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NURS 368 Ch.58 Exam Questions And Accurate Answers
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NURS 368 Ch.58 Exam Questions And Accurate AnswersDuring the pharmacology class, the students are learning about different laxatives and
their mechanism of action. What would the students learn about mechanism of action of
psyllium hydrophilic mucilloid? ANSWER Increased mass and water content of stool,
promoting evacuation
The patient is scheduled to undergo a colonoscopy. The nurse understands that the
medication of choice for bowel preparation prior to the procedure is which of the
following? ANSWER Polyethylene glycol-electrolyte solution (NuLYTELY)
A young mother tells you that she gives her 2-year-old mineral oil because the child has
difficulty defecating. You should teach this mother that long-term administration of
mineral oil decreases the absorption of what nutrients? - ANSWER Vitamin D
What is a common cause of diarrhea among older adults? - ANSWER Laxative overuse
While reviewing the medications laxative, a student asks the nursing instructor what is
the best indicator of normal bowel elimination. What is the best response by the
instructor? - ANSWER "A soft formed stool."
A patient who has been having liquid stools is ordered to take polycarbophil (FiberCon).
For what is a bulk-forming laxative indicated? - ANSWER Polycarbophil absorbs large
amounts of water and decreases fluidity of stools.
Medications for traveler's diarrhea The nurse would select which of the following as the
most common cause of the drugs listed to treat traveler's diarrhea? ANSWER E. coli
You are going to administer a stimulant cathartic to your client. What adverse effect of
this medication would you teach your client about? ANSWER Diarrhea
, Which of the following is the best reason the nurse would give the laxative at a different
time than the client's other medications? ANSWER Laxatives can decrease the
absorption of other medications that are in the GI tract.
A 29-year-old female patient has received a prescription for alosetron (Lotronex) to
treat irritable bowel syndrome. The nurse will inform the patient about which of the
following adverse effect(s) before beginning the drug therapy? - ANS Constipation
A nurse is providing care for a patient who has developed pseudomembranous colitis.
The physician has prescribed loperamide HCl for the patient. How does the nurse
determine that the drug has been effective? - ANS Diarrhea has been eliminated.
When administering a bulk laxative to the client, which of the following should the nurse
perform? - ANWER Give the laxative with a glass of full water or juice.
Psyllium hydrophilic mucilloid (Metamucil) is a bulk-forming laxative that is being
administered to the patient to assist in moving the stool. What is the mechanism of
action of this type of bulk-forming laxative? - ANWER It increases mass and water
content of stool, promoting evacuation.
After reviewing information about metoclopramide, the students indicate that they
require additional teaching when they state that the medication can be administered by
which route? - ANSWER Rectal
The client asks the nurse why he cannot stay on a laxative long-term. Which of the
following is the appropriate response? - ANSWER Chronic use of laxatives can cause
constipation.
A nurse is caring for a patient with intestinal stenosis who was prescribed psyllium. In
the course of 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.
Bulk-forming laxatives are indicated for older adults who cannot or will not eat an
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