Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes the drug:

increases peristalsis to produce a bowel movement.

is incompatible with alcohol consumption.

should be avoided during pregnancy as it is teratogenic.

may lead to paralytic ileus.

Answer and Explanation

The Correct Answer is A

A. "Bisacodyl (Dulcolax) increases peristalsis to produce a bowel movement." - This is correct. Bisacodyl is a stimulant laxative that works by irritating the intestines, leading to increased peristalsis and bowel movements.

B. "Bisacodyl (Dulcolax) is incompatible with alcohol consumption." - There is no specific information suggesting incompatibility with alcohol. However, excessive alcohol consumption can contribute to constipation, and it's generally advisable to stay hydrated, which can be affected by alcohol intake.

C. "Bisacodyl (Dulcolax) should be avoided during pregnancy as it is teratogenic." - There is no strong evidence to suggest that bisacodyl is teratogenic. However, it is recommended to use laxatives cautiously during pregnancy and under the guidance of a healthcare provider.

D. "Bisacodyl (Dulcolax) may lead to paralytic ileus." - Paralytic ileus is not a common side effect of bisacodyl. However, it's important to use laxatives cautiously in individuals with a history of bowel obstruction or other gastrointestinal issues.

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Correct Answer is C

Explanation

A. A respiratory rate of 14

A respiratory rate of 14 is within the normal range and is not typically a reason to hold benztropine. Respiratory depression is not a common side effect of this medication.

B. A pulse of 102

A pulse rate of 102 is also within the normal range, and changes in heart rate are generally not a prominent side effect of benztropine. This finding alone is not a typical reason to hold the medication.

C. Blood pressure of 88/60 mmHg

This is the correct choice. Anticholinergic medications, like benztropine, can cause side effects such as a decrease in blood pressure. A blood pressure of 88/60 mmHg may be a concern, and the nurse should hold the dose and notify the physician.

D. A temperature of 100.2°F

An elevated temperature of 100.2°F is not a direct contraindication to benztropine administration. Fever is not a typical side effect of this medication, so an increased temperature alone is not a reason to hold the dose.

Correct Answer is ["100"]

Explanation

To calculate the infusion rate for gentamicin, the nurse needs to use the following formula:

infusion rate (mL/h) = volume (mL) x 60 / time (min).

Plugging in the given values, we get: infusion rate (mL/h) = 50 x 60 / 30 = 100.

Therefore, the nurse would program the electronic infusion pump at 100 mL/h.

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Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes the drug:

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Naxlex Comprehensive Predictor Exams

The nurse prepares to administer benztropine to the patient with Parkinson's Disease. The nurse holds the dose and notifies the physician based on which assessment finding?

Correct Answer is C

Explanation

Prescribed is 80 mg of gentamicin in 50 mL to infuse in 30 minutes. The nurse would program the electronic infusion pump at what rate?

Correct Answer is ["100"]

Explanation

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