The client reports to the nurse that their bowel movements are hard & difficult to pass. Which of the medications taken by the client most likely contributed to this problem? A/An:

antibiotic.

NSAID.

opioid.

decongestant.

Answer and Explanation

The Correct Answer is C

A. antibiotic: While antibiotics can sometimes cause gastrointestinal side effects such as diarrhea or changes in bowel habits, they are not typically associated with causing hard or difficult-to-pass bowel movements.

B. NSAID (Nonsteroidal anti-inflammatory drug): NSAIDs can irritate the lining of the stomach and intestines, potentially leading to gastrointestinal side effects such as stomach upset, ulcers, or bleeding. However, they are not typically associated with causing hard or difficult-to-pass bowel movements.

C. opioid: Opioid medications, such as morphine, codeine, oxycodone, and hydrocodone, are well-known for causing constipation as a side effect. Opioids slow down the movement of stool through the intestines and can lead to decreased bowel motility and increased water absorption from the stool, resulting in hard, dry, and difficult-to-pass bowel movements.

D. decongestant: Decongestants are medications commonly used to relieve nasal congestion and sinus pressure. While decongestants can sometimes cause side effects such as dry mouth or urinary retention, they are not typically associated with causing hard or difficult-to-pass bowel movements.

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Correct Answer is A

Explanation

This statement raises concern because it suggests that the client is experiencing thoughts of hopelessness and suicidal ideation. Expressions of feeling overwhelmed by pain to the extent of questioning the desire to continue living indicate a need for immediate attention and intervention to address the client's emotional distress and ensure their safety.

B. This statement indicates the client's proactive approach to pain management by taking medication preemptively before pain becomes severe. It reflects an understanding of pain management strategies and a willingness to address pain effectively.

C. Although this statement acknowledges the challenge of coping with pain, it also suggests the client's attempts to cope by mentally dissociating from the pain. While coping mechanisms vary among individuals, this response does not raise immediate concern unless accompanied by more severe signs of distress.

D. This statement acknowledges the chronic nature of the client's pain and its impact on daily activities but does not indicate thoughts of self-harm or severe emotional distress. It reflects the client's adaptation to living with pain and a willingness to engage in activities despite its presence.

A. hypovolemic shock. B. hemodilution. C. excess fluid volume. D. deficient fluid volume.

Correct Answer is C

Explanation

A. Hypovolemic shock: Hypovolemic shock is characterized by decreased blood volume, leading to inadequate tissue perfusion and oxygen delivery. The clinical findings described, such as sudden weight gain, bounding pulses, and elevated blood pressure, are not consistent with hypovolemic shock, which typically presents with hypotension, weak pulses, and signs of poor tissue perfusion.

B. Hemodilution: Hemodilution refers to a decrease in the concentration of blood components due to an increase in plasma volume. While weight gain may result from hemodilution, other clinical findings described, such as bounding pulses and elevated blood pressure, are not indicative of hemodilution.

C. Excess fluid volume: This is the correct answer. The sudden weight gain, bounding pulses, and elevated blood pressure suggest an excess of fluid volume. Bounding pulses can occur due to increased stroke volume from the heart pumping against increased volume, while elevated blood pressure can result from the increased fluid volume increasing cardiac output. Sudden weight gain is often attributed to fluid retention.

D. Deficient fluid volume: Deficient fluid volume, also known as dehydration, is characterized by insufficient fluid in the body. The clinical findings described, such as sudden weight gain and elevated blood pressure, are not consistent with deficient fluid volume. In dehydration, blood pressure tends to decrease rather than increase.

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The client reports to the nurse that their bowel movements are hard & difficult to pass. Which of the medications taken by the client most likely contributed to this problem? A/An:

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Naxlex Comprehensive Predictor Exams

The nurse is performing an admission assessment on a client who has chronic pain. Which statement made by the client causes the most concern?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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