A nurse is caring for a client receiving a bowel cleansing agent in preparation for a colonoscopy. Which of the following assessments should the nurse prioritize?
Electrolyte levels
Respiratory rate
Urine output
Blood glucose levels
The Correct Answer is A
A) Correct. When a client is receiving a bowel cleansing agent, such as a laxative or oral sodium phosphate solution, monitoring electrolyte levels is crucial. These medications can cause electrolyte imbalances, especially hypokalemia, hyponatremia, and dehydration. The nurse should closely monitor the client's electrolyte levels and intervene appropriately to prevent complications.
B) Incorrect. Respiratory rate monitoring is important but is not the priority assessment specifically related to bowel cleansing agents.
C) Incorrect. Urine output monitoring is important but is not the priority assessment specifically related to bowel cleansing agents.
D) Incorrect. Blood glucose level monitoring is not directly affected by bowel cleansing agents and does not require prioritization in this scenario.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C) Correct. Gastrointestinal bleeding is a potential adverse effect of NSAID use. NSAIDs can cause irritation and damage to the lining of the stomach and intestines, leading to bleeding and ulcers.
A) Incorrect. Constipation is not a common adverse effect of NSAIDs. Instead, NSAIDs can cause gastrointestinal disturbances such as diarrhea or abdominal pain.
B) Incorrect. Hypotension is not a typical adverse effect of NSAIDs. However, some individuals may experience fluid retention and edema, which can lead to elevated blood pressure.
D) Incorrect. Bronchospasm is not directly associated with NSAIDs. However, individuals with a history of aspirin sensitivity or asthma may experience bronchospasm as a hypersensitivity reaction to NSAIDs.
Correct Answer is A
Explanation
A) Correct. When a client is receiving a bowel cleansing agent, such as a laxative or oral sodium phosphate solution, monitoring electrolyte levels is crucial. These medications can cause electrolyte imbalances, especially hypokalemia, hyponatremia, and dehydration. The nurse should closely monitor the client's electrolyte levels and intervene appropriately to prevent complications.
B) Incorrect. Respiratory rate monitoring is important but is not the priority assessment specifically related to bowel cleansing agents.
C) Incorrect. Urine output monitoring is important but is not the priority assessment specifically related to bowel cleansing agents.
D) Incorrect. Blood glucose level monitoring is not directly affected by bowel cleansing agents and does not require prioritization in this scenario.
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