A client is prescribed a laxative.
Which of the following would the nurse include in the teaching plan for the client about possible adverse reactions?
Sedation.
Renal Impairment.
Cramps.
Hepatic Impairment.
The Correct Answer is B
Choice A rationale:
Sedation Sedation is not typically associated with laxative use. Laxatives are primarily used to relieve constipation by promoting bowel movements, and sedation is not a common adverse reaction.
Choice B rationale:
Renal Impairment Renal impairment is a significant consideration when prescribing laxatives, especially those that may be excreted by the kidneys. In patients with renal impairment, there is a risk of drug accumulation, which could lead to potential adverse effects. The nurse should educate the client about this possibility to ensure their safety.
Choice C rationale:
Cramps Cramps are a possible adverse reaction to laxative use. Laxatives can cause gastrointestinal discomfort, including cramping and abdominal pain. However, it's essential to inform the client of this potential side effect so they can be prepared for it.
Choice D rationale:
Hepatic Impairment Hepatic impairment is not typically associated with adverse reactions to laxative use. Laxatives primarily affect the gastrointestinal system and do not directly impact the liver. Therefore, hepatic impairment is not a major concern when using laxatives.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Alkylating agents. Alkylating agents are not cell cycle-specific. These agents work by directly binding to DNA and interfering with the cell's ability to replicate and divide. Their action is not limited to a specific phase of the cell cycle, making them non-cell cycle-specific agents. Alkylating agents are often used in cancer chemotherapy to prevent cell division and growth.
Choice C rationale:
Antineoplastic antibiotics. Antineoplastic antibiotics are not cell cycle-specific either. These drugs, such as doxorubicin and bleomycin, work by disrupting DNA and RNA synthesis and are used to treat various types of cancer. However, they do not specifically target cells in a particular phase of the cell cycle.
Choice D rationale:
Retinoids. Retinoids are not cell cycle-specific antineoplastic agents. Retinoids are compounds related to vitamin A and are used for various medical purposes, including some cancer treatments. However, their mechanism of action is not tied to a specific phase of the cell cycle, making them non-cell cycle-specific.
Choice B rationale:
Plant alkaloids. Plant alkaloids, such as vinca alkaloids (vincristine and vinblastine) and taxanes (paclitaxel), are considered cell cycle-specific antineoplastic drugs. These agents interfere with microtubule function, which is critical during mitosis (cell division). By disrupting microtubules, they specifically target rapidly dividing cancer cells during the M phase of the cell cycle. This selectivity for actively dividing cells makes plant alkaloids cell cycle-specific antineoplastic drugs.
Correct Answer is D
Explanation
Choice A rationale:
Hypertension is not a medical condition that contraindicates the use of ginger for digestive purposes. Ginger is often considered safe for individuals with hypertension when used in moderation.
Choice B rationale:
Kidney stones are not directly related to the use of ginger for digestion. Ginger is generally safe for consumption, and there is no known link between ginger and the formation of kidney stones.
Choice C rationale:
Vitamin B12 deficiency, while important, is not a condition that specifically contraindicates the use of ginger for digestion. However, individuals with vitamin B12 deficiency may need to address the underlying issue with appropriate treatment.
Choice D rationale:
Before advising the client to take ginger to aid with digestion, the nurse should ensure that the client does not have liver disease. Ginger can impact liver function, and individuals with liver disease may need to avoid or limit its use. This precaution is important to prevent any adverse effects on the liver in vulnerable individuals.
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