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 C
Explanation
A. bronchi: The bronchi are air passages that conduct air into the lungs. They branch into smaller tubes (bronchioles) but are not involved in the actual gas exchange process.
B. nasal passages: The nasal passages filter, warm, and humidify incoming air. They are involved in air preparation but not in the exchange of gases.
C. alveoli: The alveoli are tiny sacs within the lungs where oxygen and carbon dioxide are exchanged between the air and blood. This is the primary site for gas exchange in the respiratory system.
D. larynx: The larynx, or voice box, is involved in sound production and protecting the airway during swallowing. It is not involved in gas exchange.
Correct Answer is ["A","C","D","E"]
Explanation
A. Headache. Headache is a common adverse effect of ondansetron.
B. Hyperglycemia: Hyperglycemia is not typically associated with ondansetron.
C. Constipation. Constipation is a known side effect of ondansetron.
D. Prolonged QT interval: Ondansetron can cause prolongation of the QT interval, which can lead to serious cardiac arrhythmias.
E. Diarrhea: This is correct. Diarrhea can also occur as an adverse effect of ondansetron.
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