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

Exercise, adequate sleep, and avoiding caffeine.

Nutritious diet, avoiding alcohol, and cautious use of laxatives.

Avoiding prescription medications, increased fluid intake, and vigorous exercise.

Nutritious diet, adequate fluid intake, and exercise.

Answer and Explanation

The Correct Answer is B

This is because a nutritious diet provides adequate fiber and nutrients for the GI tract, avoiding alcohol prevents dehydration and irritation of the GI mucosa, and cautious use of laxatives prevents dependency and electrolyte imbalance.

Choice A is wrong because caffeine can stimulate the GI motility and cause diarrhea or cramps.

Choice C is wrong because some prescription medications can affect the GI function, such as antibiotics, opioids, or antacids.

Increased fluid intake is good, but not enough to promote optimal GI function.

Vigorous exercise can also cause GI distress or dehydration.

Choice D is wrong because adequate fluid intake is essential for preventing constipation and maintaining hydration.

Exercise can also help with bowel movements and overall health.

Normal ranges for GI function vary depending on the individual, but generally, a person should have at least one bowel movement every 3 days and no more than 3 bowel movements per day.

The stool should be soft, formed, and easy to pass.

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Correct Answer is A

Explanation

Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines are a class of drugs that have antipsychotic, antiemetic, and sedative effects. They act by blocking dopamine receptors in the brain and can cause extrapyramidal symptoms, hypotension, and anticholinergic effects.

Choice B is wrong because phenothiazines are not contraindicated in patients with ischemic heart disease.

However, they can cause orthostatic hypotension and cardiac arrhythmias, so they should be used with caution and monitored closely in these patients.

Choice C is wrong because phenothiazines are not contraindicated in pediatric patients.

However, they can cause sedation, hypotension, and extrapyramidal symptoms, so they should be used with caution and at lower doses in these patients.

Choice D is wrong because phenothiazines are not contraindicated in patients with type 2 diabetes.

However, they can cause hyperglycemia and weight gain, so they should be used with caution and monitored closely in these patients.

A. Decrease in serum calcium and increase in serum phosphorous. B. Increase in serum calcium and decrease in serum phosphorous. C. Increase in serum calcium and phosphorous. D. Decrease in serum calcium and phosphorous.

Correct Answer is B

Explanation

This is because teriparatide affects calcium and phosphorus metabolism in a pattern consistent with the known actions of endogenous PTH (eg, increases serum calcium and decreases serum phosphorus)12.

Choice A is wrong because teriparatide does not decrease serum calcium, but increases it.

Choice C is wrong because teriparatide does not increase serum phosphorus, but decreases it.

Choice D is wrong because teriparatide does not decrease serum calcium, but increases it.

Normal ranges for serum calcium are 8.5 to 10.2 mg/dL and for serum phosphorus are 2.5 to 4.5 mg/dL.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

The nurse administers teriparatide and evaluates the drug as effective in achieving desired effects when what is assessed?

Correct Answer is B

Explanation

A client has a history of atrial fibrillation and is taking an oral anticoagulant. The client has been newly diagnosed with hypothyroidism and placed on levothyroxine. What assessment should the nurse prioritize?

The nurse is caring for a pediatric client with a new onset of hypercalcemia. What condition would be most likely to cause this altered serum calcium level?

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

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?

When providing client teaching to the family of a 12-year-old child receiving somatropin, the nurse stresses the need to notify prescriber if what manifestation occurs?

Which of these clients would the nurse expect to be the best candidate for misoprostol?

A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid?

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