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

A. Urinary leakage around the catheter: Securing the indwelling urinary catheter to the thigh helps prevent urinary leakage around the catheter site. Catheter movement or dislodgement can lead to leakage of urine around the catheter, which can cause skin irritation, increase the risk of urinary tract infections (UTIs), and compromise hygiene. Securing the catheter to the thigh helps maintain its position and prevents movement that could contribute to leakage.

B. Fecal matter from entering your bladder: While securing the catheter can help maintain proper positioning and prevent movement, its primary purpose is not to prevent fecal matter from entering the bladder. Indwelling urinary catheters are inserted into the bladder through the urethra, and proper catheter placement and hygiene practices are essential for preventing contamination of the urinary tract with fecal matter.

C. Injury to your urethra: Securing the catheter to the thigh does not directly prevent injury to the urethra. Proper insertion technique and appropriate catheter size selection are more critical for preventing urethral injury during catheterization. Securing the catheter primarily aims to maintain its position and prevent movement that could potentially cause discomfort or complications.

D. The catheter from slipping out of your bladder: While securing the catheter can help prevent inadvertent dislodgement, its primary purpose is not to prevent the catheter from slipping out of the bladder. Proper catheter securement techniques, including securing it to the thigh or using catheter stabilization devices, help maintain the catheter's position and minimize movement, reducing the risk of accidental removal.

A. battery B. injury C. failure to follow the standard of care D. slander

Correct Answer is C

Explanation

In this scenario, the lack of documentation regarding the explanation of the benefits and risks of the procedure in the client's medical record could be interpreted as a failure to follow the standard of care. Option C is the most appropriate choice for the grounds on which the family might sue:

C. Failure to follow the standard of care:

Healthcare providers are expected to adhere to a standard of care, which includes adequately informing patients or their legal guardians about the benefits, risks, and alternatives of medical procedures. Failure to document informed consent discussions and obtain signed consent forms may be considered a breach of the standard of care. Without proper documentation, it becomes challenging to prove that the healthcare providers fulfilled their duty to obtain informed consent and adequately inform the patient or legal guardian about the procedure's risks and benefits. The absence of documentation may suggest negligence or a lack of thoroughness in the healthcare provider's practice, which could serve as grounds for a lawsuit.

A. Battery:

Battery refers to the intentional and unauthorized touching of another person, which includes performing a medical procedure without obtaining informed consent. While the lack of documentation may suggest a failure to obtain proper consent, it does not necessarily imply intentional wrongdoing or a deliberate act of touching without consent (battery).

B. Injury:

While the client may have experienced an injury if complications arose from the procedure, the focus of the scenario is on the absence of documentation regarding informed consent rather than the occurrence of an injury itself. The grounds for a lawsuit are related to the failure to follow the standard of care in obtaining informed consent rather than the presence of an injury.

D. Slander:

Slander involves making false and damaging statements about someone that harm their reputation. The lack of documentation regarding informed consent does not relate to slander, as it does not involve making false statements but rather the failure to document discussions and obtain consent properly.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is C

Explanation

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