A client with an ileostomy has been experiencing excessive output for the past 48 hours. Which medication would the nurse expect the primary health care provider to prescribe?
cascara
octreotide
psyllium
loperamide
The Correct Answer is D
A. cascara: Cascara is a natural stimulant laxative that promotes bowel movements by irritating the colon. It would increase gastrointestinal motility and worsen the client's ileostomy output, making it inappropriate in this situation.
B. octreotide: Octreotide is used for severe secretory diarrhea or conditions like carcinoid syndrome, but it is generally reserved for more complex cases and not first-line for managing high ileostomy output. It is also costly and requires subcutaneous or IV administration.
C. psyllium: Psyllium is a bulk-forming laxative that absorbs water and increases stool bulk to help with constipation. In clients with an ileostomy, it can risk causing obstruction or be ineffective at slowing output and is not typically recommended.
D. loperamide: Loperamide is an antidiarrheal that slows intestinal motility, allowing for increased absorption of fluids and electrolytes. It is commonly prescribed to manage high-output ileostomies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
Scheduled dose of Humulin R = 4 units.
Current Blood glucose = 196.
- Determine the dose from the Medium Dose Sliding Scale based on the blood glucose level.
0-140: 0 units
141-190: 4 units
191-240: 6 units (The client's blood glucose of 196 falls into this range.)
Sliding scale dose = 6 units.
- Calculate the total units of insulin to administer.
Total units = Scheduled dose + Sliding scale dose
= 4 units + 6 units
= 10 units.
Correct Answer is B
Explanation
A. renal: Chlorpromazine is metabolized primarily in the liver and excreted via the kidneys, but it does not commonly cause renal toxicity. The renal system is not the main site of adverse effects for this medication.
B. central nervous system (CNS): Chlorpromazine is an antipsychotic that works by blocking dopamine receptors in the brain. The majority of its adverse effects are CNS-related, including sedation, extrapyramidal symptoms, tardive dyskinesia, and neuroleptic malignant syndrome.
C. cardiovascular: Although chlorpromazine can cause hypotension and prolong the QT interval, cardiovascular effects are less common than CNS effects. They are important to monitor but not the predominant source of adverse reactions.
D. integumentary: Skin-related effects such as photosensitivity or allergic reactions may occur but are relatively rare. The integumentary system is not the primary body system affected by chlorpromazine’s mechanism or side effect profile.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
