Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

tell the patient to consult a dietician about ways to correct chronic constipation

tell the patient to avoid laxatives because they can interfere with medications already being taken

educate the patient about the side effects of regular laxative use

tell the patient to consult the health practitioner before using nonprescription drugs

Answer and Explanation

The Correct Answer is D

A.   While dietary changes can be helpful for managing constipation, it's still important for the patient to consult with their healthcare provider before using laxatives.
B.   This statement is partially correct, but it's important to note that not all laxatives interact with all medications. The patient should consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
C.   While it's important for the patient to be aware of the potential side effects of laxatives, the most important step is to consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
D.   While constipation can be a bothersome issue, it's important for patients to consult with their healthcare provider before using over-the-counter laxatives. This is especially true for patients who are already taking prescription medications, as laxatives can interact with other drugs and potentially cause adverse effects.

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Correct Answer is C

Explanation

A. This question addresses the emotional and psychological impact of relocating to an assisted living facility. Emotional stress and adjustment issues can affect sleep patterns. While important for understanding the patient's emotional state and potential stressors, this question may not directly address the specific physiological or medical causes of sleep difficulties.
B. This question focuses on the management of hypothyroidism, which can influence sleep patterns. Hypothyroidism and its treatment can affect energy levels and sleep quality. Medications for hypothyroidism could impact sleep if they are not well managed or if the dosage needs adjustment. However, this question alone might not cover other potential causes of sleep difficulties.
C. This question aims to identify if the patient has a history of using sleeping medications, which can help in understanding their sleep patterns and possible reliance on such treatments. Knowing whether the patient has used sleeping medications can provide insight into their current sleep issues and help the nurse assess if previous treatments have been effective or if adjustments are needed. This question is directly related to assessing and addressing sleep difficulties.
D. This question gathers information about the duration of diabetes, which can help in understanding the patient’s overall management of the condition. While the duration of diabetes is important for overall health management, it does not directly address the sleep issues the patient is experiencing. Diabetes can affect sleep, but this question does not specifically target the sleep problem.

A. Reporting muscle aches and frequent stumbling B. Dozing off in chair and not recognizing staff C. Pulse. 118 beats/min; and BP 160/90 D. Pulse, 58 beats/min; and BP 100/60

Correct Answer is C

Explanation

A. While these symptoms can be associated with alcohol withdrawal, they are not as indicative of an immediate medical emergency as tachycardia and hypertension.
B. While these symptoms may suggest cognitive impairment, they are not as indicative of impending alcohol withdrawal syndrome as tachycardia and hypertension.
C. Alcohol withdrawal can lead to various physiological changes, including increased heart rate and blood pressure. A pulse of 118 beats/min and a blood pressure of 160/90 indicate a significant increase in both vital signs, which could be a sign of impending alcohol withdrawal syndrome.
D. These vital signs are within normal limits and do not indicate a significant risk of alcohol withdrawal syndrome.

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Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with diabetes and hypothyroidism is being admitted to an assisted living facility. During the admission assessment, the patient reports difficulty falling asleep. The nurse shows an understanding of sleep dysfunction and the older patient when asking:

Correct Answer is C

Explanation

The nurse is assessing patients for impending alcohol withdrawal. The nurse assesses the patient with which of the following conditions as a priority?

Correct Answer is C

Explanation

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