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

Explanation

A. Proton-pump inhibitors: While proton-pump inhibitors (PPIs) help reduce stomach acid and promote ulcer healing, they do not eradicate H. pylori on their own. They are used in combination with antibiotics to treat H. pylori infection.
B. Antibiotics: This is the correct answer. H. pylori is a bacterial infection, and antibiotics are required to eradicate the bacteria. Common regimens include combinations of two or more antibiotics to prevent resistance.
C. H2-receptor blockers: H2-receptor blockers reduce stomach acid but do not eradicate H. pylori. They are supportive treatments to reduce symptoms and promote healing alongside antibiotic therapy.
D. Antacids: Antacids provide symptomatic relief by neutralizing stomach acid but do not treat the underlying H. pylori infection or promote long-term healing of ulcers.

Correct Answer is ["40"]

Explanation

Available solution: 5 mg/5 mL

Dosage required: 40 mg

To find out how many milliliters to administer, use the formula:

Volume(mL)= Doserequired(mg) ÷ Concentration(mg/mL)

Concentration=5mg÷5mL=1mg/mL

Volume(mL)=40mg÷1mg/mL=40mL

Therefore, the nurse should administer 40 mL.

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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

An ulcer caused by H. pylori can be successfully treated with which classification of drugs?

Correct Answer is B

Explanation

A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone oral solution 5 mg/5 mL. How many ml. should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["40"]

Explanation

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