A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

"Irregular bowel movements are an indication of poor intestinal health."

"Decrease your intake of foods high in fiber."

"Excessive laxative use may cause an electrolyte imbalance."

"Chronic use of laxatives can lead to a tear in the rectal mucosa."

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement is not directly related to the client's use of bisacodyl tablets. It addresses irregular bowel movements in a general sense.

Choice B reason:

Decreasing fiber intake is not a recommended approach, especially for an older adult who may benefit from a balanced diet with adequate fiber.

Choice C reason:

This is the correct answer. Excessive use of laxatives, including bisacodyl, can lead to electrolyte imbalances. Bisacodyl is a stimulant laxative that can cause excessive fluid loss and potentially

disrupt electrolyte levels.

Choice D reason:

While chronic use of laxatives can lead to various complications, including potential harm to the rectal mucosa, this choice is not the most appropriate response to the client's current situation.

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Correct Answer is C

Explanation

Choice A reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

Choice B reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

Choice C reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

Choice D reason:

McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus

A. Chronic gastritis B. Atelectasis C. Pneumonia D. Malignant hyperthermia E. Metabolic imbalances

Correct Answer is ["B","C","E"]

Explanation

Choice A reason:

Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.

Choice B reason:

Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.

Choice C reason:

Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.

Choice D reason:

Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery.

Choice E reason:

Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.

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A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is C

Explanation

A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

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