Before administering a laxative to a bedfast client, it is most important for the nurse to
perform what assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements - ANSD
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer choice D) before
administering a laxative, which will increase the frequency of bowel movements. answer
choices A,B,C R4 and assessments for the provision of care when the client experience is a
valve, but are of less priority then answer choice D which provides data about the possible
need to hold medication
A female client with multiple sclerosis reports having less fatigue and improved memory
since she began using the herbal supplement, ginkgo biloba. Which information is most
important for the nurse to include in the teaching plans for this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
d-ginkgo biloba use should be limited and not taken during pregnancy - ANSRationale
ginkgo biloba has blood thinning properties and should not be used in taking aspirin or
unsafe which increased the risk for bleeding. nausea diarrhea anxiety and headaches are
also side effects of supplements but they do not pose the same risk as a. Although D is
accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-moxazole/TMP-SMZ
(bactrium) to a client receiving the medication for a urinary tract infection, more rationale to
the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of symptoms -
ANSD
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial resistance
enterprise D, thereby increasing the drug therapeutic benefits answer choices a B &C are
incorrect rationales
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