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 D

Explanation

A. Incorrect. Unused medication replacement might not be necessary every 6 months and depends on the expiration date of the medication container.

B. Incorrect. Dabigatran capsules should not be crushed or opened, as it can affect the medication's efficacy and increase the risk of bleeding.

C. Incorrect. Storing the medication in the refrigerator is not necessary for dabigatran.

D. Correct. Keeping the medication in the original container helps protect it from moisture and ensures proper identification and labeling.

A. INR B. Fibrinogen level C. aPTT D. Platelet count

Correct Answer is A

Explanation

A. Correct. The International Normalized Ratio (INR) is used to monitor the effectiveness of warfarin therapy, which is commonly prescribed to prevent blood clotting. The INR provides information about the client's prothrombin time (PT) in relation to a standardized value.
B. Fibrinogen level measures clotting potential but is not directly related to warfarin therapy monitoring.
C. Activated Partial Thromboplastin Time (aPTT) is used to monitor other anticoagulants like heparin, not warfarin.
D. Platelet count measures the number of platelets in the blood and is not specifically related to warfarin therapy monitoring.

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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?

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