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 ["A","B","E"]

Explanation

A. Avoiding hot, spicy foods

Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.

B. Avoiding tobacco products

Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.

C. Drinking a glass of red wine with dinner

While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.

D. Eating a snack before bedtime

Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.

E. Using a small pillow for sleeping

Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.

Correct Answer is ["3"]

Explanation

To calculate the dosage of furosemide (Lasix), a diuretic medication, you need to divide the ordered amount by the tablet strength.

In this case, the ordered amount is 120 mg and the tablet strength is 40 mg.

Therefore, you need to divide 120 by 40, which gives you 3.

This means you would administer 3 tablets of furosemide (Lasix) to the patient.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

The physician writes an order for furosemide (Lasix) 120 mg. Each table contains 40 mg. How many tablets would you administer?

Correct Answer is ["3"]

Explanation

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