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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D) Correct. H2 blockers, such as ranitidine or famotidine, are usually administered orally and do not require shaking. However, the nurse should monitor the client for signs of anaphylaxis, such as rash, itching, difficulty breathing, or swelling, as rare but serious allergic reactions can occur. Prompt recognition and intervention are essential in such cases.
A) Incorrect. H2 blockers can be taken with or without food, depending on the client's preference or specific instructions from the healthcare provider.
B) Incorrect. H2 blockers do not require shaking before administration.
C) Incorrect. H2 blockers are typically administered orally and are not given intravenously unless there are specific indications and healthcare provider orders.
Correct Answer is B
Explanation
B) Correct. Proton pump inhibitors (PPIs) are most effective when taken on an empty stomach, about 30 minutes before a meal. This ensures optimal absorption and inhibits gastric acid secretion during mealtime.
A) Incorrect. PPIs do not need to be taken with a full glass of water. However, taking them with a small amount of water is recommended to aid in swallowing.
C) Incorrect. PPIs should not be crushed. They are usually in delayed-release or enteric-coated form to protect the medication from stomach acid and facilitate absorption in the small intestine.
D) Incorrect. Taking PPIs right before bedtime is not necessary or recommended unless specifically prescribed by the healthcare provider.
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