Exhibits

Review H and P. nurse's notes, flow sheet and orders.

Click to mark whether the assessment findings represent the therapeutic result of the bisacodyl administered a non-therapeutic side effect, or an unrelated finding. Each row must have at least one option selected.

Non-blanchable red area

Pain rating 2 on pain scale of 0 to 10

Semifluid stool

Burning sensation

Sinus tachycardia

Itching in legs

Blood pressure 135/81 mm Hg

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"C"}}

• Non-blanchable red area: This indicates a stage 1 pressure injury caused by prolonged pressure, often seen in immobile patients like this client in Buck’s traction. It is unrelated to bisacodyl, which primarily affects bowel motility and has no direct impact on skin integrity or pressure injury development.

• Pain rating 2 on pain scale of 0 to 10: The reduced pain rating suggests effective pain control, possibly from morphine and ibuprofen administration. While bisacodyl does not directly relieve pain, resolving constipation and bowel discomfort can contribute to overall comfort, marking this as a therapeutic result.

• Semifluid stool: Bisacodyl is a stimulant laxative that increases bowel motility and softens stool. The semifluid stool observed is a direct therapeutic effect indicating that the medication is working to relieve constipation and promote regular bowel movements.

• Burning sensation: The burning sensation reported near the anus likely results from irritation caused by the bisacodyl suppository or frequent bowel movements. This is a common non-therapeutic side effect of stimulant laxatives and local mucosal irritation.

• Sinus tachycardia: Sinus tachycardia is commonly caused by pain, anxiety, fever, or stress from trauma, none of which are related to bisacodyl use. Therefore, it is an unrelated finding in this clinical context.

• Itching in legs: The itching reported in the legs is likely related to skin dryness, immobility, or local irritation and has no connection to bisacodyl therapy.

• Blood pressure 135/81 mm Hg: The blood pressure reading is slightly elevated but within a normal range for many adults. There is no direct association with bisacodyl administration, so this is considered an unrelated finding.

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Correct Answer is C

Explanation

A. Increases the strength of the urine stream: Probenecid does not affect urinary flow or muscle strength related to urination; it primarily targets uric acid metabolism, not urinary stream strength.

B. Decreases pain and burning during urination: This medication does not have analgesic or anti-inflammatory properties to relieve dysuria symptoms; its action is specific to uric acid excretion.

C. Promotes excretion of uric acid in the urine: Probenecid works by inhibiting renal tubular reabsorption of uric acid, increasing its elimination through urine, thereby lowering serum uric acid levels and helping prevent gout attacks.

D. Prevents the formation of kidney stones: While reducing uric acid levels can help decrease uric acid stone formation, probenecid’s primary role is to increase uric acid excretion rather than directly prevent all types of kidney stones.

A. Notify the healthcare provider (HCP) that the client may need a change in dosage. B. Confirm that the client is taking the medication one hour after meals. C. Auscultate the client's bowel sounds and measure the abdominal girth. D. Advise the client that healing typically takes several weeks to occur.

Correct Answer is D

Explanation

A. Notify the healthcare provider (HCP) that the client may need a change in dosage: Contacting the HCP for a dosage change after only one week of therapy is premature. PPIs like lansoprazole often require several weeks to achieve full therapeutic effect.

B. Confirm that the client is taking the medication one hour after meals: Lansoprazole is most effective when taken before meals. Confirming post-meal intake may identify a timing error, but this alone would not explain minimal improvement in only one week of treatment.

C. Auscultate the client's bowel sounds and measure the abdominal girth: These assessments are appropriate when evaluating for gastrointestinal motility issues, obstruction, or abdominal distention. They do not address the expected treatment timeline or medication response.

D. Advise the client that healing typically takes several weeks to occur: Proton pump inhibitors require continuous use over weeks to allow adequate mucosal healing and symptom relief in erosive esophagitis. Providing reassurance about the normal timeline for improvement supports adherence and prevents premature discontinuation.

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Exhibits Review H and P. nurse's notes, flow sheet and orders. Click to mark whether the assessment findings represent the therapeutic result of the bisacodyl administered a non-therapeutic side effect, or an unrelated finding. Each row must have at least one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing instructions about a client's new medications: How should the nurse explain the purpose of probenecid, a uricosuric drug?

Correct Answer is C

Explanation

A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD), reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Correct Answer is D

Explanation

The nurse determines that a client has been taking antidepressants for the past six months. Which symptoms are common effects of this medication classification?

The nurse is caring for a client with type 2 diabetes mellitus who is taking liraglutide. Which problem(s) in the client's history may increase the risk for development of pancreatitis? Select all that apply.

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Exhibits Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected.

A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?

Exhibits

Review H and P. nurse's notes, flow sheet and orders.

Click to mark whether the assessment findings represent the therapeutic result of the bisacodyl administered a non-therapeutic side effect, or an unrelated finding. Each row must have at least one option selected.