A nurse is planning care for a child who has constipation-predominant irritable bowel syndrome (IBS-C). Which of the following actions should the nurse anticipate?

Administer daily omeprazole.

Offer PRN loperamide.

Provide a diet high in fiber.

Restrict fluid intake.

Answer and Explanation

The Correct Answer is C

Choice A reason: Omeprazole is a proton pump inhibitor used to treat gastroesophageal reflux disease (GERD) and peptic ulcer disease. It has no therapeutic role in managing IBS-C. Therefore, this option is incorrect.

Choice B reason: Loperamide is an antidiarrheal medication used to treat diarrhea-predominant IBS (IBS-D). It is not appropriate for constipation-predominant IBS, as it would worsen constipation. This option is incorrect.

Choice C reason: A diet high in fiber is the mainstay of treatment for IBS-C. Fiber increases stool bulk, promotes bowel motility, and helps relieve constipation. This is the correct answer because it directly addresses the underlying problem of constipation in IBS-C.

Choice D reason: Restricting fluid intake would worsen constipation by reducing stool softening and bowel motility. Adequate hydration is essential for managing constipation. Therefore, this option is incorrect.

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Correct Answer is A

Explanation

Choice A reason: A fetal heart rate of 152/min at 28 weeks gestation is within the normal range of 110–160 beats per minute. This is an expected finding and indicates adequate fetal oxygenation and well-being.

Choice B reason: Absence of fetal movement for 8 hours is concerning and not expected. At 28 weeks, fetal movement should be felt regularly. Lack of movement may indicate fetal distress or compromise and requires immediate evaluation.

Choice C reason: Cramping and pelvic pressure at 28 weeks may indicate preterm labor. These are not expected findings and should be promptly reported and assessed to prevent complications.

Choice D reason: A patellar reflex of 4+ indicates hyperreflexia, which is abnormal and may suggest preeclampsia or other neurologic complications. Normal reflexes are 2+. Therefore, this is not an expected finding.

A. Check the client's skin after 15 min. B. Apply ice directly on the client's skin. C. Tell the client ice therapy will increase blood flow. D. Apply heat after 30 min of ice therapy.

Correct Answer is A

Explanation

Choice A reason: Checking the skin after 15 minutes is appropriate to prevent tissue injury such as frostbite. Ice therapy should be monitored closely to ensure safety and effectiveness.

Choice B reason: Applying ice directly to the skin is unsafe because it can cause frostbite and tissue damage. Ice should always be wrapped in a barrier such as a towel.

Choice C reason: Ice therapy decreases blood flow by causing vasoconstriction, which reduces swelling and inflammation. Saying it increases blood flow is incorrect.

Choice D reason: Heat therapy should not immediately follow ice therapy. Heat increases blood flow and swelling, which is contraindicated in the acute phase of injury.

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A nurse is planning care for a child who has constipation-predominant irritable bowel syndrome (IBS-C). Which of the following actions should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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