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Mark whether the assessment finding represents a therapeutic result of the Bisacodyl administered, a non therapeutic side-effect, or an unrelated finding.

Pain rating 2/10

Non-blanchable red area

Blood pressure 135/81 mmHg

Sinus tachycardia

Itching in legs

Semifluid stool

Burning sensation .

Answer and Explanation

Correct Answer : F

Choice A rationale

A pain rating of 2/10 is not directly related to the therapeutic effect of Bisacodyl. Bisacodyl is a stimulant laxative used to treat constipation, and its effectiveness would not typically be measured by pain ratings20.

Choice B rationale

A non-blanchable red area could be a sign of a pressure ulcer or other skin condition. It is not a therapeutic result of Bisacodyl administration20.

Choice C rationale

Blood pressure of 135/81 mmHg is a normal reading and is not directly related to the therapeutic effect of Bisacodyl20.

Choice D rationale

Sinus tachycardia, or a faster-than-normal heart rate, is not a therapeutic result of Bisacodyl administration. If a patient experiences sinus tachycardia while taking Bisacodyl, they should seek medical attention20.

Choice E rationale

Itching in legs is not a therapeutic result of Bisacodyl administration. It could be a sign of an allergic reaction or other medical condition20.

Choice F rationale

Semifluid stool is the correct answer. Bisacodyl is a stimulant laxative that works by increasing activity in the intestines to cause a bowel movement. Therefore, the production of semifluid stool can be considered a therapeutic result of Bisacodyl administration20.

Choice G rationale

A burning sensation is not a therapeutic result of Bisacodyl administration. If a patient experiences a burning sensation while taking Bisacodyl, they should seek medical attention20.

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Correct Answer is A

Explanation

Choice A rationale
If a patient’s pain level remains high despite receiving regular doses of fentanyl, it may indicate
that the current dose is insufficient. The PN should report this to the healthcare provider, who
may decide to increase the dose.
Choice B rationale
While it’s important to continue monitoring the patient and assessing the pain level, this alone
may not be sufficient if the patient’s pain remains uncontrolled.
Choice C rationale
Non-pharmacological methods of pain control can be beneficial, but they are typically used in
conjunction with medication, not as a replacement for it when the pain level is high.
Choice D rationale
Informing the patient about the potential addictiveness of the medication is important, but it’s
not the most appropriate action to take in response to uncontrolled pain.

A. Attach the patient to a continuous cardiac monitor. B. Place an indwelling urinary catheter. C. Administer a fluid bolus. D. Draw a basic metabolic panel (BMP). E. Take the patient’s temperature. F. Prepare for cardioversion. G. Administer an extra dose of furosemide.

Correct Answer is ["A","C","E","G"]

Explanation

Attaching the patient to a continuous cardiac monitor is crucial in this situation. It allows for real-time monitoring of the patient’s heart rate and rhythm, providing valuable information about the patient’s cardiovascular status.

Choice C rationale

Administering a fluid bolus can be beneficial in certain situations. It can help increase the patient’s blood volume, which can improve blood pressure and organ perfusion. This is particularly important if the patient is showing signs of hypovolemia or shock.

Choice F rationale

Preparing for cardioversion is another important step. Cardioversion is a medical procedure that restores a normal heart rhythm in people with certain types of abnormal heartbeats (arrhythmias). It’s usually done by sending electric shocks to your heart through electrodes placed on your chest.

Choice G rationale

Administering an extra dose of furosemide can be helpful. Furosemide is a type of medicine called a diuretic. It’s used to treat high blood pressure, heart failure and oedema (a build up of fluid in the body). It’s also sometimes used to help you pee when your kidneys aren’t working properly.

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Mark whether the assessment finding represents a therapeutic result of the Bisacodyl administered, a non therapeutic side-effect, or an unrelated finding.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is managing a patient who is receiving fentanyl subcutaneously (SubQ) every hour for pain control. The patient’s pain level remains at 8 on a 10-point scale. What is the most appropriate action for the PN to take?

Correct Answer is A

Explanation

Based on the patient’s status at 1600, what should the Practical Nurse (PN) prepare to do immediately? Select all that apply.

Correct Answer is ["A","C","E","G"]

Explanation

Choice C rationale

Choice F rationale

Choice G rationale

The practical nurse (PN) is preparing to administer a scheduled dose of benztropine to a client with Parkinson’s disease. The client reports having a very dry mouth. Which action should the PN take?

A patient with an overactive bladder has recently started taking oxybutynin. What observation should the practical nurse (PN) report to the charge nurse during the patient’s assessment prior to administering the medication?

The Practical Nurse (PN) is preparing to administer carbidopa-levodopa to a patient with Parkinson’s disease. Which patient finding requires further assessment before administering the medication?

A client with a history of long-term administration of ibuprofen receives a prescription for misoprostol. Which finding indicates to the practical nurse (PN) that the medication was effective?

The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes. Which action should the PN take?

A client with diabetic peripheral neuropathy receives a new prescription for pregabalin. To assess the effectiveness of the medication, which action should the practical nurse (PN) include when assessing the client’s feet?

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?