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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Take albuterol first. Albuterol is a short-acting beta-agonist (SABA) that acts quickly to dilate the airways. It should be taken first to open the airways, making it easier for the long-acting beta-agonist (LABA), salmeterol, to penetrate deeper into the lungs and provide prolonged bronchodilation.
B. The order of administration does not matter. This is incorrect because the sequence does matter. Taking albuterol first helps to maximize the effectiveness of the subsequent medication by improving airway openness.
C. They should not be taken together: This is incorrect. Albuterol and salmeterol can be used together as part of asthma management. They work through different mechanisms, and using them together can provide both quick relief and long-term control.
D. Take salmeterol first: Taking salmeterol first is not recommended because it is a long-acting bronchodilator that works slowly. The immediate relief provided by albuterol helps to open the airways first, making the use of salmeterol more effective.
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.
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