A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?

15 mg

20 mg

10 mg

2.5 mg

Answer and Explanation

The Correct Answer is B

A. 15 mg: This calculation is incorrect because it underestimates the total daily dosage.
B. 20 mg: This calculation is correct. Here’s the breakdown: Each dose is 10 mL (which contains 5 mg), given four times a day. Thus, 5 mg per dose × 4 doses = 20 mg daily.
C. 10 mg: This calculation is incorrect as it only accounts for two doses rather than four daily doses.
D. 2.5 mg: This calculation is incorrect because it represents the dosage per 5 mL (1 teaspoon), not the total daily dosage.

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Correct Answer is A

Explanation

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.

A. Fine rales B. Pleural friction rub C. Expiratory wheeze D. Rhonchi

Correct Answer is C

Explanation

A. Fine rales: Fine rales are more indicative of fluid in the lungs, such as in heart failure, and are not typical in asthma exacerbations.
B. Pleural friction rub: Pleural friction rub is associated with pleuritis or inflammation of the pleura, not asthma.
C. Expiratory wheeze: Expiratory wheezing is a classic sign of asthma, caused by narrowed airways and airflow obstruction during expiration.
D. Rhonchi: Rhonchi are usually related to secretions or obstructions in the larger airways and are less specific to asthma.

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A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A patient has been experiencing acute diarrhea. In order to control this condition, the healthcare provider initially orders Lomotil 10 ml (2 teaspoons), four times a day. Every 5 mL (1 teaspoon) contains 2.5 mg of medication. How many milligrams of medication will the patient receive a day?