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

Answer and Explanation

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.

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

Explanation

A. "I should decrease my physical activity." Decreasing physical activity is not recommended as it can worsen constipation. Physical activity helps stimulate bowel movements, so this statement does not indicate proper understanding.
B. "I should increase fluid intake." Increasing fluid intake helps to soften the stool and promote bowel movements. Adequate hydration is essential in managing constipation, especially when taking opioids.
C. "I should only take a laxative when necessary." Taking a laxative only when necessary is a reasonable approach to managing constipation. Overuse of laxatives can lead to dependency and should be avoided. Using them judiciously can help manage symptoms effectively.
D. "I should increase fiber intake." Increasing dietary fiber can help to bulk up the stool and stimulate bowel movements, which is beneficial in preventing and treating constipation associated with opioid use.
E. "I should strain when I try to have a bowel movement." Straining during bowel movements is not recommended as it can lead to complications such as hemorrhoids or anal fissures. This statement indicates a misunderstanding of proper bowel habits.

A. Respiration B. Inspiration C. Expiration D. Perfusion

Correct Answer is D

Explanation

A. Respiration: Respiration refers to the overall process of gas exchange, including both external (between air and blood in the lungs) and internal (between blood and tissues) respiration. It does not specifically describe blood flow.
B. Inspiration: Inspiration is the process of inhaling air into the lungs. It involves the movement of air, not blood.
C. Expiration: Expiration is the process of exhaling air out of the lungs. Like inspiration, it involves the movement of air, not blood.
D. Perfusion: Perfusion refers to the flow of blood through the lungs' blood vessels, allowing for the exchange of gases with the alveoli. It is the correct term for blood flow through the lungs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)

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

Explanation

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Correct Answer is D

Explanation

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