A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has a new prescription for docusate sodium to treat constipation. Which of the following statements should the nurse make?

"Expect this medication to produce a semi-fluid stool within 6 to 12 hours."

"Decrease your intake of high-fiber foods while taking this medication."

"Take this medication with a full 8-ounce glass of water."

"Avoid eating citrus fruits while taking this medication."

Answer and Explanation

The Correct Answer is C

A. Expecting docusate sodium to produce a semi-fluid stool within 6 to 12 hours is incorrect. Docusate sodium is a stool softener that usually works within 1 to 3 days, not as quickly as 6 to 12 hours.
B. Decreasing the intake of high-fiber foods while taking docusate sodium is not advised. In fact, maintaining a high-fiber diet is essential for managing constipation effectively.
C. Taking docusate sodium with a full 8-ounce glass of water is correct. Adequate fluid intake is necessary to help the stool soften and facilitate bowel movements when using this medication.
D. Avoiding citrus fruits while taking docusate sodium is not necessary. Citrus fruits can be beneficial as part of a high-fiber diet to help alleviate constipation.

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Correct Answer is C

Explanation

A. Gingivitis is common during pregnancy and should be addressed but is not as urgent as dysuria.
B. Varicose veins, while uncomfortable, are not an immediate priority.
C. Dysuria (painful or difficult urination) can be a sign of a urinary tract infection, which is a concern during pregnancy. Prompt reporting and treatment are essential to prevent
complications.
D. Leukorrhea (an increase in vaginal discharge) is common in pregnancy and is not a cause for immediate concern.

A. A newborn who has blue hands and feet with an axillary temperature of 36.6°C (97.9°F) B. A newborn who has lost 12% of her birth weight C. A newborn who is 24 hr post-circumcision and has yellow exudate D. A newborn who has a blood glucose level of 63 mg/dL

Correct Answer is A

Explanation

A. The newborn with blue hands and feet (acrocyanosis) along with a normal axillary temperature of 36.6°C (97.9°F) could indicate a need for further assessment. While acrocyanosis can be normal in newborns, it is essential to monitor for any signs of respiratory distress or circulatory issues. Since this newborn is exhibiting a potential sign of compromised circulation, this infant should be attended to first.

B. A newborn who has lost 12% of her birth weight is concerning, as significant weight loss in newborns can indicate feeding problems or other underlying issues. However, this would not take precedence over potential acute issues like those indicated in option A.

C. A newborn who is 24 hours post-circumcision with yellow exudate is expected to have some discharge as part of the healing process. If the exudate is not foul-smelling and there are no signs of infection, this is typically a normal finding.

D. A newborn with a blood glucose level of 63 mg/dL is within the normal range for newborns, as acceptable levels are typically above 40 mg/dL. Therefore, this does not require immediate attention.

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A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has a new prescription for docusate sodium to treat constipation. Which of the following statements should the nurse make?

Nursing Test Bank

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