Exhibits
Review H and P, nurse's notes, flow sheet, and prescriptions.
Mark whether the assessment finding represents a therapeutic result of the lactulose administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have only one option selected.
Reported slight rectal burning sensation
Large, soft stool
Dizziness
Pain level of 3 on a 0 to 10 pain scale
600ml of urine
Abdomen soft and flat
Respiratory rate 13 breaths/min
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"C"}}
- The reported slight rectal burning sensation after the administration of a bisacodyl suppository is likely a non-therapeutic side effect. This sensation is a common reaction to rectal medication administration and not directly related to the therapeutic effects of lactulose.
- A large, soft stool can be considered a therapeutic result of lactulose, which is often prescribed as a laxative to treat constipation. Its effectiveness is indicated by the production of soft stools.
- Dizziness experienced by the patient after requesting to use the restroom could be an unrelated finding or a non-therapeutic side effect. Given that morphine was administered, which can cause dizziness as a side effect, it is important to consider all medications and their interactions when assessing this symptom.
- A pain level of 3 on a 0 to 10 pain scale is an unrelated finding concerning the administration of lactulose. Pain assessment is subjective and can be influenced by various factors unrelated to lactulose treatment.
- The voiding of 600ml of urine is an unrelated finding to the lactulose treatment. Urine output is influenced by many factors, including fluid intake and other medications.
- An abdomen that is soft and flat is an unrelated finding to the lactulose treatment. This is a normal physical examination finding and does not directly correlate with the administration of lactulose.
- A respiratory rate of 13 breaths/min is also an unrelated finding to the lactulose treatment. The normal respiratory rate for an adult is typically between 12 to 20 breaths per minute.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Risedronate can cause esophageal irritation and heartburn if not taken properly. It is crucial to assess the client’s method of taking the medication to identify potential issues such as not taking it with enough water or not remaining upright after taking it.
B. While taking the medication with plenty of water is important, understanding the client's current practices helps to identify specific issues.
C. Advising an emergency department visit is not appropriate unless there are severe symptoms indicating an emergency.
D. Antacids should generally be avoided as they can interfere with the absorption of risedronate.
Correct Answer is A
Explanation
A. Using a straw helps prevent the liquid iron from staining the teeth, which is a common side effect of iron supplements.
B. Swallowing the medication undiluted can cause staining of the teeth and may not be recommended for optimal administration.
C. Mixing iron with an antacid can interfere with iron absorption, so it is not recommended.
D. Taking iron with milk can inhibit its absorption because calcium in milk can bind with iron and reduce its effectiveness.
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