Patient Data

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

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

Non-blanchable red area

Pain rating 2 on pain scale of 0 to 10

Sinus tachycardia

Itching in legs

Blood pressure 135/81 mm Hg

Semifluid stool

Burning sensation

Answer and Explanation

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

Therapeutic Result:

Semifluid stool

Non-therapeutic Side Effect:

Non-blanchable red area
Sinus tachycardia
Burning sensation

Unrelated Finding:

Pain rating 2 on pain scale of 0 to 10
Itching in legs
Blood pressure 135/81 mm Hg

Rationale:

Non-blanchable red area: A non-blanchable red area indicates localized skin damage and early pressure injury. It likely results from immobility and pressure near the buttock area, especially in a client on strict bedrest, rather than an effect of bisacodyl.
Pain rating 2 on pain scale of 0 to 10: The lower pain rating reflects effective pain management after receiving analgesics. It is a measure of comfort but not directly influenced by the administration of bisacodyl, which targets bowel function.
Sinus tachycardia: Sinus tachycardia can occur due to pain, stress, mild dehydration from increased bowel activity, or systemic response to immobility. It is not a typical response to bisacodyl use and requires further clinical monitoring.
Itching in legs: Itching is most likely related to nerve irritation, healing wounds, or dry skin from immobility rather than gastrointestinal effects. Bisacodyl does not commonly cause peripheral itching.
Blood pressure 135/81 mm Hg: Blood pressure is within a stable range and reflects the client’s cardiovascular status. It is not directly connected to bisacodyl administration or its gastrointestinal actions.
Semifluid stool: The semifluid stool is the intended therapeutic effect of bisacodyl, which stimulates peristalsis to promote bowel movement. This outcome shows the medication worked appropriately for constipation management.
Burning sensation: The burning sensation around the anus is a known side effect of rectal bisacodyl administration. Local irritation of the rectal mucosa can occur after suppository use, especially with frequent bowel movements.

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Correct Answer is A

Explanation

A. Calcium 13.0 mg/dL (3.3 mmol/L): Alendronate is used to inhibit bone resorption and is typically prescribed when calcium levels are normal. A high calcium level suggests hypercalcemia, which could worsen if alendronate is given. Therefore, the medication should be withheld, and the healthcare provider must be notified for further evaluation.

B. Magnesium 2.4 mEq/L (2.4 mmol/L): This magnesium level is slightly elevated but is not critically abnormal. Magnesium levels are not a primary consideration when deciding whether to administer alendronate, and this finding alone would not necessitate withholding the medication.

C. Potassium 5.2 mEq/L (5.2 mmol/L): Mild hyperkalemia is noted here, but potassium levels do not directly impact the safety or effectiveness of alendronate. The nurse should monitor it but does not need to withhold alendronate based on this finding.

D. Sodium 132 mEq/L (132 mmol/L): This value indicates mild hyponatremia, but sodium abnormalities are not a direct contraindication to alendronate therapy. The medication could still be administered while addressing the sodium imbalance separately.

A. Consume foods that are high in iodine. B. Administer levothyroxine at bed time. C. Take medication on an empty stomach. D. Avoid the use of iron supplements.

Correct Answer is C

Explanation

A. Consume foods that are high in iodine: While iodine is necessary for thyroid function, levothyroxine therapy is aimed at directly replacing thyroid hormone. Excessive iodine intake can potentially disrupt thyroid hormone balance, so encouraging high iodine consumption is not the primary focus when educating about levothyroxine use.

B. Administer levothyroxine at bed time: Levothyroxine is best absorbed when taken in the morning on an empty stomach, ideally 30 to 60 minutes before breakfast. Taking it at bedtime could reduce its absorption if the stomach is not empty or if it interacts with food or other nighttime medications.

C. Take medication on an empty stomach: Levothyroxine absorption is significantly improved when the medication is taken on an empty stomach, separated from food and other medications by at least 30 to 60 minutes. This practice ensures optimal therapeutic effects and maintains stable thyroid hormone levels.

D. Avoid the use of iron supplements: While iron supplements can interfere with the absorption of levothyroxine, the instruction is not necessarily to avoid them altogether, but rather to separate their administration by several hours (usually 4 hours) from the levothyroxine dose to ensure proper absorption of both.

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Patient Data Review H and P, nurse's notes, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse education was effective?

Correct Answer is C

Explanation

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?

Patient Data Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?

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

A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

Patient Data Which other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.

Patient Data

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

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