Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes the drug:
increases peristalsis to produce a bowel movement.
is incompatible with alcohol consumption.
should be avoided during pregnancy as it is teratogenic.
may lead to paralytic ileus.
The Correct Answer is A
A. "Bisacodyl (Dulcolax) increases peristalsis to produce a bowel movement." - This is correct. Bisacodyl is a stimulant laxative that works by irritating the intestines, leading to increased peristalsis and bowel movements.
B. "Bisacodyl (Dulcolax) is incompatible with alcohol consumption." - There is no specific information suggesting incompatibility with alcohol. However, excessive alcohol consumption can contribute to constipation, and it's generally advisable to stay hydrated, which can be affected by alcohol intake.
C. "Bisacodyl (Dulcolax) should be avoided during pregnancy as it is teratogenic." - There is no strong evidence to suggest that bisacodyl is teratogenic. However, it is recommended to use laxatives cautiously during pregnancy and under the guidance of a healthcare provider.
D. "Bisacodyl (Dulcolax) may lead to paralytic ileus." - Paralytic ileus is not a common side effect of bisacodyl. However, it's important to use laxatives cautiously in individuals with a history of bowel obstruction or other gastrointestinal issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Misoprostol (Cytotec)
The patient complaining of gastric distress from NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) like aspirin or indomethacin may benefit from the administration of misoprostol (Cytotec). Misoprostol is a prostaglandin analog that helps protect the stomach lining and reduce the risk of NSAID-induced gastric ulcers.
B. Lansoprazole (Prevacid)
Lansoprazole is a proton pump inhibitor (PPI) that reduces stomach acid production. While PPIs can be used for certain acid-related conditions, they do not directly protect against NSAID-induced gastric distress.
C. Magaldrate (Riopan)
Magaldrate is an antacid that neutralizes stomach acid. It may provide relief from symptoms of indigestion but does not specifically address the gastric distress caused by NSAIDs.
D. Magnesium trisilicate (Gaviscon)
Magnesium trisilicate is an antacid that helps neutralize stomach acid. Like magaldrate, it may alleviate symptoms of indigestion but does not target the underlying issue of NSAID-induced gastric distress.
Correct Answer is ["C","D","E"]
Explanation
A. Decreasing physical activity: This is not a helpful intervention for preventing constipation. Physical activity, such as regular exercise, is beneficial for promoting bowel regularity.
B. Decreasing fluid intake: This is not a helpful intervention for preventing constipation. An adequate fluid intake is crucial for maintaining bowel regularity.
C. Nutritional diet high in fiber: This is a correct choice. Consuming a diet rich in fiber helps add bulk to the stool and promotes regular bowel movements, preventing constipation.
D. Increasing fluid intake: This is a correct choice. Staying well-hydrated is important for maintaining bowel regularity. Fluids help soften the stool and aid in its passage.
E. Increasing daily activity: This is a correct choice. Regular physical activity helps stimulate bowel movements and can contribute to preventing constipation.
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