A client is prescribed Bismuth Subsalicylate. What client condition or pathology might make this order concerning? Select all that apply, one, many or all may be correct.

A client who has been complaining of frequent stools.

A client with an intestinal obstruction.

An adult who is dehydrated.

A child with diarrhea associated with the flu.

A client with an allergy to aspirin

Answer and Explanation

Correct Answer : B,D,E

A. A client who has been complaining of frequent stools.: This medication is often prescribed to manage mild to moderate diarrhea, so frequent stools alone are not a contraindication. Instead, it may help decrease stool frequency and improve consistency.

B. A client with an intestinal obstruction.: Bismuth subsalicylate should be avoided in clients with bowel obstruction because it can worsen abdominal distention and delay gastric emptying. It may mask symptoms of a more serious underlying condition, such as perforation or ischemia.

C. An adult who is dehydrated.: While dehydration should be corrected, bismuth subsalicylate itself is not contraindicated. It may be used safely once rehydration is initiated to manage diarrhea and prevent further fluid loss.

D. A child with diarrhea associated with the flu.: Bismuth subsalicylate contains salicylate, which poses a risk for Reye’s syndrome when given to children or adolescents recovering from viral infections like influenza or varicella. This condition can lead to acute encephalopathy and liver damage.

E. A client with an allergy to aspirin.: Since bismuth subsalicylate is chemically related to salicylates, it can trigger hypersensitivity reactions in individuals allergic to aspirin. Symptoms may include rash, bronchospasm, or anaphylaxis, making it contraindicated.

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Correct Answer is C

Explanation

A. Diabetes mellitus.: Timolol, a non-selective beta-blocker, can mask symptoms of hypoglycemia such as tachycardia, but it is not absolutely contraindicated in diabetes. Diabetic clients require close monitoring, the medication can still be used with caution.

B. Chronic kidney disease.: Timolol is administered topically as eye drops and has minimal systemic absorption, so it does not worsen kidney function. It is generally considered safe for clients with chronic kidney disease when used as prescribed.

C. Asthma.: Timolol can cause bronchoconstriction by blocking beta-2 receptors in the lungs, leading to respiratory distress in clients with asthma or COPD. Because of this risk, it is contraindicated in these patients, as even topical administration may trigger bronchospasm.

D. Hyperthyroidism.: Timolol may help manage some symptoms of hyperthyroidism, such as tremors or tachycardia, due to its beta-blocking effects. Therefore, it can be beneficial in controlling adrenergic symptoms in these clients.

A. Ondansetron can be given earlier and remain effective B. Ondansetron has minimal adverse effects and Promethazine affects the CNS. C. Ondansetron is an anti-emetic drug and Promethazine doesn't stop nausea D. Ondansetron is a newer medication and more available

Correct Answer is B

Explanation

A. Ondansetron can be given earlier and remain effective.: While ondansetron is effective when given before nausea begins, timing of administration is not its primary advantage over promethazine. Both medications can be given prophylactically.

B. Ondansetron has minimal adverse effects and Promethazine affects the CNS.: Ondansetron causes fewer sedative and extrapyramidal effects compared to promethazine, which has strong central nervous system depressant properties. This makes ondansetron safer for clients who must remain alert and reduces the risk of confusion or drowsiness.

C. Ondansetron is an anti-emetic drug and Promethazine doesn't stop nausea.: Both ondansetron and promethazine are antiemetics, but they act through different mechanisms. Promethazine blocks dopamine and histamine receptors, effectively reducing nausea.

D. Ondansetron is a newer medication and more available.: Although ondansetron is newer, medication choice should be based on efficacy and safety rather than novelty or availability. The major advantage of ondansetron lies in its superior safety profile and minimal CNS depression.

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A client is prescribed Bismuth Subsalicylate. What client condition or pathology might make this order concerning? Select all that apply, one, many or all may be correct.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is ordered Timolol as part of their medication regimen for Glaucoma. The nurse knows that Timolol should be avoided in what client conditions?

Correct Answer is C

Explanation

Which statement represents the advantage of prescribing Ondansetron rather than Promethazine for a client with nausea?

Correct Answer is B

Explanation

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