A nurse is caring for a client receiving a bowel cleansing agent in preparation for a colonoscopy. Which of the following assessments should the nurse prioritize?
Electrolyte levels
Respiratory rate
Urine output
Blood glucose levels
The Correct Answer is A
A) Correct. When a client is receiving a bowel cleansing agent, such as a laxative or oral sodium phosphate solution, monitoring electrolyte levels is crucial. These medications can cause electrolyte imbalances, especially hypokalemia, hyponatremia, and dehydration. The nurse should closely monitor the client's electrolyte levels and intervene appropriately to prevent complications.
B) Incorrect. Respiratory rate monitoring is important but is not the priority assessment specifically related to bowel cleansing agents.
C) Incorrect. Urine output monitoring is important but is not the priority assessment specifically related to bowel cleansing agents.
D) Incorrect. Blood glucose level monitoring is not directly affected by bowel cleansing agents and does not require prioritization in this scenario.
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Related Questions
Correct Answer is A
Explanation
A) Correct. Bulk-forming laxatives, such as psyllium, should be taken with a full glass of water. This helps prevent the medication from swelling and causing an obstruction in the esophagus or gastrointestinal tract. It also aids in the formation of a soft, bulky stool.
B) Incorrect. Bulk-forming laxatives do not provide immediate relief. They work by increasing the bulk and water content of the stool, which takes time to produce a laxative effect.
C) Incorrect. Bulk-forming laxatives should not be crushed. They are typically available as granules or powder that can be mixed with liquid.
D) Incorrect. Bulk-forming laxatives can be taken at any time of the day, depending on the client's preference or specific instructions from the healthcare provider.
Correct Answer is D
Explanation
D) Correct. Antacid medications can interfere with the absorption of other medications. Therefore, the client should be advised to avoid taking other medications within 1 hour of taking an antacid.
A) Incorrect. Antacid medications can be taken with or without food, depending on the client's preference or specific instructions from the healthcare provider.
B) Incorrect. Antacid medications do not need to be crushed before swallowing. They are typically available as tablets, chewable tablets, or liquids.
C) Incorrect. Taking antacid medication immediately before bedtime is not necessary or recommended unless specifically prescribed by the healthcare provider. The timing of antacid administration can vary based on the client's symptoms and medication regimen.
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