Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. What condition should the nurse warn the client can occur if this happens?

Chronic diarrhea

Chronic constipation

Frequent vomiting

Chronic nausea

Answer and Explanation

The Correct Answer is B

A) Chronic diarrhea:
Overuse of laxatives is more likely to lead to chronic constipation rather than chronic diarrhea. Laxatives are typically used to treat constipation by promoting bowel movements, but overuse can disrupt normal bowel function and result in long-term constipation.

B) Chronic constipation.
Overuse of laxatives can lead to dependence on laxatives for bowel movements and can cause the smooth muscle in the colon to become less responsive to normal stimuli, resulting in decreased muscle tone. This can eventually lead to chronic constipation, where the colon becomes less effective at moving stool through the digestive tract, resulting in infrequent or difficult bowel movements.

C) Frequent vomiting:
Overuse of laxatives does not typically lead to frequent vomiting. Vomiting is more commonly associated with conditions affecting the upper gastrointestinal tract, such as gastroenteritis, gastritis, or other gastrointestinal disorders.

D) Chronic nausea:
Overuse of laxatives may cause gastrointestinal discomfort or upset stomach, but it is not typically associated with chronic nausea. Chronic nausea may be caused by various factors such as gastrointestinal disorders, medications, or other underlying medical conditions unrelated to laxative use.

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Correct Answer is C

Explanation

A) Increase dosing with a large meal:
Increasing the dosing with a large meal may not be appropriate as it could lead to overdosing and potential side effects. The dosage of pancrelipase should be determined by the healthcare provider based on the individual's needs and response to treatment. There's no evidence to support the need for increased dosing with larger meals.

B) Take the medication at least 2 hours prior to meals:
Taking the medication prior to meals may not be effective as the enzymes will not be available when food is consumed, which defeats the purpose of enzyme replacement therapy. The enzymes need to be present simultaneously with the food to aid in digestion. Waiting 2 hours before meals would mean the enzymes are not available when needed.

C) Take the medication with meals.
Pancrelipase, such as Cotazym, is a pancreatic enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates in individuals with pancreatic insufficiency. Taking the medication with meals is crucial because it helps ensure that the enzymes are available to aid in the digestion of food. Without proper enzyme supplementation during meals, individuals with pancreatic insufficiency may experience malabsorption, leading to nutritional deficiencies and gastrointestinal symptoms.

D) Decrease fluid intake:
Decreasing fluid intake is not appropriate as it could lead to dehydration and may not have any significant impact on the efficacy of pancrelipase. In fact, adequate fluid intake is important for digestion and overall health. There's no indication that fluid intake needs to be decreased when taking pancrelipase.

Correct Answer is ["10"]

Explanation

To administer the correct dose of valproic acid, which is 500 mg, when the available oral solution concentration is 250 mg per 5 mL, the nurse needs to calculate the volume of the solution required.

The calculation is as follows: (500 mg) / (250 mg/5 mL) = 2 x 5 mL = 10 mL.

Therefore, the nurse should administer 10 mL of the valproic acid oral solution to deliver a dose of 500 mg.

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Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. What condition should the nurse warn the client can occur if this happens?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

Correct Answer is C

Explanation

A nurse is preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 mL. How many mL should they administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

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