A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?

Bisacodyl 10 mg rectal suppository

Loperamide 4 mg PO

Magnesium hydroxide 30 mL PO

Famotidine 20 mg PO

Answer and Explanation

The Correct Answer is C

A. This is a stimulant laxative that works by increasing the movement of the intestines, helping the stool to come out. However, given the client's third-degree perineal laceration, a rectal suppository might cause discomfort and potentially disrupt the healing process.

B. Incorrect. Loperamide is an antidiarrheal medication and is not appropriate for constipation relief.

C. This is an osmotic laxative that works by drawing water into the intestines, which helps to soften the stool and stimulate bowel movements. It is taken orally and would not interfere with the healing of the perineal laceration.

D. Incorrect. Famotidine is an H2 blocker used to reduce stomach acid and is not indicated for constipation relief.

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Correct Answer is C

Explanation

A. Incorrect. Placing a towel roll under the client's neck is a preventive measure to maintain proper cervical alignment, but it does not specifically address contracture prevention.

B. Incorrect. This can promote flexion of the knees, which may actually contribute to knee flexion contractures over time. While it might be comfortable for the client, it's not a preventive measure against contractures.

C. Correct. Orthotics can help maintain proper alignment of the foot and ankle, preventing foot drop and other related contractures. They are designed to support joints and muscles, minimizing the risk of stiffness and contracture formation.

D. Incorrect. Aligning a trochanter wedge between the client's legs might help prevent external rotation of the hips but does not specifically address contracture prevention.

A. Drink 1.5 L of fluids each day. B. Take mineral oil at bedtime. C. Decrease insoluble fiber intake. D. Increase exercise activity.

Correct Answer is D

Explanation

A. Opioid medications can cause constipation, and increasing fluid intake helps prevent dehydration and promotes bowel regularity. However, it does not directly prevent cosntipation.

B. Incorrect. While some laxatives or stool softeners might be recommended, mineral oil is generally not recommended due to its potential to interfere with the absorption of fat-soluble vitamins.

C. Incorrect. Increasing insoluble fiber intake, rather than decreasing it, can help prevent constipation.

D. Increasing exercise is key in preventing constipation caused by opiod analgesics

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A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?

Nursing Test Bank

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