The nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take measures to prevent which potential problem that may occur with mineral oil?
- A. Fecal impaction
- B. Electrolyte imbalances
- C. Lipid pneumonia
- D. Esophageal blockage
Correct Answer: C
Rationale: Lipid pneumonia may occur if the oral mineral oil is accidentally aspirated into the respiratory tract. The other options are incorrect.
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A patient will be receiving docusate sodium, 120 mg/day PO, divided into 3 doses. Identify how many milligrams will this patient receive per dose.
Correct Answer: 40 mg
Rationale: 120 mg/day ?· 3 doses/day = 40 mg.
A patient is taking linaclotide to treat irritable bowel syndrome (IBS). The nurse will monitor this patient for which adverse effect?
- A. Chest pain
- B. Chronic constipation
- C. Abdominal pain
- D. Elevated blood glucose levels
Correct Answer: C
Rationale: Common adverse effects of linaclotide (Linzess) are diarrhea, abdominal pain, and flatulence. Elevated blood glucose levels, chest pain, and chronic constipation are not adverse effects of linaclotide.
A patient who has been on antibiotic therapy for 2 weeks has developed persistent diarrhea. The nurse expects which medication class to be ordered to treat this diarrhea?
- A. Lubricants
- B. Adsorbents
- C. Anticholinergics
- D. Probiotics
Correct Answer: D
Rationale: Probiotics work by replenishing bacteria that may have been destroyed by antibiotic therapy, thus restoring the balance of normal flora and suppressing the growth of diarrhea-causing bacteria.
The nurse is preparing to administer methylnaltrexone. This drug is appropriate for which patient?
- A. A patient with diarrhea
- B. A terminally ill patient who has opioid-induced constipation
- C. A patient who is scheduled for a colonoscopy
- D. A patient who will be having colon surgery in the morning
Correct Answer: B
Rationale: Methylnaltrexone is approved only for terminally ill (hospice) patients who have opioid-induced constipation. The other options are incorrect.
A patient will be taking bismuth subsalicylate to control diarrhea. When reviewing the patient's other ordered medications, the nurse recognizes that which medication or medication class will interact significantly with this drug?
- A. Hypoglycemic drugs
- B. Antibiotics
- C. Acetaminophen
- D. Antidepressants
Correct Answer: A
Rationale: Taking hypoglycemic drugs with an adsorbent such as bismuth subsalicylate may result in decreased absorption of the hypoglycemic drugs. The other options are incorrect.
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