A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)

should decrease my physical activity."

should increase fluid intake."

should only take a laxative when necessary."

1 should increase fiber intake."

should strain when I try to have a bowel movement."

Answer and Explanation

Correct Answer : B,C,D

A. "I should decrease my physical activity." Decreasing physical activity is not recommended as it can worsen constipation. Physical activity helps stimulate bowel movements, so this statement does not indicate proper understanding.
B. "I should increase fluid intake." Increasing fluid intake helps to soften the stool and promote bowel movements. Adequate hydration is essential in managing constipation, especially when taking opioids.
C. "I should only take a laxative when necessary." Taking a laxative only when necessary is a reasonable approach to managing constipation. Overuse of laxatives can lead to dependency and should be avoided. Using them judiciously can help manage symptoms effectively.
D. "I should increase fiber intake." Increasing dietary fiber can help to bulk up the stool and stimulate bowel movements, which is beneficial in preventing and treating constipation associated with opioid use.
E. "I should strain when I try to have a bowel movement." Straining during bowel movements is not recommended as it can lead to complications such as hemorrhoids or anal fissures. This statement indicates a misunderstanding of proper bowel habits.

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Correct Answer is B

Explanation

A. 15 mg: This calculation is incorrect because it underestimates the total daily dosage.
B. 20 mg: This calculation is correct. Here’s the breakdown: Each dose is 10 mL (which contains 5 mg), given four times a day. Thus, 5 mg per dose × 4 doses = 20 mg daily.
C. 10 mg: This calculation is incorrect as it only accounts for two doses rather than four daily doses.
D. 2.5 mg: This calculation is incorrect because it represents the dosage per 5 mL (1 teaspoon), not the total daily dosage.

Correct Answer is ["10"]

Explanation

VolumetoAdminister=DesiredDose/AvailableConcentration × Volume

=10 mg ÷20mg/5mL

= 10/20 × 5mL

= 0.5×5mL

=2.5mL

So, the nurse should administer 2.5 mL.

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A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?

Correct Answer is B

Explanation

A nurse is preparing to administer fluoxetine 10 mg PO to an older adult client. Available is fluoxetine oral solution 20 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

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