Chapter 58 practice questions- PrepU

The nurse has just finished client education with someone who is going home on bulk-forming laxatives. What statement by the client would lead the nurse to believe that the client has understood how to use the medication? "I will decrease the roughage in my diet while I am using this medication." "I will mix the dry medication with applesauce." "I will mix the medication with 4 to 8 ounces of liquid and follow it by an additional 4 to 8 ounces." "I will use milk of magnesia in conjunction with this medication until I am having daily bowel movements."

"I will mix the medication with 4 to 8 ounces of liquid and follow it by an additional 4 to 8 ounces."

Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? A hyperosmotic laxative A bulk-forming (fiber) laxative A stimulant laxative Bismuth subsalicylate

A bulk-forming (fiber) laxative

A patient is being sent home with orders for a laxative PRN. The nurse is conducting patient teaching on the use of a laxative. What will the nurse inform the patient is one of the most common adverse effects of a laxative? Abdominal cramping Dizziness Weakness Headache

Abdominal cramping

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? Lack of urge to defecate Frequent episodes of flatulence Abdominal pain and fever Lack of bowel movement for 5 days

Abdominal pain and fever

A nurse is caring for a patient with intestinal stenosis who has been prescribed psyllium. During the course of the treatment, the patient shows the signs of colon obstruction. What intervention should the nurse perform to avoid the occurrence of colon obstruction? Administer the drug after chilling it. Give mineral oil to the patient after meals. Provide foods high in bulk or roughage. Administer the drug with adequate fluid intake.

Administer the drug with adequate fluid intake.

When administering a bulk laxative to a client, which action is important for the nurse to take? Immediately place the client on a bedpan or commode. Administer the laxative with a full glass of water or juice. Other than standard safety measures, no additional actions are needed. Administer an anti-diarrheal medication simultaneously.

Administer the laxative with a full glass of water or juice.

A nurse is caring for a patient with pseudomembranous colitis. The physician has prescribed loperamide HCl to the patient. How does the nurse know that the drug has been effective? Nausea and vomiting are resolved. Rectal bleeding is noted. Elevation in temperature is noted. Diarrhea is resolved.

Diarrhea is resolved.

A client is taking psyllium hydrophilic mucilloid (Metamucil) daily. What information should be included in the discharge plan? Discontinue the mucilloid if you do not have a bowel movement daily. Mix the medication with your food at the evening meal. Combine all of your medications with the mucilloid. Drink at least 8 ounces of fluid with the medication.

Drink at least 8 ounces of fluid with the medication.

When describing the drugs used to treat traveler's diarrhea, which would the nurse identify as the most common cause? Pseudomonas Staphylococcus aureus E. coli C. difficile

E. coli

Which should be included in client teaching as a means of avoiding constipation? (Select all that apply.) Avoid defecating when the urge occurs. Eat foods high in bulk or roughage. Drink plenty of fluids. Be active and exercise daily. Take an opioid pain medication daily.

Eat foods high in bulk or roughage. Drink plenty of fluids. Be active and exercise daily.

A patient reports frequent constipation. The nurse knows that risk factors for constipation include which of the following? Select all that apply. High-fiber diet Female gender Physical activity Advanced age Use of anticholinergic drugs

Female gender Use of anticholinergic drugs Advanced age

After teaching a class about irritable bowel syndrome, which statement indicates that the teaching has been successful? Diarrhea is the predominant report. The disorder is relatively rare. The cause is primarily stress related. It occurs more often in women than in men.

It occurs more often in women than in men.

Which of the following is the correct rationale for why the nurse would administer a laxative at a separate time from the client's other medications? 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. Because a laxative may stimulate a bowel movement, it can interfere with medication administration. 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.

After teaching a group of students about laxatives, the instructor determines that the teaching has been successful when the students identify which agent as an example of a bulk laxative? Senna Polycarbophil Bisacodyl Docusate

Polycarbophil

A patient who has been experiencing liquid stools is prescribed polycarbophil (FiberCon). What is the reason for administering a bulk-forming laxative? Polycarbophil absorbs large amounts of water and decreases fluidity of stools. Polycarbophil will diminish the absorption of intestinal fiber and water. Polycarbophil will increase bile and diminish bacterial flora in the intestines. Polycarbophil will provide pain relief and decrease cramping and bloating.

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? Castor oil Lactulose Polyethylene glycol-electrolyte solution Psyllium

Polyethylene glycol-electrolyte solution

A patient is scheduled for a colonoscopy in the morning. Which laxative is most likely prescribed the evening before the colonoscopy? Lactulose (Cephulac) Psyllium (Metamucil) Castor oil Polyethylene glycol-electrolyte solution (NuLYTELY)

Polyethylene glycol-electrolyte solution (NuLYTELY)

A patient is scheduled for a colonoscopy. The nurse knows that the preferred drug for bowel cleansing before this procedure is which of the following? Psyllium (Metamucil) Polyethylene glycol solution (MiraLAX) Polyethylene glycol-electrolyte solution (NuLYTELY) Bisacodyl (Dulcolax)

Polyethylene glycol-electrolyte solution (NuLYTELY)

Laxatives and cathartics are used in a wide variety of ways. The nurse knows that which of the following are appropriate uses for these drugs? Select all that apply. Following myocardial infarction Weight management Preparation for colonoscopy With opioid analgesics Hepatic encephalopathy

Preparation for colonoscopy Hepatic encephalopathy Following myocardial infarction With opioid analgesics

A client who is taking magnesium citrate experiences sweating, palpitations, and flushing. The nurse understands that this is most likely related to which of the following? Sympathetic stress reaction due to intense GI tract neurostimulation Formation of a slippery coat on the contents of the intestinal tract Direct stimulation of the nerve plexus in the abdominal wall Detergent action on the surface of the intestinal bolus

Sympathetic stress reaction due to intense GI tract neurostimulation

Mr. Hall, age 65, is admitted to the hospital for pneumonia. Since admission he has not had a bowel movement. The physician prescribes magnesium hydroxide. What would be a realistic outcome of this therapy? The patient will not sustain injury from drug therapy. Within 2 to 3 hours of using the drug, the patient will experience a decrease in abdominal pain and distention. The patient will have a bowel movement after taking the drug. Diarrhea will be controlled through the use of the drug.

The patient will have a bowel movement after taking the drug.

The nurse is preparing to administer a stimulant cathartic to the client. The nurse should inform the client of the possible adverse effect of: vomiting. diarrhea. nausea. rectal bleeding.

diarrhea.

The nurse is interviewing the latest admission to the GI floor. The female patient requests a magnesium citrate "cocktail" every night to "keep her regular." Her request is evidence of potential: constipation. anorexia. normal colon function. laxative abuse.

laxative abuse.