A laxative has been ordered for a client. The nurse checks the client's medical history and would be concerned if which condition is present?

High ammonia levels due to liver failure

Diverticulosis

Abdominal pain of unknown origin

Chronic constipation

Answer and Explanation

The Correct Answer is C

Rationale- Laxatives increase bowel peristalsis which could be risky when given in a client with abdominal pain of unknown origin as it may lead to bowel perforation in cases of obstruction.
A. Laxative help clear ammonia from the gut reducing the risk of hepatic encephalopathy.
B. Laxatives are safe in diverticulosis after ruling out acute diverticulitis
D. Laxatives help in passage of stool in cases of chronic constipation

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Correct Answer is C

Explanation

C. Heparin is an indirect thrombin inhibitor that prevents clot formation. It does not dissolve existing clots.
A. The onset of action of heparin is immediate
B. The oral anticoagulants also don’t dissolve the clot
D. The nurse should also understand the pharmacology of the drugs she or he is administering.

A. He takes the cimetidine with meals. B. He takes an antacid 3 hours after the cimetidine dose. C. He drinks a glass of water with each dose. D. He smokes two packs of cigarettes a day.

Correct Answer is D

Explanation

D. smoking increases acid production counteracting the effects of cimetidine
A. Cimetidine should be taken with meals
B. Other medications including antacids can be taken 2hrs after cimetidine
C. Water has no effect on effectiveness of cimetidine

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A laxative has been ordered for a client. The nurse checks the client's medical history and would be concerned if which condition is present?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer is C

Explanation

A client who has been taking cimetidine for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?

Correct Answer is D

Explanation

Methotrexate is ordered for a client with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the client receiving methotrexate? (Select all that apply.)

The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)

When monitoring a client who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A client is suffering from tendonitis of the knee. The nurse is reviewing the client's medication administration record and recognizes that which adjuvant medication is most appropriate for this type of pain?

A client will be discharged with a 1 week supply of an opioid analgesic for pain management after abdominal surgery. The nurse will include which information in the teaching plan?

The nurse is developing a care plan for a client who will be self-administering a metered-dose inhaler. Which statement reflects a measurable outcome?

A client is receiving gabapentin, an anticonvulsant, but has no history of seizures. The nurse expects that the client is receiving this drug for which condition?