A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?

Laxatives are contraindicated in clients who have a small bowel obstruction.

An osmotic laxative, such as magnesium citrate, should be substituted in this client

The prescribed medication should be administered via NG route rather than the oral route for this client.

Bulk-forming laxatives such as psyllium should be substituted for this client

Answer and Explanation

The Correct Answer is A

A. Laxatives are contraindicated in clients who have a small bowel obstruction: This is the correct answer. Laxatives like senna are contraindicated in the presence of a bowel obstruction as they can increase peristalsis and pressure in the bowel, leading to complications such as perforation.
B. An osmotic laxative, such as magnesium citrate, should be substituted in this client: This is incorrect. Osmotic laxatives are also contraindicated in bowel obstruction because they can draw water into the bowel and worsen the obstruction or cause severe complications.
C. The prescribed medication should be administered via NG route rather than the oral route for this client: This is incorrect. Administering any form of laxative via the NG route does not address the contraindication in bowel obstruction and is not a safe practice in this context.
D. Bulk-forming laxatives such as psyllium should be substituted for this client: This is incorrect. Bulk-forming laxatives are also contraindicated in bowel obstruction due to the risk of worsening the obstruction and causing complications.

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Correct Answer is ["10"]

Explanation

VolumetoAdminister=DesiredDose/AvailableConcentration × Volume

=10 mg ÷20mg/5mL

= 10/20 × 5mL

= 0.5×5mL

=2.5mL

So, the nurse should administer 2.5 mL.

A. Relief from nausea B. Relief from constipation C. Decreased drowsiness D. Decreased cancer pain

Correct Answer is B

Explanation

A. Relief from nausea: Docusate is a stool softener and does not address nausea.
B. Relief from constipation: The primary therapeutic effect of docusate is to relieve constipation by softening the stool, which is particularly important for clients taking opioids.
C. Decreased drowsiness: Docusate does not affect drowsiness.
D. Decreased cancer pain: Docusate does not have any analgesic properties and will not affect cancer pain.

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A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer fluoxetine 10 mg PO to an older adult client. Available is fluoxetine oral solution 20 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?

Correct Answer is B

Explanation

A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?

Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

The nurse understands that it is important that the teaching plan for a patient on omeprazole (Prilosec) should include which of the following?

The nurse is caring for a client with asthma. The client asks the nurse what structures make up the upper respiratory tract. Which response by the nurse is the most appropriate?

A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?

A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)