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 A

Explanation

Ginseng is a herbal supplement that may have some antidiabetic effects, such as improving glucose tolerance and insulin resistance. However, ginseng may also interact with certain diabetes medications, especially insulin and sulfonylureas, and cause hypoglycemia (low blood sugar)2. Therefore, the nurse should inform the client about this potential risk and advise them to consult their doctor before taking ginseng.

Choice B is wrong because there is a reason ginseng cannot be taken by people with diabetes without medical supervision.

As explained above, ginseng may lower blood glucose levels too much and cause hypoglycemia.

Choice C is wrong because there is some research to indicate what effect ginseng will have on diabetes.

Several studies have shown that ginseng may have beneficial effects on blood glucose control, but also some adverse effects such as hypoglycemia.

Choice D is wrong because ginseng does not increase the risk for high blood

A. To suppress the hypothalamus’s production of thyrotropin-releasing hormone (TRH). B. To suppress the anterior pituitary gland’s secretion of thyroid-stimulating hormone (TSH). C. To inhibit production of thyroid hormone in the thyroid gland. D. To destroy part of the thyroid gland.

Correct Answer is C

Explanation

Propylthiouracil (PTU) is an antithyroid drug that blocks the synthesis of thyroid hormones by interfering with the oxidation of iodine and the coupling of iodotyrosines.

Thyroid and Antithyroid Drugs - Katzung & Trevor's Pharmacology Examination and Board Review, 9th Edition

This reduces the levels of triiodothyronine (T) and thyroxine (T) in the blood and relieves the symptoms of hyperthyroidism.

Choice A is wrong because PTU does not destroy any part of the thyroid gland.

It only inhibits the production of thyroid hormones within the gland.

Choice B is wrong because PTU does not suppress the anterior pituitary gland’s secretion of thyroid-stimulating hormone (TSH).

TSH is a hormone that stimulates the thyroid gland to produce thyroid hormones.

PTU does not affect the feedback loop between the hypothalamus, pituitary, and thyroid glands.

Choice D is wrong because PTU does not suppress the hypothalamus’s production of thyrotropin-releasing hormone (TRH).

TRH is a hormone that stimulates the pituitary gland to secrete TSH.

PTU does not affect the feedback loop between the hypothalamus, pituitary, and thyroid glands.

Normal ranges for T are 80 to 220 ng/dL, for T are 4.5 to 11.2 mcg/dL, and for TSH are 0.4 to 4.0 mIU/L.

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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 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?

Correct Answer is A

Explanation

After administering propylthiouracil (PTU), what effect would the nurse anticipate the drug will have in the client’s body?

Correct Answer is C

Explanation

A client has an important presentation to make in 4 hours, and he needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy. What medication is most likely to meet this client’s needs?

The nurse administers metoclopramide to the client with what condition?

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The nurse teaches the client to best promote optimal GI function by including what in the daily routine?

A nurse is providing client education to a client who has had corticosteroids prescribed. What drug should the nurse teach the client to avoid while taking the corticosteroids?

A client has begun reporting nausea and vomiting. What would the nurse assess to determine the need for therapy?

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?