A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?
Laxatives are contraindicated in clients who have a small bowel obstruction.
An osmotic laxative, such as magnesium citrate, should be substituted in this client
The prescribed medication should be administered via NG route rather than the oral route for this client.
Bulk-forming laxatives such as psyllium should be substituted for this client
The Correct Answer is A
A. Laxatives are contraindicated in clients who have a small bowel obstruction: This is the correct answer. Laxatives like senna are contraindicated in the presence of a bowel obstruction as they can increase peristalsis and pressure in the bowel, leading to complications such as perforation.
B. An osmotic laxative, such as magnesium citrate, should be substituted in this client: This is incorrect. Osmotic laxatives are also contraindicated in bowel obstruction because they can draw water into the bowel and worsen the obstruction or cause severe complications.
C. The prescribed medication should be administered via NG route rather than the oral route for this client: This is incorrect. Administering any form of laxative via the NG route does not address the contraindication in bowel obstruction and is not a safe practice in this context.
D. Bulk-forming laxatives such as psyllium should be substituted for this client: This is incorrect. Bulk-forming laxatives are also contraindicated in bowel obstruction due to the risk of worsening the obstruction and causing complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Take the medication at least 2 hours prior to meals: This is incorrect because pancrelipase should be taken with meals to aid digestion.
B. Take the medication with meals: Pancrelipase must be taken with meals to facilitate digestion of nutrients in the food.
C. Decrease fluid intake: Fluid intake should not be decreased; adequate hydration is important.
D. Increase dosing with a large meal: Dosing should generally be consistent and based on a healthcare provider’s guidance, not arbitrarily increased.
Correct Answer is A
Explanation
A. Replacement therapy with pancreatic enzymes: Pancreatic insufficiency results in a lack of digestive enzymes, leading to malabsorption of nutrients. Enzyme replacement therapy is essential to aid in digestion and nutrient absorption.
B. Treatment with stimulant laxatives: Stimulant laxatives are used to treat constipation by increasing bowel motility. They do not address the underlying enzyme deficiency in pancreatic insufficiency and can potentially cause further nutrient loss.
C. Treatment with PPIs to decrease stomach acid: Proton pump inhibitors (PPIs) reduce stomach acid production and are used for conditions like GERD. They do not address the enzyme deficiency caused by pancreatic insufficiency.
D. Decrease food intake: Reducing food intake does not treat pancreatic insufficiency and can lead to malnutrition. The goal is to support normal digestion and nutrient absorption through enzyme replacement.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.