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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["75"]
Explanation
To calculate the rate of IV infusion, the nurse should divide the volume of fluid by the time in hours.
In this case, 750 mL divided by 10 hours equals 75 mL per hour.
Therefore, the nurse should program the IV infusion pump for 75 mL per hour.
Correct Answer is A
Explanation
A. The importance of consuming adequate amounts of water
When instructing a patient who will take psyllium (Metamucil) to treat constipation, it is crucial to emphasize the importance of consuming adequate amounts of water. Psyllium is a bulk-forming laxative that works by absorbing water in the intestines, forming a gel-like mass that helps soften stools and promote bowel movements. Without sufficient water intake, psyllium may cause an obstruction or worsen constipation.
B. The need to monitor for systemic side effects.
Psyllium is generally well-tolerated and is not associated with significant systemic side effects. The primary consideration is ensuring proper hydration.
C. The onset of action of 30-60 minutes after administration.
Psyllium is not a fast-acting laxative. It usually takes a longer time to produce its effects, and patients should not expect an immediate response within 30-60 minutes.
D. The need to use the dry form of psyllium to prevent cramping.
Using the dry form of psyllium is not recommended, as it may increase the risk of choking or swallowing difficulties. It is typically recommended to mix psyllium with a sufficient amount of water or other liquids to prevent cramping and ensure proper absorption.
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