NCLEX Questions on Gastrointestinal System Related

Review NCLEX Questions on Gastrointestinal System related questions and content

A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response?

  • A. Fiber-containing laxatives may reduce the absorption of fat-soluble vitamins.
  • B. Dietary sources of fiber should be eliminated to prevent excessive gas formation.
  • C. Use of this type of laxative to prevent constipation does not cause adverse effects.
  • D. Large amounts of fluid should be taken to prevent impaction or bowel obstruction.
Correct Answer: D

Rationale: Rationale for Correct Answer D:
- Psyllium is a bulk-forming laxative that works by absorbing water in the intestines, forming a gel-like mass that helps with bowel movements.
- Taking large amounts of fluid is essential when using psyllium to prevent the gel-like mass from hardening and causing impaction or bowel obstruction.
- Adequate fluid intake is crucial for the safe and effective use of psyllium as a laxative.

Summary of Incorrect Choices:
- Choice A is incorrect because fiber-containing laxatives like psyllium do not directly impact the absorption of fat-soluble vitamins.
- Choice B is incorrect as dietary sources of fiber should not be eliminated entirely but rather balanced to prevent excessive gas.
- Choice C is incorrect as all medications, including laxatives, can have potential adverse effects; however, psyllium is generally well-tolerated when used appropriately.