptom? Frequent episodes of flatulence Abdominal pain and fever Lack of bowel movement for 5 days Lack of urge to defecate
Abdominal pain and fever
A nurse is teaching a client about his prescribed lansoprazole. The nurse instructs the client to take the drug at which time? 1 hour before eating first thing on arising 2 hours after a meal at bedtime
1 hour before eating
A client is prescribed a proton pump inhibitor to treat erosive gastritis. How soon will the client's symptoms most likely be resolved? 1 month 6 weeks 1 to 2 weeks 4 weeks
1 to 2 weeks
The order for the patient reads: ondansetron (Zofran) 2 mg IV now. The vial of Zofran on the floor contains 4mg/5mL. How many mL should be administered?
2.5
A client has requested an oral antiemetic to control motion sickness on an upcoming flight. While explaining proper use of the drug, the nurse should recommend that the client take the drug: upon waking on the morning of the flight. 30 minutes prior to the flight. at the onset of symptoms. when symptoms are at their peak.
30 minutes prior to the flight.
A client is undergoing a course of radiotherapy for the treatment of leukemia. Treatments in the past have caused the client severe nausea and vomiting. The oncology nurse should normally administer antiemetics on what schedule? 10 to 15 minutes before the treatment the night before a scheduled radiation treatment 30 to 60 minutes before the treatment simultaneous with radiation treatment
30 to 60 minutes before the treatment
When administering a bulk laxative to a client, which action is important for the nurse to take? Other than standard safety measures, no additional actions are needed. Immediately place the client on a bedpan or commode. Administer the laxative with a full glass of water or juice. Administer an anti-diarrheal medication simultaneously.
Administer the laxative with a full glass of water or juice.
A 21-year-old female client has been prescribed metoclopramide for treatment of nausea and vomiting associated with migraines. Which substance should the nurse instruct the client to avoid? Caffeine Folic acid supplements Alcohol Fluids
Alcohol
A client is receiving meclizine. The nurse would caution the client to avoid: Caffeine Aged cheese Chocolate Alcohol
Alcohol
The nurse cautions a client with what allergy to avoid the use of bismuth salts in the treatment of diarrhea? Penicillin Eggs Nuts Aspirin
Aspirin
A nurse is caring for a client with cancer regularly administered opioids. The client tells you she needs a laxative. What would be the best laxative? Bisacodyl Docusate sodium Mineral oil Inulin
Bisacodyl
A client experiencing diarrhea asks the nurse about over-the-counter (OTC) antidiarrheals. Which OTC should not be taken with aspirin? Octreotide Bismuth subsalicylate Polycarbophil Loperamide
Bismuth subsalicylate
A client is receiving a phenothiazine antiemetic. The nurse instructs the client to use the call light if he needs to get out of bed to go to the bathroom based on the understanding that this group of drugs is associated with: Endocrine effects Urinary abnormalities Central nervous system effects Gastrointestinal overstimulation
Central nervous system effects
The nurse should warn a client taking aluminum- and calcium-containing antacids about which adverse effects? Constipation Flatulence Dehydration Diarrhea
Constipation
Following administration of hydroxyzine, the nurse should assess the client for which side effect? pruritus urinary frequency drowsiness bradycardia
drowsiness
A client receiving cancer chemotherapy has been prescribed aprepitant for nausea. The nurse should instruct the client to avoid which liquid? Orange juice Whole milk Grapefruit juice Coffee
Grapefruit juice
Which adverse effect is more likely to be caused by cimetidine than by other H2RAs? Gynecomastia Hypoxia Hypertension Seizures
Gynecomastia
The health care provider has prescribed ranitidine for a hospitalized client on a unit. Prior to administering the drug for the first time, which adverse effects should the nurse mention to the client? Tremor Visual disturbances Headache Anxiety
Headache
A client is taking cimetidine (Tagamet) for increased gastric pain and hypersecretion. Nurses should use caution when administering cimetidine to those with which condition? Cancer Hypertension Diabetes mellitus Hepatic disease
Hepatic disease
Which assessment datum serves to contraindicate the use of an antiemetic agent? Currently receiving radiation therapy History of chronic liver dysfunction History of lung cancer Demonstrated signs/symptoms associated with menopause
History of chronic liver dysfunction
Which adverse reaction of proton pump inhibitors is specific to menopausal women with osteoporosis? Abdominal pain Diarrhea Increased fracture risk Headache
Increased fracture risk
In pharmacology class the students are learning about the mechanism of action of different laxatives. What would the students learn about the mechanism of action of psyllium hydrophilic mucilloid? Irritation of the intestinal mucosa Increasing mass and water content of stool Reducing the surface tension of bowel contents Creating a barrier between the colon wall and feces
Increasing mass and water content of stool
The nurse should explain that metoclopramide (Reglan) decreases nausea and vomiting by which of the following actions? Decreasing gastric contractions Inhibiting stimulation of the vomiting center in the brain Decreasing gastric motility Increasing gastric emptying time
Inhibiting stimulation of the vomiting center in the brain
Which is a common cause of diarrhea in older adults? Glaucoma Poor muscle tone The normal aging process Laxative overuse
Laxative overuse
Which is a common cause of diarrhea in older adults? The normal aging process Glaucoma Laxative overuse Poor muscle tone
Laxative overuse
Which part of the brain is responsible for autonomic functioning such as ventilation, cardiac conduction, and vomiting? Pituitary gland Tegmentum Medulla oblongata Pineal gland Hypothalamus
Medulla oblongata
A client is taking nonsteroidal anti-inflammatory agents for arthritis of the knees and hips. Which disease is a result of cellular destruction of the gastrointestinal tract from this medication? Peptic ulcer disease Bowel obstruction Esophageal cancer Liver cancer
Peptic ulcer disease
What is the reason for administering a bulk-forming laxative like polycarbophil to a client experiencing liquid stools? Polycarbophil absorbs large amounts of water and decreases fluidity of stools. Polycarbophil will provide pain relief and decrease cramping and bloating. Polycarbophil will diminish the absorption of intestinal fiber and water. Polycarbophil will increase bile and diminish bacterial flora in the intestines.
Polycarbophil absorbs large amounts of water and decreases fluidity of stools.
A client is scheduled for a colonoscopy in the morning. What laxative would the nurse expect to be prescribed the evening before the procedure? Polyethylene glycol-electrolyte solution Lactulose Castor oil Psyllium
Polyethylene glycol-electrolyte solution
A female client presents to the health care provider's office with increasing stomach acidity. She self-administers calcium antacids. She notes that she seems to be having more issues with stomach acid, so she has been taking the calcium antacids more frequently. The nurse suspects that this may have caused what to occur in this client? Hypocalcemia Gastric reflux Rebound acidity Hyperactive gastric mucosa
Rebound acidity
A female client presents to the health care provider's office with increasing stomach acidity. She self-administers calcium antacids. She notes that she seems to be having more issues with stomach acid, so she has been taking the calcium antacids more frequently. The nurse suspects that this may have caused what to occur in this client? Rebound acidity Hypocalcemia Gastric reflux Hyperactive gastric mucosa
Rebound acidity
The client has Maalox ordered for administration before meals. Which condition is contraindicated with the administration of Maalox? Hypertension Stress ulcer Heart rate of 68 Renal dysfunction
Renal dysfunction
A nurse in a health care facility is caring for a patient who is administered milk of magnesia to control constipation. Which nursing diagnosis should the care plan for this patient include? Impaired physical mobility Disturbed sensory perception Ineffective tissue perfusion Risk for imbalanced fluid volume
Risk for imbalanced fluid volume
The following data identified during a nursing assessment and interview. When considering risks for the development of a peptic ulcer, which situation should the nurse discuss with the client? Self medicates with a nonsteroidal anti-inflammatory drug (NSAID) daily. Eats spicy food at least twice a week. Has a stressful job as a air traffic controler. Is 15 pounds over ideal weight
Self medicates with a nonsteroidal anti-inflammatory drug (NSAID) daily.
Which would be most important to include when teaching a patient about using psyllium? Taking the agent with a large amount of water Taking the agent at bedtime Taking other prescribed drugs along with the psyllium Limiting the use of high fiber foods
Taking the agent with a large amount of water
A client has been admitted to the hospital with dehydration and hypokalemia secondary to severe diarrhea. Why might the care team be reluctant to aggressively treat a client's diarrhea by slowing gastrointestinal (GI) peristalsis? The client's body may be ridding itself of toxins. Rebound bowel obstruction is likely to occur. A rapid cessation of diarrhea can exacerbate electrolyte imbalances. The client may become fluid overloaded.
The client's body may be ridding itself of toxins.
In which of the following scenarios would the nurse question the order for ondansetron (Zofran)? Treatment of gastroesophageal reflux Prevention of nausea and vomiting from chemotherapy Prevention of postoperative nausea or vomiting Treatment of nausea and vomiting as a result of chemotherapy
Treatment of gastroesophageal reflux
After reviewing information about various antiemetic agents, a group of students demonstrate understanding of the information when they identify which drug as similar to antihistamines but not as sedating? Trimethobenzamide Nabilone Hydroxyzine Dronabinol
Trimethobenzamide
Metoclopramide is classified as a nonphenothiazine antiemetic. False True
True
Pancrelipase would most likely be used to treat a patient with cystic fibrosis. True False
True
The nurse is caring for a male client who has benign prostatic hypertrophy. The nurse would be alert for what complication if this client is given promethazine for treatment of nausea? Urinary retention Hematuria Polyuria Dysuria
Urinary retention
A 23-year-old female client is prescribed misoprostol (Cytotec). Which client teaching intervention is most important? Administer the drug one time per day Supplement therapy with magnesium antacids Report postmenopausal bleeding Use effective contraceptive measures
Use effective contraceptive measures
Which teaching intervention is most important to share with the client prescribed misoprostol? Report postmenopausal bleeding. Administer the drug one time per day. Supplement therapy with magnesium antacids. Use effective contraceptive measures.
Use effective contraceptive measures.
The nursing instructor is teaching students about proper administration of sucralfate. According to the instructor, sucralfate should be administered: immediately after each meal. with meals. an hour before meals. with an antacid.
an hour before meals.
A nurse is preparing to administer dolasetron orally to a child who is unable to swallow the tablet. The nurse would expect to mix the solution with: orange juice. grapefruit juice. apple juice. cranberry juice.
apple juice.
Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in clients who: are hypertensive. have arthritis. have diabetes. are pregnant.
are pregnant.
Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in clients who: are pregnant. have diabetes. have arthritis. are hypertensive.
are pregnant.
An older adult client has received a third dose of diphenoxylate. In addition to monitoring the number and consistency of the client's stools, the nurse should prioritize what assessment? assessment of fluid and electrolyte balance assessment of cognition and neurological status assessment of oxygen saturation and respiratory rate assessment of nutritional status
assessment of fluid and electrolyte balance
When reviewing a newly admitted client's previous medication record, the nurse notes that the client has previously been treated with aprepitant. The nurse is justified in suspecting that this client's medical history includes which therapy/treatment? placement of a nasogastric tube radiation therapy chemotherapy endoscopy
chemotherapy
What is the benefit of adding proton pump inhibitors (PPIs) to the treatment regime treating an H. pylori bacterial infection? assists in eliminating the bacteria decreases pepsin production protects ulcer craters decreases production of gastric secretions
decreases production of gastric secretions
The client states that prior to exams at school, the client has abdominal cramping and diarrhea. What does the nurse suspect is the trigger for these signs and symptoms? functional diarrhea disorder hyperthyroidism intestinal neoplasm colitis
functional diarrhea disorder
The client states that prior to exams at school, the client has abdominal cramping and diarrhea. What does the nurse suspect is the trigger for these signs and symptoms? hyperthyroidism functional diarrhea disorder colitis intestinal neoplasm
functional diarrhea disorder
Which adverse effect is more likely to occur with cimetidine than with other histamine2 receptor antagonists? seizures gynecomastia hypoxia hypertension
gynecomastia
The nurse should be aware that the combination of omeprazole and warfarin creates a risk of what adverse reaction? fluid volume excess hemorrhage rebound gastroesophageal reflux disease (GERD) venous thromboembolism
hemorrhage
Ranitidine and cimetidine are both H2RAs used in the treatment of peptic ulcer disease. Of the two, ranitidine is preferred in critically ill clients because it is less likely to: cause macular rash and cough. interfere with the metabolism of other drugs. result in hypotension. cause diarrhea.
interfere with the metabolism of other drugs.
A 2-year-old child from Nigeria is reported to have excellent health, except for the diarrhea that started within days of the family's arrival in the United States 3 weeks ago. History reveals nothing remarkable, but the mother comments on her child's love of (and continual consumption of) ice cream, something not available in their native country. This history supports what possible cause of the child's diarrhea? inflammatory bowel disorder irritable bowel syndrome Clostridium difficile lactase deficiency
lactase deficiency
Defecation is normally stimulated by what physiologic trigger? stimulation from the medulla oblongata movements and reflexes in the gastrointestinal tract changes in the osmolarity of bowel contents synthesis and release of digestive enzymes
movements and reflexes in the gastrointestinal tract
What are the most common adverse effects associated with drug therapy? elevated temperature and anorexia nausea and vomiting lethargy and elevated temperature respiratory depression and skin rash
nausea and vomiting
The client diagnosed with peptic ulcer disease states, "I've never been a really anxious type of person, so I never thought I'd develop ulcers." The nurse has responded with health education addressing the etiology of peptic ulcer disease (PUD). What causative factors should the nurse cite? Select all that apply. physiologic or psychological stress nonsteroidal anti-inflammatory drugs diabetes mellitus cigarette smoking infections
physiologic or psychological stress cigarette smoking infections nonsteroidal anti-inflammatory drugs
A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to pork. ragweed. shellfish. pollen.
pork
A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to ragweed. shellfish. pollen. pork.
pork
A 1-year-old postoperative client has been experiencing repeated vomiting. What antiemetic drug has a black box warning against use in a client of this age? benzquinamide buclizine promethazine cyclizine
promethazine
What type of laxative would be the first choice for a client diagnosed with hemorrhoids experiencing intense pain when straining to pass stools? stool softener stimulant cathartic bulk-forming laxative saline cathartic
stool softener
An adult resident of an assisted living facility has not responded appreciably to bulk-forming laxatives, so the primary care provider has prescribed bisacodyl. The nurse who oversees the care at the facility should know that this drug may be administered by what route? Select all that apply. suppository intravenous subcutaneous injection oral intramuscular injection
suppository oral
How is constipation best defined? the passage of fewer than five stools in any 7-day period the infrequent and painful expulsion of hard, dry stools a subjective sensation of bowel fullness the passage of fewer than three stools in any 7-day period
the infrequent and painful expulsion of hard, dry stools
A client, prescribed an antihistamine for nausea, should be monitored for which adverse effect of this classification of medication? inverted T wave urinary retention prolonged QRS complex diarrhea
urinary retention
A nurse is teaching a client about diarrhea. Which statement by the client regarding diarrhea would indicate a need for additional teaching? "Diarrhea is a disease that has no cure." "Some medications may cause diarrhea." "More than 3 liquid stools a day is defined as diarrhea." "Diarrhea may be acute or chronic."
"Diarrhea is a disease that has no cure."
A female patient has been administered metoclopramide (Reglan) for nausea. Which statements indicates that she has understood the teaching provided by the nurse? "I will need to take potassium with this medication." "I should eat before I take this medication." "When I have episodes of nausea, I will drink clear liquids." "I may experience drowsiness with this medication."
"I may experience drowsiness with this medication."
Which statement indicates that the client has understood the teaching provided on hydroxyzine? "I should eat before I take this medication." "I will take repeated doses of this medication until my nausea resolves." "I will need to take potassium with this medication." "I may experience drowsiness with this medication."
"I may experience drowsiness with this medication."
The use of an antiemetic is not clinically safe for which client reporting nausea and vomiting? A postoperative client who underwent a an internal fixation of the femur A client seen in the emergency room for injuries associated with alcohol intoxication A client experiencing exacerbation of chronic intractable hiccups A client receiving intensive chemotherapy of metastatic cancer
A client seen in the emergency room for injuries associated with alcohol intoxication
The patient has called the office to see if using bismuth subsalicylate will work to treat simple diarrhea. The nurse knows this will be a safe and effective treatment for diarrhea unless the patient has: Hypertension Hypothyroidism Urinary retention Allergy to aspirin
Allergy to aspirin
A common drug regimen for eradication of H. pylori includes a proton pump inhibitor (PPI) and two antibiotics. What is one of the preferred antibiotics? Vancomycin Amoxicillin Ketoconazole Gentamicin
Amoxicillin
When describing dronabinol to a group of students, the instructor emphasizes that this antiemetic is classified as which class of controlled substance? C-III C-IV C-I C-II
C-III
A nurse administers dronabinol to a patient just prior to starting an infusion of chemotherapy drugs. Before allowing the patient to leave the facility, what should the nurse instruct the patient to avoid? Fluids Sleeping Driving All the above
Driving
The client states that prior to exams at school, the client has abdominal cramping and diarrhea. What does the nurse suspect is the trigger for these signs and symptoms? Functional diarrhea disorder Colitis Hyperthyroidism Intestinal neoplasm
Functional diarrhea disorder
Which statement made by the parent of a child who ingested a toxic substance demonstrates to the nurse that the child received the most effective care initially? "I brought her to the emergency room immediately." "I made her vomit as soon as I saw what she did." "I gave her a dose of ipecac exactly like the bottle instructed." I called the poison control center righ away."
I called the poison control center righ away."
A prescriber adds psyllium to the medication administration record for a client experiencing diarrhea. Which is the best rationale for the addition of psyllium? It causes bloating and swells the colon. It reduces exchange of proteins and mucus in the stools. It binds and expels toxins into the stool. It absorbs toxins and water, decreasing fluidity of stools.
It absorbs toxins and water, decreasing fluidity of stools.
A prescriber adds psyllium to the medication administration record for a client experiencing diarrhea. Which is the best rationale for the addition of psyllium? It reduces exchange of proteins and mucus in the stools. It binds and expels toxins into the stool. It causes bloating and swells the colon. It absorbs toxins and water, decreasing fluidity of stools.
It absorbs toxins and water, decreasing fluidity of stools.
What is the correct rationale for why the nurse would administer a laxative at a separate time from the client's other medications? Because a laxative may stimulate a bowel movement, it can interfere with medication administration. They often taste bad and clients are less likely to take other medications. Laxatives may reduce absorption of other drugs present in the GI tract. Often laxatives make the client nauseated, which interferes with the ability to take medications.
Laxatives may reduce absorption of other drugs present in the GI tract.
A client is receiving an antiemetic. Which of the following would be most appropriate to facilitate the client's comfort? Encouraging rapid, shallow breaths Offering carbonated drinks Distracting the client with activities Offering mouth care every 4 to 6 hours
Offering carbonated drinks
A client is diagnosed with peptic ulcer due to H. pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic? Omeprazole Magaldrate Cimetidine Sucralfate
Omeprazole
A nurse is reviewing information about proton pump inhibitors. The nurse recognizes that which of the following is available as an over-the-counter agent? Omeprazole Esomeprazole Lansoprazole Rabeprazole
Omeprazole
After teaching a group of students about proton pump inhibitors, the instructor determines that the students have understood the information when they identify which agent as the prototype proton pump inhibitor? Lansoprazole Esomeprazole Pantoprazole Omeprazole
Omeprazole
What is the rationale for using two antimicrobials when treating a Helicobacter pylori infection? One antimicrobial tends to alter the action of the adjunct medications. Two different microbes are involved, requiring two different antimicrobials. Two antimicrobials are needed to prevent the emergence of drug-resistant H. pylori organisms. A single antimicrobial is generally not strong enough to eradicate the infection.
Two antimicrobials are needed to prevent the emergence of drug-resistant H. pylori organisms.
The nurse is caring for a male client who has benign prostatic hypertrophy. The nurse would be alert for what complication if this client is given promethazine for treatment of nausea? Dysuria Polyuria Urinary retention Hematuria
Urinary retention
Which teaching intervention is most important to share with the client prescribed misoprostol? Report postmenopausal bleeding. Use effective contraceptive measures. Supplement therapy with magnesium antacids. Administer the drug one time per day.
Use effective contraceptive measures.
The nurse is aware that critically ill clients are more at risk for constipation for what reasons? (Select all that apply.) Use of opioid medications Decrease in the amount of family interaction Increased access to a high-fiber diet Change in bowel routines Decreased activity
Use of opioid medications Change in bowel routines Decreased activity
An older adult client has received a third dose of diphenoxylate. In addition to monitoring the number and consistency of the client's stools, the nurse should prioritize what assessment? assessment of oxygen saturation and respiratory rate assessment of cognition and neurological status assessment of fluid and electrolyte balance assessment of nutritional status
assessment of fluid and electrolyte balance
Because of the possible adverse effects of long-term proton pump inhibitor (PPI) use, the nurse practitioner should focus on what assessment in a 72-year-old client? dental health joint mobility integumentary system bone density
bone density
Because of the possible adverse effects of long-term proton pump inhibitor (PPI) use, the nurse practitioner should focus on what assessment in a 72-year-old client? joint mobility dental health bone density integumentary system
bone density
The nurse is preparing to administer a stimulant cathartic to the client. The nurse should inform the client of the possible adverse effect of: diarrhea. nausea. vomiting. rectal bleeding.
diarrhea
The nurse should prioritize what assessment when providing care for a client who has taken over-the-counter (OTC) bisacodyl daily for several months? apical heart rate deep tendon reflexes electrolyte levels bleeding
electrolyte levels
A 1-year-old postoperative client has been experiencing repeated vomiting. What antiemetic drug has a black box warning against use in a client of this age? cyclizine buclizine promethazine benzquinamide
promethazine
Which statement by a client leads the nurse to believe that the client understands how to safely and effectively use bulk-forming laxatives? "I will mix the dry medication with applesauce and then eat prunes before bedtime." "I will use milk of magnesia in conjunction with a bulk-forming laxative until I have a bowel movement." "I will decrease the roughage in my diet while I am taking the bulk-forming laxative and eat rice." "I will mix the medication with around a cup of fluid and then drink the mixture."
"I will mix the medication with around a cup of fluid and then drink the mixture."
The client asks the nurse why he cannot remain on a laxative indefinitely. Which of the following is the correct response? The client is incorrect and can remain on a laxative. Overuse of a laxative can lead to chronic diarrhea. Chronic use of a laxative can lead to lipid pneumonitis Chronic use of laxatives can lead to constipation.
Chronic use of laxatives can lead to constipation.
What recommendations should be included in client teaching as a means of avoiding constipation? (Select all that apply.) Eat foods high in bulk or roughage. Be active and exercise daily. Drink plenty of fluids. Take an opioid pain medication daily. Avoid defecating when the urge occurs.
Eat foods high in bulk or roughage. Be active and exercise daily. Drink plenty of fluids.
Which practice reported by a parent requires immediate attention by the nurse? Disposing of all medications that are no longer needed or have passed their expiration date Storing all medications in a locked cabinet Encouraging their child to take prescribed medication by referring to it as candy Posting the number of the national poison control center next to the telephone
Encouraging their child to take prescribed medication by referring to it as candy
Which practice reported by a parent requires immediate attention by the nurse? Posting the number of the national poison control center next to the telephone Encouraging their child to take prescribed medication by referring to it as candy Disposing of all medications that are no longer needed or have passed their expiration date Storing all medications in a locked cabinet
Encouraging their child to take prescribed medication by referring to it as candy
A client, prescribed an antihistamine for nausea, should be monitored for which adverse effect of this classification of medication? urinary retention prolonged QRS complex inverted T wave diarrhea
urinary retention