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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["E"]
Explanation
A. Hyperthyroidism: Decongestants can stimulate the sympathetic nervous system, potentially increasing heart rate and blood pressure, which may worsen symptoms in individuals with hyperthyroidism.
B. Heart disease: Decongestants can cause vasoconstriction, increasing the workload on the heart and exacerbating conditions like coronary artery disease and heart failure.
C. Hypertension: Decongestants can raise blood pressure due to vasoconstriction, posing a risk for patients with pre-existing hypertension.
D. Diabetes: Some decongestants can influence blood glucose levels and interfere with diabetes management. They can also increase blood pressure, which is a concern for diabetic patients with hypertension.
E. Allergic rhinitis: Decongestants are commonly used to alleviate nasal congestion associated with allergic rhinitis. They are not contraindicated for this condition and, in fact, are a typical treatment option.
Correct Answer is A
Explanation
A. Take albuterol first. Albuterol is a short-acting beta-agonist (SABA) that acts quickly to dilate the airways. It should be taken first to open the airways, making it easier for the long-acting beta-agonist (LABA), salmeterol, to penetrate deeper into the lungs and provide prolonged bronchodilation.
B. The order of administration does not matter. This is incorrect because the sequence does matter. Taking albuterol first helps to maximize the effectiveness of the subsequent medication by improving airway openness.
C. They should not be taken together: This is incorrect. Albuterol and salmeterol can be used together as part of asthma management. They work through different mechanisms, and using them together can provide both quick relief and long-term control.
D. Take salmeterol first: Taking salmeterol first is not recommended because it is a long-acting bronchodilator that works slowly. The immediate relief provided by albuterol helps to open the airways first, making the use of salmeterol more effective.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.