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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. Clostridium difficile spores are resistant to alcohol and can persist on surfaces. Daily disinfection with a sporicidal agent is essential to prevent transmission.

B. Alcohol-based hand sanitizers are ineffective against C. difficile spores. Handwashing with soap and water is required after contact with the client or contaminated surfaces.

C. A protective environment is used for immunocompromised clients, not for those with C. difficile.

D. Masks are not necessary for routine C. difficile care because the bacteria are spread via the fecal-oral route, not airborne.

A. Lower right quadrant B. Lower left quadrant C. Upper left quadrant D. Upper right quadrant

Correct Answer is B

Explanation

Rationale:
A. Pain in this area is more commonly associated with appendicitis, not diverticular disease.
B. Lower left quadrant is the typical site of pain in diverticular disease, especially diverticulitis, because the sigmoid colon (most often affected) is located here.
C. Upper left quadrant; Pain in this area is more often linked to conditions involving the spleen, stomach, or pancreas.
D. Upper right quadrant; Pain here is usually related to gallbladder, liver, or biliary tract disorders.

View Question and Answer

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

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

Correct Answer is B

Explanation

Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)

A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

What is the primary reason for administering isotonic crystalloid IV fluids to a client with fluid volume deficit?

What is the main pharmacological concern after performing a paracentesis?

A nurse in an emergency department is caring for a client who has abdominal pain. Exhibits A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)

A nurse is caring for a client on a pediatric unit. Exhibits Select the effective interventions for managing diarrhea in children

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?