A nurse is reinforcing teaching with a client who reports taking bisacodyl daily. Which of the following information should the nurse include?
"Daily bowel movements are necessary for good intestinal health.”
"Chronic use of laxatives can lead to a tear in the rectal mucosa"
"Decrease your intake of high-fiber foods."
"Excessive laxative use can cause an electrolyte imbalance.”
The Correct Answer is D
Bisacodyl is a stimulant laxative commonly used to treat constipation. However, it is important to educate the client about the potential risks associated with chronic laxative use. The statement regarding electrolyte imbalance is important because excessive or prolonged use of laxatives can lead to electrolyte disturbances, such as low potassium levels (hypokalemia), which can have adverse effects on various body functions.
"Daily bowel movements are necessary for good intestinal health": While regular bowel movements are generally desirable, stating that daily bowel movements are necessary for good intestinal health is an overgeneralization. Bowel movement frequency can vary among individuals, and it is important to consider other factors such as diet, hydration, and overall health.
"Chronic use of laxatives can lead to a tear in the rectal mucosa": While chronic use of laxatives can lead to complications such as dependence and potential damage to the digestive system, specifically mentioning a tear in the rectal mucosa (rectal mucosal injury) is not the most commonly associated concern.
"Decrease your intake of high-fiber foods": It is generally recommended to increase fiber intake for individuals with constipation. Decreasing high-fiber foods would counteract the benefits of dietary fiber in promoting regular bowel movements and alleviating constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Docusate is a stool softener commonly used to relieve constipation. Opioid pain medications often cause constipation as a side effect by slowing down bowel movements. Docusate helps by increasing the amount of water absorbed by the stool, making it softer and easier to pass.
The other options mentioned are not the primary therapeutic effects of docusate: Relief from nausea: Docusate is not typically prescribed for relief from nausea. Antiemetic medications are used to alleviate nausea and vomiting.
Decreased drowsiness: Docusate does not directly affect drowsiness. Its main action is on the stool consistency, not on alertness or drowsiness.
Decreased cancer pain: Docusate is not prescribed for pain relief. Opioids are generally used to manage cancer pain in this scenario.
Correct Answer is ["14"]
Explanation
To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:
Volume to be infused: 1000 ml
Drop factor: 10 gtt/ml
Time: 12 hr
First, we need to convert the time from hours to minutes:
12 hr * 60 min/hr = 720 min
Now, we can calculate the infusion rate:
Infusion rate (gtt/min) = (1000 ml * 10 gtt/ml) / 720 min
Simplifying the equation:
Infusion rate (gtt/min) = 10000 gtt / 720 min
Dividing both sides:
Infusion rate (gtt/min) ≈ 13.89 gtt/min
Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 14 gtt/min.
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