A nurse is preparing to obtain a 24-hr urine collection from a client.Which of the following actions should the nurse plan to take?

Choice A rationale

Aluminum-containing antacids often cause constipation due to their effect on bowel motility, not diarrhea. They work by neutralizing stomach acid but can lead to decreased bowel movements.

Choice B rationale

Magnesium-containing antacids can cause diarrhea as a side effect. They work by neutralizing stomach acid, and the excess magnesium in the intestines can cause loose stools or diarrhea.

Choice C rationale

Antibiotics can cause diarrhea by disrupting the balance of normal gut bacteria. This disruption can lead to overgrowth of harmful bacteria, such as Clostridium difficile, which can cause diarrhea.

Choice D rationale

Anticholinergics/antispasmodics typically cause constipation rather than diarrhea. They inhibit the parasympathetic nervous system, which slows down gut motility.

Choice E rationale

Opioid narcotics can cause constipation because they slow down the movement of the intestines. They do this by binding to opioid receptors in the gut, which decreases peristalsis.

Choice A rationale

Clients should be instructed to hold their breath for about 10 seconds after inhalation, not 2 seconds. This allows the medication to reach deeper into the lungs.

Choice B rationale

The MDI canister should not be washed after each use. Instead, it should be cleaned regularly to ensure proper functioning and avoid medication buildup.

Choice C rationale

Clients should be instructed to inhale the medication slowly and deeply over a few seconds, rather than quickly for 1 second. This ensures proper delivery of the medication to the lungs.

Choice D rationale

Shaking the MDI prior to administration is essential. This action mixes the medication evenly, ensuring that the correct dose is delivered with each puff.