A client recently had a myocardial infarction. Which medication would the nurse anticipate the provider prescribing?
Polyethylene Glycol
Bisacodyl
Senna
Docusate Sodium
The Correct Answer is D
A) Polyethylene Glycol: Polyethylene glycol is a medication typically used to treat constipation by promoting bowel movements. While it can be useful in managing constipation, it is not commonly prescribed after a myocardial infarction. In this situation, the focus is more on medications that promote heart health, reduce cardiac workload, and prevent complications related to the heart attack.
B) Bisacodyl: Bisacodyl is a stimulant laxative used to relieve constipation. However, this medication is not typically prescribed immediately following a myocardial infarction. Stimulant laxatives can cause dehydration and excessive fluid shifts, which can be harmful to a client recovering from a heart attack. The focus would be on safer options for bowel management in this context.
C) Senna: Senna is also a stimulant laxative, used for relieving constipation. Similar to bisacodyl, it is not ideal for clients who have recently experienced a myocardial infarction due to its potential for causing dehydration and electrolyte imbalances, which could negatively affect heart function. A gentler approach to bowel management is preferred for these clients.
D) Docusate Sodium: Docusate sodium is a stool softener commonly prescribed to prevent constipation, especially in clients who have recently had a myocardial infarction. After a heart attack, it's important to avoid straining during bowel movements, as this could increase pressure on the heart. Docusate sodium helps soften stools and promotes smoother bowel movements without stimulating the gastrointestinal system in a way that would elevate cardiac stress. It is the most appropriate choice for this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Use perfumes and air fresheners: Using perfumes and air fresheners may actually worsen nausea for some clients, as strong scents can trigger or exacerbate feelings of nausea, particularly in individuals undergoing chemotherapy. It is generally advisable to avoid strong odors in the environment to prevent triggering nausea.
B) Eat foods that are high in fibre: While a balanced diet is important, high-fibre foods may not be helpful in managing nausea and vomiting associated with chemotherapy. In fact, high-fibre foods can sometimes contribute to gastrointestinal discomfort, bloating, or constipation, which may worsen nausea in certain individuals. Therefore, fibre-rich foods are not the best option for reducing nausea and vomiting in this scenario.
C) Drink clear and carbonated beverages: Drinking clear liquids, such as water, ginger ale, or clear broths, can help reduce nausea by keeping the client hydrated and soothing the stomach. Carbonated beverages, such as ginger ale, are often recommended because the bubbles can help alleviate nausea and provide some relief. This is a well-established strategy for managing chemotherapy-related nausea and vomiting.
D) Walk frequently throughout the day: While physical activity is generally beneficial for overall health, walking frequently may not directly address nausea and vomiting caused by chemotherapy. In some cases, walking might even worsen nausea if the client is feeling weak or dizzy. Resting and staying hydrated may be more beneficial in the management of nausea associated with chemotherapy.
Correct Answer is A
Explanation
A) The client flushes the medication down the toilet: Flushing medication down the toilet is not recommended unless it is explicitly stated on the medication packaging or insert. Many medications, especially controlled substances, may be harmful to the environment if disposed of in this way. Environmental regulations discourage flushing medications unless instructed by the manufacturer, as it can contribute to water contamination. Therefore, this action indicates a need for additional education on proper medication disposal.
B) The client removes identifying information from the medication container: This is an appropriate action. Removing identifying information from the medication container before disposal helps ensure privacy and confidentiality, preventing unauthorized individuals from accessing personal health information. This is part of safe and secure medication disposal practices.
C) The client reads the medication insert to determine the disposal method: This is an appropriate action. Reading the medication insert is the best way for a client to understand the recommended disposal method for their specific medication. Many medications have detailed instructions on how to dispose of them safely and environmentally.
D) The client mixes the medication with coffee grounds: This is an appropriate action. Mixing medications with coffee grounds, cat litter, or dirt is recommended for medications that should not be flushed or thrown in the trash. This helps make the medication less appealing to children, pets, or others who may come across it and ensures safe disposal. This action is consistent with the guidance for non-hazardous medications.
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