A 60 year-old female patient reports that she has been taking bisacodyl tablets (over-the-counter) daily for 3 months. Which would be the most appropriate response by the nurse?
This medication may cause your bowels to lose their normal activity.
If you take this medication, you don't need to eat a high fiber diet.
This medication can be taken every day for the rest of your life.
You may take this medication along with Antacids.
The Correct Answer is A
A. This medication may cause your bowels to lose their normal activity.: Prolonged use of stimulant laxatives like bisacodyl can lead to dependency, where the colon relies on the medication to stimulate bowel movements. This may result in decreased natural bowel motility over time, making it important to limit long-term use.
B. If you take this medication, you don't need to eat a high fiber diet.: Maintaining a high-fiber diet is still important for healthy bowel function. Relying solely on laxatives does not address the underlying need for dietary fiber and can worsen long-term bowel health.
C. This medication can be taken every day for the rest of your life.: Daily, long-term use of bisacodyl is not recommended due to the risk of dependency, electrolyte imbalance, and decreased bowel tone. Continuous use can cause more harm than benefit.
D. You may take this medication along with antacids.: While bisacodyl can interact with certain antacids, especially enteric-coated forms, this advice does not address the primary concern of long-term use and potential bowel dependence. Monitoring interactions is secondary to preventing chronic misuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. These symptoms are signs of an allergic reaction to the medication.: Allergic reactions to prednisone are uncommon and usually present with rash, itching, or anaphylaxis rather than fatigue, edema, or weight gain. Mr. Johnson’s symptoms do not align with typical hypersensitivity responses.
B. These are expected side effects of short-term corticosteroid use.: While short-term prednisone use can cause minor side effects such as mood changes or insomnia, significant fluid retention, rapid weight gain, and swelling are more concerning and not typical of brief therapy.
C. These symptoms may indicate fluid retention and potential electrolyte imbalances: Prednisone can cause sodium and water retention, leading to edema, rapid weight gain, and fatigue. Electrolyte disturbances, particularly hypokalemia, may also occur. Monitoring and notifying the provider is important to prevent cardiovascular complications.
D. These symptoms are due to an underlying infection caused by the medication.: Prednisone can suppress the immune system, increasing infection risk, but the described symptoms do not specifically indicate infection. Fatigue and swelling are more consistent with fluid and electrolyte effects rather than an infectious process.
Correct Answer is ["2300"]
Explanation
Calculation of Total Intake (mL)
- Continuous IV Infusion (Lactated Ringer's)
Rate: 125 mL/hr
Time: 9 hr
Volume = 125 mL/hr x 9 hr}
=1,125 mL
- Intermittent IV Medications
Cefazolin infusion volume: 100 mL
Ranitidine infusion volume: 50 mL
- Blood Products (Packed RBCs)
Unit 1 volume: 275 mL
Unit 2 volume: 250 mL
- IV Fluid Boluses
Bolus 1 volume: 250 mL
Bolus 2 volume: 250 mL
- Calculate Total Intake
Total Intake = 1,125 mL + 100 mL + 50 mL + 275 mL + 250 mL + 250 mL + 250 mL
Total Intake = 2,300 mL
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