Nokea
A nurse is caring for a client with intestinal stenosis who has been prescribed psyllium. During the course of the treatment, the client shows the signs of colon obstruction. What intervention should the nurse perform to avoid the occurrence of colon obstruction?
- A. Administer the drug with adequate fluid intake
- B. Give mineral oil to the client after meals.
- C. Administer the drug after chilling it
- D. Provide foods high in bulk or roughage.
Correct Answer: A
Rationale: The nurse should administer the drug with adequate fluid intake to avoid obstruction of the esophagus, stomach, small intestine, and colon in a client with intestinal stenosis. Mineral oil is given to the client as a laxative on an empty stomach in the evening. The nurse should provide foods high in bulk or roughage to avoid constipation in a client receiving laxatives. The nurse administers a laxative with an unpleasant or salty taste after chilling it to disguise its taste.
You may also like to solve these questions
A client's history reveals that the client is experiencing intestinal gas. Which of the following would the nurse expect the primary health care provider to prescribe?
- A. Charcoal (Flatulex)
- B. Omeprazole (Prilosec)
- C. Ranitidine (Zantac)
- D. Odansetron (Zofran)
- E. Simethicone (Mylicon)
Correct Answer: A,E
Rationale: Charcoal (Flatulex) and simethicone (Mylicon) are antiflatulents used to help relieve gas in the intestinal tract of a client. Omeprazole and ranitidine are used to treat hyperacidity disorders. Odansetron is used to treat nausea and vomiting.
A client is receiving a bowel evacuant in preparation for a colonoscopy. The client tells the nurse that he has been 'going to the bathroom about every 30 to 45 minutes' since he started taking the drug and his stools are 'like water.' He reports that he is thirsty and his mouth feels dry. Which nursing diagnosis would the nurse most likely identify?
- A. Risk for Infection
- B. Risk for Injury
- C. Risk for Imbalanced Fluid Volume
- D. Deficient Knowledge
Correct Answer: C
Rationale: The client's report of frequent stools, which is a result of the drug therapy, along with complaints of feeling thirsty and dry mouth suggest the nursing diagnosis of Risk for Imbalanced Fluid Volume due to the large losses of fluid from the body from the drug. There is no evidence to support a risk for infection or deficient knowledge. Risk for Injury would be appropriate if the client was experiencing drowsiness or dizziness in conjunction with the fluid losses.
A nurse is preparing to administer sulfasalazine (Azulfidine) to a client with inflammatory bowel disease. The nurse checks the clients medical record for a history of hypersensitivities, understanding that the drug should not be administered to a client with hypersensitivity to which of the following drugs?
- A. Enalapril (Vasotec)
- B. Doxycycline (Vibramycin)
- C. Azithromycin (Zithromax)
- D. Sulfamethoxazole/trimethoprim (Bactrim)
Correct Answer: D
Rationale: Sulfasalazine (Azulfidine) is an aminosalicylate. The use of aminosalicylates is contraindicated in clients with hypersensitivity to sulfonamides and sulfites, which includes sulfamethoxazole/trimethoprim (Bactrim).
A client is prescribed diphenoxylate. The nurse informs the client that he may experience which of the following effects?
- A. Euphoric effects
- B. Analgesic effects
- C. Anti-inflammatory effects
- D. Sedative effects
- E. Slowed GI effects
Correct Answer: A,D,E
Rationale: Because diphenoxylate (Lomotil) is opioid related, it may have sedative, slowed GI, and euphoric effects but no analgesic or anti-inflammatory activity.
After administering diphenoxylate to a client, the nurse would assess the client closely for increased CNS depression if the client was also receiving which medication?
- A. Fexofenadine (Allegra)
- B. Glyburide (DiaBeta)
- C. Sucralfate (Carafate)
- D. Zolpidem (Ambien)
- E. Temazepam (Restoril)
Correct Answer: A,D,E
Rationale: The nurse should monitor a client closely for increased CNS depression when diphenoxylate (Lomotil) is given to a client taking antihistamines (fexofenadine), opioids, sedatives (zolpidem), and hypnotics (temazepam).