A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)

should decrease my physical activity."

should increase fluid intake."

should only take a laxative when necessary."

1 should increase fiber intake."

should strain when I try to have a bowel movement."

Answer and Explanation

Correct Answer : B,C,D

A. "I should decrease my physical activity." Decreasing physical activity is not recommended as it can worsen constipation. Physical activity helps stimulate bowel movements, so this statement does not indicate proper understanding.
B. "I should increase fluid intake." Increasing fluid intake helps to soften the stool and promote bowel movements. Adequate hydration is essential in managing constipation, especially when taking opioids.
C. "I should only take a laxative when necessary." Taking a laxative only when necessary is a reasonable approach to managing constipation. Overuse of laxatives can lead to dependency and should be avoided. Using them judiciously can help manage symptoms effectively.
D. "I should increase fiber intake." Increasing dietary fiber can help to bulk up the stool and stimulate bowel movements, which is beneficial in preventing and treating constipation associated with opioid use.
E. "I should strain when I try to have a bowel movement." Straining during bowel movements is not recommended as it can lead to complications such as hemorrhoids or anal fissures. This statement indicates a misunderstanding of proper bowel habits.

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Correct Answer is B

Explanation

A. Antacids: Antacids are generally used to neutralize stomach acid and can provide symptomatic relief for peptic ulcer disease (PUD). They are not typically contraindicated and can be part of the treatment regimen, although they do not address the underlying cause of PUD.
B. NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to irritate the gastric mucosa and can exacerbate or cause peptic ulcers by inhibiting the production of protective prostaglandins in the stomach lining. Patients with peptic ulcer disease should avoid NSAIDs to prevent further irritation and ulcer formation.
C. PPIs: Proton pump inhibitors (PPIs) are commonly prescribed to reduce gastric acid secretion and promote ulcer healing in peptic ulcer disease. They are a key component of the treatment regimen and not to be avoided unless there are specific contraindications.
D. H2-receptor blockers: H2-receptor blockers reduce stomach acid production and are used to treat and prevent peptic ulcers. They are an important part of the management strategy for PUD and are not typically contraindicated.

Correct Answer is ["40"]

Explanation

Available solution: 5 mg/5 mL

Dosage required: 40 mg

To find out how many milliliters to administer, use the formula:

Volume(mL)= Doserequired(mg) ÷ Concentration(mg/mL)

Concentration=5mg÷5mL=1mg/mL

Volume(mL)=40mg÷1mg/mL=40mL

Therefore, the nurse should administer 40 mL.

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A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

Correct Answer is B

Explanation

A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone oral solution 5 mg/5 mL. How many ml. should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["40"]

Explanation

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