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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Bloody diarrhea is not typically associated with a fungal superinfection. This symptom is more indicative of gastrointestinal issues and may be related to other causes such as infection or inflammatory bowel disease.
Choice B rationale:
Abdominal cramping is also not a typical sign of a fungal superinfection. It is more likely to be associated with gastrointestinal problems, food intolerances, or other conditions.
Choice D rationale:
Heartburn is not a common sign of a fungal superinfection. It is usually associated with gastroesophageal reflux disease (GERD) or other gastrointestinal issues. Creamy white patches on the throat (Choice C) are indicative of oral thrush, a fungal superinfection. This condition is caused by the overgrowth of Candida albicans and is commonly seen in individuals with compromised immune systems, such as those on immunosuppressive therapy or with HIV. It is important to recognize these white patches as they may require treatment with antifungal medications to prevent further complications.
Correct Answer is B
Explanation
Choice A rationale:
Tetracyclines are not narrow-spectrum antibiotics. They are broad-spectrum antibiotics. Tetracyclines are effective against a wide range of bacteria, including both Gram-positive and Gram-negative organisms. This is important in treating various infections, but it also means they can disrupt the normal flora of the gut, potentially leading to issues like antibiotic-associated diarrhea.
Choice B rationale:
Tetracyclines may cause permanent discoloration of the teeth in children. This is a well-known adverse effect of tetracycline antibiotics. It primarily occurs in children under the age of 8, whose teeth are still developing. Tetracyclines can bind to calcium ions in teeth, leading to a yellow or grayish discoloration. This is why tetracyclines are generally avoided in children and pregnant women.
Choice C rationale:
Tetracyclines can be used when penicillins are contraindicated. Tetracyclines and penicillins are different classes of antibiotics, and being contraindicated for one does not necessarily mean the other is also contraindicated. Tetracyclines can be an alternative for patients who cannot tolerate penicillins due to allergies or other contraindications.
Choice D rationale:
Tetracyclines are not contraindicated in children younger than 9 years. This statement is not accurate. Tetracyclines are contraindicated in children under the age of 8 due to the risk of tooth discoloration. After the age of 8, tetracyclines can be used in children, but caution is still required.
Choice E rationale:
Tetracyclines are not used to treat influenza. Influenza is caused by viruses, not bacteria, and tetracyclines are antibiotics that target bacteria. Influenza is typically treated with antiviral medications, such as oseltamivir (Tamiflu).
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