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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Advise the UAP to document the last blood pressure obtained on the client's graphic sheet: Documenting a previous reading does not reflect the client’s current condition and can be misleading in decision-making. Vital signs should be based on real-time assessment.

B. Demonstrate how to palpate the popliteal pulse with the client supine and the knee flexed: The popliteal site is appropriate for measuring blood pressure when the arms are inaccessible. Flexing the knee while the client is supine allows better access to the artery and enables accurate assessment of blood pressure in this situation.

C. Document why the blood pressure cannot be accurately measured at the present time: While documentation is necessary if no alternative is available, the nurse must first exhaust appropriate options for obtaining a blood pressure before choosing to omit it.

D. Estimate the blood pressure by assessing the pulse volume of the client's radial pulses: Pulse volume gives a very rough estimate of perfusion but does not provide an accurate or objective blood pressure measurement. This method lacks precision.

A. Supine positioning. B. Verbal reassurance. C. Physical soothing. D. Simultaneous injections.

Correct Answer is D

Explanation

A. Supine positioning: While positioning may help comfort the child, it does not directly reduce the pain associated with vaccinations. The focus should be on strategies that address pain management during the procedure.

B. Verbal reassurance: Verbal reassurance is helpful for reducing anxiety, but it may not be enough to reduce the pain during the injection. The toddler may not fully understand verbal comfort in a way that would minimize discomfort.

C. Physical soothing: Physical soothing, such as holding or rocking the child, may help calm the toddler, but it does not directly reduce the pain associated with receiving multiple injections. It can, however, provide emotional comfort.

D. Simultaneous injections: Administering multiple injections at once (if prescribed and safe to do so) can reduce the overall duration of pain, as it minimizes the number of needle sticks. This approach allows for the vaccines to be given quickly, reducing the time the child is experiencing discomfort.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The unlicensed assistive personnel (UAP) reports that a client's blood pressure cannot be measured in the arms because the client has casts on both arms and is unable to be measured in the legs because the client is in the supine position. Which action should the nurse implement?

Correct Answer is B

Explanation

The nurse is administering multiple prescribed vaccines to a toddler. Which strategy should the nurse prioritize to reduce the duration of pain?

Correct Answer is D

Explanation

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