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 B
Explanation
A. Increased lacrimation may cause discomfort but does not directly contribute to a risk of injury.
B. Miotics constrict the pupil, leading to decreased night vision, which increases the client's risk for injury, particularly in low-light conditions.
C. Sensitivity to light (photophobia) may cause discomfort but is less likely to contribute directly to injury.
D. Diminished color perception can occur but does not typically pose a significant risk for injury compared to decreased night vision.
Correct Answer is B
Explanation
A. Denying coughing spells could indicate effectiveness, but the key indicator is improved sleep, which directly reflects reduced nighttime coughing.
B. Being able to sleep through the night indicates the medication has effectively suppressed the cough, improving rest and reducing discomfort.
C. Expectorating bronchial secretions is associated with expectorants, not antitussives like benzonatate, which are meant to suppress coughing.
D. Reduced nasal discharge is more indicative of an antihistamine's effect rather than an antitussive like benzonatate.
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