The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days.
What is the nurse’s best action?

Administer a glycerin suppository as prescribed.

Administer magnesium hydroxide as prescribed.

Encourage watchful waiting for 24 hours.

Encourage feeding supplementation with free water.

Answer and Explanation

The Correct Answer is A

Glycerin suppositories are safe and effective for infants with constipation. They work by lubricating and softening the stool, and stimulating the rectal muscles to contract.

Choice B is wrong because magnesium hydroxide is not recommended for infants under 6 months of age, and may cause diarrhea, electrolyte imbalance, or magnesium toxicity.

Choice C is wrong because watchful waiting for 24 hours may not be enough to relieve the infant’s discomfort and may lead to further complications such as fecal impaction or dehydration.

Choice D is wrong because feeding supplementation with free water may not be sufficient to treat constipation, and may dilute the infant’s intake of nutrients and electrolytes.

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Correct Answer is D

Explanation

Guaifenesin is an expectorant that helps thin and loosen mucus in the lungs, making it easier to cough up the sputum. Some possible explanations for the other choices are:

Choice A. Benzonatate is wrong because benzonatate is an antitussive that suppresses the cough reflex by numbing the throat and lungs.

It does not help with sputum production or clearance.

Choice B. Dextromethorphan is wrong because dextromethorphan is also an antitussive that acts on the brain to reduce the urge to cough.

It does not affect the mucus or bronchial secretions.

Choice C. Hydrocodone is wrong because hydrocodone is a narcotic antitussive that works by binding to opioid receptors in the brain and spinal cord, blocking pain signals and decreasing cough.

It can cause sedation, respiratory depression, and dependence, and is not indicated for bronchitis.

Normal ranges for sputum production vary depending on the individual and the cause of the cough, but generally range from 10 to 100 mL per day.

Excessive or abnormal sputum may indicate an infection, inflammation, or obstruction of the airways.

A. “Remain in the upright position for 30 minutes after taking it.”. B. “Take the medication with a full glass of water.”. C. “Take the medication before going to bed at night.”. D. “Take the medication after breakfast.”.

Correct Answer is B

Explanation

Levothyroxine is a synthetic thyroid hormone that is used to treat hypothyroidism. It should be taken on an empty stomach, preferably in the morning, with a full glass of water to facilitate absorption and prevent choking. Taking the medication with food or other substances may interfere with its effectiveness.

Choice A is wrong because levothyroxine does not need to be taken after breakfast.

In fact, taking it after breakfast may reduce its absorption and efficacy.

Choice C is wrong because levothyroxine does not require the patient to remain in the upright position for 30 minutes after administering.

This instruction is more applicable to bisphosphonates, which are drugs used to treat osteoporosis.

Choice D is wrong because levothyroxine should not be taken at night.

Taking it at night may cause insomnia, as well as reduced absorption and efficacy.

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The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days. What is the nurse’s best action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the provider will prescribe?

Correct Answer is D

Explanation

The nurse is providing client teaching regarding the administration of levothyroxine. What is the nurse’s priority teaching point?

Correct Answer is B

Explanation

For which client would the use of a phenothiazine most likely be contraindicated?

The nurse is caring for a client newly diagnosed with hypothyroidism. The client also takes theophylline to control asthma symptoms. What change may need to be made to the client’s theophylline dose?

A client with peptic ulcer disease is experiencing fewer symptoms because of the suppression of hydrochloric acid secretion into the lumen of the stomach. What category of medication is this client most likely receiving?

The client is 34 years old and has recently started taking theophylline. The nurse knows that medication teaching has been successful when the client agrees to what activity?

For which client would the use of a phenothiazine most likely be contraindicated?

The home health nurse provides client teaching to a client who is taking oral prednisolone. The nurse provides what instruction to the client?

The nurse is caring for a client who has begun vomiting. The nurse is aware that which part of the client’s brain has been stimulated?

A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng. What is the correct response by the nurse?

The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days.
What is the nurse’s best action?