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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. It is expected and should be observed for reaction

B. Reporting is not necessary as it is expected
C,D. Massaging the area or applying heat interferes with the test results.
Correct Answer is ["B","C","D","E"]
Explanation
A. vancomycin can be nephrotoxic and fluid restriction is inappropriate
B. Slow infusion of vancomycin is key to avoid flush reactions
C. Normal trough levels for vancomycin are 10-20mcg/ml- 24mcg/ml increases risk of toxicity
D. Monitoring serum creatinine monitors for renal damage
E. Vancomycin can cause hearing loss and clients should be advised any early signs of ototoxicitysuch as ear fullness
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