A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

"Irregular bowel movements are an indication of poor intestinal health."

"Decrease your intake of foods high in fiber."

"Excessive laxative use may cause an electrolyte imbalance."

"Chronic use of laxatives can lead to a tear in the rectal mucosa."

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement is not directly related to the client's use of bisacodyl tablets. It addresses irregular bowel movements in a general sense.

Choice B reason:

Decreasing fiber intake is not a recommended approach, especially for an older adult who may benefit from a balanced diet with adequate fiber.

Choice C reason:

This is the correct answer. Excessive use of laxatives, including bisacodyl, can lead to electrolyte imbalances. Bisacodyl is a stimulant laxative that can cause excessive fluid loss and potentially

disrupt electrolyte levels.

Choice D reason:

While chronic use of laxatives can lead to various complications, including potential harm to the rectal mucosa, this choice is not the most appropriate response to the client's current situation.

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Correct Answer is D

Explanation

Choice A reason:

A dinner roll is a generally well-tolerated food option and is unlikely to exacerbate gallbladder inflammation.

Choice B reason:

Tapioca pudding is a soft and easily digestible food, which is suitable for a patient with acute gallbladder inflammation.

Choice C reason:

Mashed potatoes are typically considered a bland and easily digestible food, suitable for a patient with gallbladder inflammation.

Choice D reason:

Fried chicken is high in fat, which can trigger gallbladder symptoms and exacerbate

inflammation. Therefore, it is not an appropriate choice for a patient with acute gallbladder inflammation. The nurse should question this item on the tray.

A. "Don't worry, most clients dislike the prep more than the procedure itself." B. "After you have signed the consent form, we can talk more about this." C. "I know you're anxious, but this procedure is recommended for people your age." D. "Before the examination, your provider will give you a sedative that will make you sleepy."

Correct Answer is D

Explanation

- A: This response minimizes the client's feelings and may make them feel unheard. It's important for healthcare providers to acknowledge a patient's feelings and provide reassurance in a more empathetic manner.
- B: This response delays addressing the client's concerns and may increase his anxiety. Consent is important, but it should not be a barrier to discussing care and addressing concerns.
- C: This response is factual but does not address the client's immediate concern about pain. It's crucial to address the client's fears directly rather than deflecting to the procedure's necessity.
- D: This response directly addresses the client's concern about pain by informing him of the sedative, which is a common practice to reduce discomfort during a colonoscopy. It provides reassurance and factual information about the procedure's process.

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A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

Correct Answer is D

Explanation

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

Correct Answer is D

Explanation

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