NURS 368 Ch.58 Exam Questions With Verified Answers.
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Course
Nurs 368
Institution
Nurs 368
NURS 368 Ch.58 Exam Questions With
Verified Answers.
In pharmacology class the students are learning about the mechanism of action of different
laxatives. What would the students learn about the mechanism of action of psyllium hydrophilic
mucilloid? - answerIncreasing mass and water content of ...
NURS 368 Ch.58 Exam Questions With
Verified Answers.
In pharmacology class the students are learning about the mechanism of action of different
laxatives. What would the students learn about the mechanism of action of psyllium hydrophilic
mucilloid? - answer✔Increasing mass and water content of stool, promoting evacuation
A patient is scheduled for a colonoscopy. The nurse knows that the preferred drug for bowel
cleansing before this procedure is which of the following? - answer✔Polyethylene glycol-
electrolyte solution (NuLYTELY)
A young mother tells you that she is giving her 2-year-old mineral oil because the child has
difficulty defecating. You should teach this mother about long-term administration of mineral oil
decreasing the absorption of what nutrients? - answer✔Vitamin D
Which of the following is a common cause of diarrhea in older adults? - answer✔Laxative
overuse
While discussing the use of laxatives a student asks the nursing instructor what the best
indication of normal bowel elimination is. What would be the best response by the instructor? -
answer✔"A soft formed stool."
A patient who has been experiencing liquid stools is prescribed polycarbophil (FiberCon). What
is the reason for administering a bulk-forming laxative? - answer✔Polycarbophil absorbs large
amounts of water and decreases fluidity of stools.
When describing the drugs used to treat traveler's diarrhea, which of the following would the
nurse identify as the most common cause? - answer✔E. coli
You are preparing to administer a stimulant cathartic to your client. What adverse effect of this
medication would you inform your client of? - answer✔Diarrhea
Which of the following is the correct rationale for why the nurse would administer a laxative at a
separate time from the client's other medications? - answer✔Laxatives may reduce absorption of
other drugs present in the GI tract.
A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome.
Before starting the drug therapy, the nurse will advise the patient about which of the following
adverse effect(s)? - answer✔Constipation
A nurse is caring for a patient with pseudomembranous colitis. The physician has prescribed
loperamide HCl to the patient. How does the nurse know that the drug has been effective? -
answer✔Diarrhea is resolved.
When administering a bulk laxative to a client, which of the following actions is important for
the nurse to take? - answer✔Administer the laxative with a full glass of water or juice.
A patient is using psyllium hydrophilic mucilloid (Metamucil) to promote evacuation of stool.
What is the action of this bulk-forming laxative? - answer✔It increases mass and water content
of stool, promoting evacuation.
After reviewing information about metoclopramide, the students demonstrate a need for
additional teaching when they identify that the drug can be given by which route? -
answer✔Rectal
The client asks the nurse why he cannot remain on a laxative indefinitely. Which of the
following is the correct response? - answer✔Chronic use of laxatives can lead to constipation.
A nurse is caring for a patient with intestinal stenosis who has been prescribed psyllium. During
the course of the treatment, the patient shows the signs of colon obstruction. What intervention
should the nurse perform to avoid the occurrence of colon obstruction? - answer✔Administer the
drug with adequate fluid intake.
Older adults who are unable or unwilling to eat an adequate diet or who are debilitated may
benefit from using bulk-forming laxatives. What is an important teaching regarding intake for
anyone using bulk-forming laxatives? - answer✔Assure adequate fluid intake
A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her
recurrent constipation. The woman states that she experiences constipation despite the fact that
she takes docusate on a daily basis and performs cleansing enemas several times weekly. How
should the nurse best respond to this patient's statements? - answer✔"Taking too many laxatives
can make your bowels dependent on them, making you more susceptible to constipation."
Psyllium (Metamucil) is a bulk-forming laxative available over-the-counter and frequently used.
The nurse knows that which of these statements regarding use of psyllium is correct? -
answer✔Psyllium is useful in critically ill patients who experience constipation.
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