A patient taking magnesium citrate as an osmotic laxative reports abdominal cramping and diarrhea. What should the nurse recommend?

Increase fluid intake

Continue the medication; these are expected side effects

Discontinue the medication and consult a healthcare provider

Switch to a different type of laxative

Answer and Explanation

The Correct Answer is B

A. Increasing fluid intake may not alleviate the cramping and diarrhea, which are common side effects of magnesium citrate.

B. Abdominal cramping and diarrhea are expected side effects of magnesium citrate, and the patient can continue the medication unless symptoms become severe.

C. Discontinuing the medication should not be recommended unless the side effects are intolerable or the patient experiences severe reactions.

D. Switching to a different type of laxative is unnecessary unless the patient has contraindications to magnesium citrate or develops severe side effects.

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Free Nursing Study Resources

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

Explanation

A. Sit up comfortably in the bed is incorrect; the client should be in an upright position, which can be done while sitting up comfortably, but it’s essential to emphasize a more upright posture for optimal administration.

B. Tilt the head slightly to the side is correct; this position helps facilitate the delivery of the medication into the nasal passages.

C. Insert the tip of the nose piece into one nostril is correct; proper insertion ensures effective delivery of the medication.

D. Hold the breath for a few seconds after administering the spray is correct; this allows the medication to be absorbed more effectively.

E. Blow the nose 1 minute after administering the spray is incorrect; clients should avoid blowing their nose immediately after use to allow for proper absorption of the medication.

A. Constricted pupils B. Warm, dry skin C. Increased heart rate D. Decreased urine output

Correct Answer is C

Explanation

A. Constricted pupils are not an expected response to isoproterenol, which generally causes dilation of the pupils due to sympathetic stimulation.

B. Warm, dry skin is not a direct indicator of the effectiveness of isoproterenol; it could result from various factors unrelated to the medication's action.

C. Increased heart rate indicates that isoproterenol, which is a beta-agonist, is effectively stimulating the beta-adrenergic receptors, leading to increased cardiac output and heart rate.

D. Decreased urine output is not a sign of effectiveness and could indicate adverse effects such as reduced renal perfusion.

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A patient taking magnesium citrate as an osmotic laxative reports abdominal cramping and diarrhea. What should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? (Select all that apply.)

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

Explanation

The nurse provides a client with a dose of the beta-selective adrenergic agonist isoproterenol. Which assessment finding indicates the medication is effective?

Correct Answer is C

Explanation

The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)

What is the major reason that monoamine oxidase inhibitors (MAOIs) are rarely used in clinical practice today?

A patient is prescribed long-acting insulin (glargine) for basal control of blood glucose. Which statement by the nurse is correct when educating the patient?

When monitoring a patient on heparin therapy, what laboratory test is used to assess the effectiveness of the medication?

A patient has been prescribed oral tetracycline for the treatment of acne. Which of the following must the nurse include in the patient teaching plan?

A nurse is caring for a patient who is receiving both short-acting and intermediate-acting insulin. The nurse should understand that:

A client has been prescribed an oral drug that is known to have a high first-pass effect. Which measure has the potential to increase the amount of the free drug that is available to body cells?

The nurse is caring for a client taking fluoxetine for depression. Which assessment findings indicate that the medication is effective? (Select all that apply.)