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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
C) Correct. Sucralfate (Carafate) forms a protective barrier over the ulcer, allowing it to heal. However, it can interact with antacids, reducing its effectiveness. Therefore, the client should avoid taking antacids within 30 minutes before or after sucralfate administration.
A) Incorrect. Sucralfate should be taken on an empty stomach, but this does not necessarily mean it needs to be taken in the morning before breakfast.
B) Incorrect. Sucralfate should be swallowed whole without chewing. Chewing the medication is not necessary and may interfere with its effectiveness.
D) Incorrect. Sucralfate can be taken multiple times a day, depending on the healthcare provider's instructions. It does not necessarily need to be taken at bedtime.
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