A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response?

Dietary sources of fiber should be eliminated to prevent excessive gas formation.

Use of this type of laxative to prevent constipation does not cause adverse effects.

Fiber-containing laxatives may reduce the absorption of fat-soluble vitamins.

Large amounts of fluid should be taken to prevent impaction or bowel obstruction.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Dietary sources of fiber should not be eliminated; in fact, fiber from food complements the effect of psyllium and supports normal bowel function.

B. Fiber-containing laxatives can have adverse effects, such as bloating, gas, or, rarely, intestinal obstruction if not taken with adequate fluid.

C. Psyllium does not significantly reduce absorption of fat-soluble vitamins; this concern is more relevant to certain other medications, like cholestyramine.

D. Psyllium absorbs water in the intestines, forming a bulky stool. To prevent fecal impaction or bowel obstruction, it is essential to take large amounts of fluid when using this type of laxative.

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Correct Answer is []

Explanation

Rationale:

Potential Condition: The client developed new onset of severe, frequent diarrhea after receiving IV antibiotics (cefazolin), along with fever, abdominal cramping, dehydration (dry mucous membranes), and hyperactive bowel sounds. These are hallmark features of Clostridioides difficile colitis.
Actions to Take:
- Contact precautions (gown and gloves) are essential to prevent transmission since C. difficile is highly contagious.
- IV fluids help correct dehydration and electrolyte losses caused by frequent diarrhea.
Parameters to Monitor:
- Serum potassium should be monitored because diarrhea causes large potassium losses, risking hypokalemia.
- Blood pressure should be tracked closely since dehydration and electrolyte loss can lead to hypotension and hemodynamic instability.

A. Baked potato B. Milkshake C. Ham sandwich D. Stewed tomatoes

Correct Answer is C

Explanation

Rationale:
A. Baked potato is low in sodium if prepared without added salt, making it safe for a client on a diuretic.
B. Milkshake is generally safe unless it contains added sodium; in most cases, it is allowed.
C. Ham is high in sodium, which is contraindicated for a client taking bumetanide, a loop diuretic, as high sodium intake can counteract the diuretic effect and worsen fluid retention.
D. Stewed tomatoes can be included if unsalted; they are generally safe in moderation.

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A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response?

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Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client?

Correct Answer is C

Explanation

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