A client reports passing 2 to 3 small, hard stools per week since being placed on a low-residue diet three months ago. Which type of laxative should the nurse expect the healthcare provider to recommend first?
Emollient.
Osmotic.
Bulk-forming.
Stimulant.
The Correct Answer is C
A. Emollient: Emollient (stool softener) laxatives like docusate sodium help moisten stool but do not significantly increase stool volume or stimulate bowel movement. They are gentle but typically insufficient for long-term, low-frequency constipation.
B. Osmotic: Osmotic laxatives draw water into the bowel to promote peristalsis. They are effective but may cause electrolyte imbalances if used chronically. These are often reserved for when bulk-forming agents are ineffective.
C. Bulk-forming: Bulk-forming laxatives such as psyllium are typically the first-line recommendation for chronic constipation. They mimic dietary fiber by absorbing water, increasing stool bulk, and promoting regular bowel movements with minimal side effects.
D. Stimulant: Stimulant laxatives like senna or bisacodyl are stronger agents that promote bowel motility but can cause dependency if used long-term. They are not recommended as first-line therapy for chronic constipation related to diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Emphasize that using safe sex practices removes the risk of STIs: While safe sex practices significantly reduce the risk of STIs, they do not eliminate the risk entirely. It is important to provide accurate, non-judgmental information about risk reduction rather than implying complete protection.
B. Remain non-judgmental and assure the client of confidentiality: The nurse should provide a safe, supportive environment to encourage open communication, while assuring the client that their information will remain confidential. This promotes trust and encourages the client to seek necessary care.
C. Clarify that all STIs are transmitted through sexual intercourse: While many STIs are transmitted through sexual contact, some can also be transmitted through other routes, such as blood or vertical transmission.
D. Inform that follow-up may end after the treatment is finished: Follow-up care ensures the effectiveness of treatment and monitoring for potential complications. Informing the client that follow-up may end prematurely could discourage the client from seeking necessary care.
Correct Answer is ["A","C","D"]
Explanation
Rationale for correct findings:
- Fasting 1-hour glucose screen: 164 mg/dL (9.1 mmol/L): The fasting glucose of 164 mg/dL is elevated, indicating impaired glucose metabolism, which suggests the possibility of gestational diabetes.
- 3-hour glucose tolerance test: Fasting blood sugar 168 mg/dL (9.3 mmol/L): The fasting blood sugar of 168 mg/dL is above the normal threshold of 140 mg/dL, reinforcing the suspicion of gestational diabetes.
- 2-hour postprandial glucose: 220 mg/dL (12.2 mmol/L): A postprandial glucose level of 220 mg/dL is significantly above the normal limit of 140 mg/dL, further indicating gestational diabetes.
- Fourth child with macrosomia: 9 pounds (4.08 kg) at 41 weeks gestation: Macrosomia is often associated with gestational diabetes. The fourth child weighing 9 pounds suggests the possibility of undiagnosed gestational diabetes during the previous pregnancy, which could be recurring in the current pregnancy.
Rationale for incorrect Findings:
- Client is at 28 weeks and has been receiving prenatal care since 8 weeks gestation: The client’s consistent prenatal care since 8 weeks indicates early and regular monitoring, reducing the likelihood of other major complications.
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