Nokea
A patient with Parkinsons disease is experiencing episodes of constipation that are becoming increasingly frequent and severe. The patient states that he has been achieving relief for the past few weeks by using OTC laxatives. How should the nurse respond?
- A. Its important to drink plenty of fluids while youre taking laxatives.
- B. Make sure that you supplement your laxatives with a nutritious diet.
- C. Lets explore other options, because laxatives can have side effects and create dependency.
- D. You should ideally be using herbal remedies rather than medications to promote bowel function.
Correct Answer: C
Rationale: The correct answer is C: Lets explore other options, because laxatives can have side effects and create dependency. The rationale for this is that while laxatives provide temporary relief for constipation, using them long-term can lead to dependency, electrolyte imbalances, and other side effects. The nurse should address the root cause of constipation and explore alternative strategies such as dietary changes, increased fluid intake, exercise, and bowel training. Choices A and B focus on supportive measures rather than addressing the issue of potential dependency on laxatives. Choice D suggests herbal remedies without considering the individual's specific condition and medical history.
You may also like to solve these questions
A nurse is using the explanatory model to determinethe etiology of an illness. Which questions should the nurse ask? (Select all that apply.)
- A. How should your sickness be treated?
- B. What do you call your problem?
- C. How does this illness work inside your body?
- D. What do you fear most about your sickness?
Correct Answer: B
Rationale: The correct answer is B: What do you call your problem? In the explanatory model, this question helps the nurse understand the patient's perspective and cultural beliefs about their illness. By asking how the patient labels their illness, the nurse gains insight into the patient's understanding of the illness, which can influence their treatment adherence and outcomes. The other options are incorrect because:
A: How should your sickness be treated? - This question focuses on treatment preferences rather than understanding the patient's beliefs.
C: How does this illness work inside your body? - This question is more aligned with the biomedical model, seeking physiological explanations rather than patient perspectives.
D: What do you fear most about your sickness? - While important for assessing emotional aspects, this question does not directly address the patient's explanatory model.
A 5-year-old boy has been diagnosed with a severe food allergy. What is an important parameter to address when educating the parents of this child about his allergy and care?
- A. Wear a medical identification bracelet.
- B. Know how to use the antihistamine pen.
- C. Know how to give injections of lidocaine.
- D. Avoid live attenuated vaccinations.
Correct Answer: A
Rationale: The correct answer is A: Wear a medical identification bracelet. This is important because in case of an emergency, such as an allergic reaction, medical professionals need to be aware of the child's severe food allergy quickly. The bracelet provides crucial information that can help in providing timely and appropriate medical care.
B: Knowing how to use the antihistamine pen is also important in managing allergic reactions, but wearing a medical identification bracelet takes precedence as it provides immediate identification of the allergy.
C: Knowing how to give injections of lidocaine is not relevant to managing a food allergy in a child.
D: Avoiding live attenuated vaccinations may be necessary for individuals with certain allergies, but it is not directly related to educating parents about managing the child's food allergy.
The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned that the tube may become clogged. Which action isbestfor the nurseto take?
- A. Instill nonliquid medications without diluting.
- B. Irrigate the tube with 60 mL of water after all medications are given.
- C. Mix all medications together to decrease the number of administrations.
- D. Check with the pharmacy for availability of the liquid forms of medications.
Correct Answer: D
Rationale: Rationale for Correct Answer (D): Checking with the pharmacy for availability of liquid forms of medications is the best action because it reduces the risk of clogging the nasogastric tube. Liquid medications are less likely to cause blockages compared to nonliquid medications. Additionally, liquid forms are easier to administer through the tube. By using liquid medications, the nurse can ensure that the medications flow smoothly through the tube without causing any obstructions.
Summary of Incorrect Choices:
A: Instilling nonliquid medications without diluting can increase the risk of tube clogging.
B: Irrigating the tube with water after all medications are given may not prevent clogging effectively and could introduce unnecessary moisture into the tube.
C: Mixing all medications together can lead to potential drug interactions and may not address the issue of tube clogging effectively.
A patient newly diagnosed with a cervical disk herniation is receiving health education from the clinic nurse. What conservative management measures should the nurse teach the patient to implement?
- A. Perform active ROM exercises three times daily.
- B. Sleep on a firm mattress.
- C. Apply cool compresses to the back of the neck daily.
- D. Wear the cervical collar for at least 2 hours at a time.
Correct Answer: B
Rationale: The correct answer is B: Sleep on a firm mattress. A firm mattress helps maintain proper spinal alignment, reducing pressure on the cervical spine. This promotes healing and prevents worsening of symptoms.
A: Performing active ROM exercises may exacerbate symptoms and worsen the condition.
C: Applying cool compresses may provide temporary relief but does not address the underlying issue of spinal alignment.
D: Wearing a cervical collar for extended periods can weaken neck muscles and hinder natural healing processes.
In summary, sleeping on a firm mattress is the most appropriate conservative measure as it supports proper spinal alignment.
A 57-year-old male comes to the clinic complaining that when he has an erection his penis curves and becomes painful. The patients diagnosis is identified as severe Peyronies disease. The nurse should be aware of what likely treatment modality?
- A. Physical therapy
- B. Treatment with PDE-5 inhibitors
- C. Intracapsular hydrocortisone injections
- D. Surgery
Correct Answer: D
Rationale: The correct answer is D: Surgery. Surgery is the most effective treatment modality for severe Peyronie's disease as it can correct the penile curvature and alleviate pain. Physical therapy (A) may not be effective in severe cases. PDE-5 inhibitors (B) are used for erectile dysfunction but do not treat the underlying Peyronie's disease. Intracapsular hydrocortisone injections (C) may be used for less severe cases, but in severe cases, surgery is recommended for optimal outcomes.