A patient is ordered bisacodyl (Dulcolax). Before administering the drug, it is most important for the nurse to assess the patient for what?
Hypertension
Anemia
Allergy to penicillin
Appendicitis.
The Correct Answer is D
A. Hypertension
Hypertension is not a specific concern related to the use of bisacodyl. Bisacodyl is a laxative, and high blood pressure is not typically considered a contraindication for its use.
B. Anemia
Anemia is not a specific concern related to the use of bisacodyl. The primary focus before administering bisacodyl is to assess for signs or symptoms of appendicitis, as its use is contraindicated in cases of suspected appendicitis.
C. Allergy to penicillin
Allergy to penicillin is not relevant in the context of administering bisacodyl. These are unrelated medications with different mechanisms of action, and allergy to penicillin does not impact the administration of bisacodyl.
D. Appendicitis
This is the correct choice. Before administering bisacodyl, it is crucial to assess the patient for signs or symptoms of appendicitis. The use of bisacodyl is contraindicated in cases of suspected appendicitis, as it may stimulate bowel activity and worsen the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Avoiding hot, spicy foods
Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.
B. Avoiding tobacco products
Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.
C. Drinking a glass of red wine with dinner
While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.
D. Eating a snack before bedtime
Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.
E. Using a small pillow for sleeping
Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.
Correct Answer is ["A","D"]
Explanation
A. Acetaminophen
Acetaminophen is a non-opioid analgesic that can be used for mild to moderate pain relief. It is suitable for managing pain associated with abrasions.
B. Aspirin
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with analgesic and anti-inflammatory properties. While it can be used for pain relief, it may increase the risk of bleeding, and its use is generally avoided in acute injuries with bleeding.
C. Hydrocodone
Hydrocodone is an opioid analgesic and is typically reserved for moderate to severe pain. It may not be the first choice for managing pain associated with abrasions unless the pain is more intense.
D. Ibuprofen
Ibuprofen is a NSAID that provides analgesic and anti-inflammatory effects. It is suitable for managing pain and inflammation associated with abrasions.
E. Morphine
Morphine is a strong opioid analgesic and is generally reserved for severe pain, such as post-surgical pain or pain associated with more significant injuries. It may be excessive for managing pain from abrasions.
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