Regular, long term use of laxatives may cause:

laxative dependence

stomach ulcers

reflux disease

laxative toxicity

Answer and Explanation

The Correct Answer is A

A. laxative dependence: Chronic use of stimulant laxatives can lead to the bowel becoming reliant on external stimulation for defecation. Over time, this weakens natural peristalsis and results in need for progressively stronger doses or continued use to maintain bowel movements.

B. stomach ulcers: Stomach ulcers are typically caused by factors such as Helicobacter pylori infection or NSAID overuse. Laxatives do not erode the gastric lining or contribute to ulcer formation as part of their mechanism of action.

C. reflux disease: Gastroesophageal reflux disease (GERD) results from lower esophageal sphincter dysfunction and is unrelated to laxative use. Laxatives affect the colon and rectum, not the upper gastrointestinal structures involved in reflux.

D. laxative toxicity: While laxative abuse can lead to electrolyte imbalances, especially hypokalemia, "laxative toxicity" is not a widely recognized or specific medical condition. The main clinical concern is dependence, not toxicity per se.

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Correct Answer is D

Explanation

A. sucralfate: Sucralfate is a gastrointestinal protectant used to treat and prevent ulcers by forming a barrier over damaged mucosa. It does not affect the vomiting center or chemoreceptor trigger zone and has no antiemetic properties.

B. bisacodyl: Bisacodyl is a stimulant laxative used to treat constipation by increasing peristalsis and fluid accumulation in the colon. It is not used for nausea or vomiting and has no action on the central nervous system.

C. omeprazole: Omeprazole is a proton pump inhibitor that decreases gastric acid secretion. It is used to manage GERD and peptic ulcers but has no antiemetic effects or influence on the chemoreceptor trigger zone.

D. prochlorperazine: Prochlorperazine is a phenothiazine antiemetic that works by blocking dopamine receptors in the chemoreceptor trigger zone. It is frequently used to manage nausea, vomiting, and vertigo.

A. diazole oral B. glyburide oral C. glucagon intravenous injection D. insulin subcutaneous injection

Correct Answer is C

Explanation

A. diazole oral: There is no widely used hypoglycemia treatment called "diazole."

B. glyburide oral: Glyburide is an oral hypoglycemic agent used to lower blood glucose in clients with type 2 diabetes. Administering it during a hypoglycemic crisis would worsen the condition by further reducing glucose levels.

C. glucagon intravenous injection: Glucagon stimulates glycogen breakdown in the liver, raising blood glucose levels rapidly. For a glucose level as low as 19 mg/dL, immediate IV administration is warranted when IV dextrose is unavailable or if rapid response is needed in an unconscious patient.

D. insulin subcutaneous injection: Insulin administration in a hypoglycemic patient would exacerbate the condition, potentially leading to seizures, coma, or death. Insulin is contraindicated in hypoglycemia and should never be given in such a situation.

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Regular, long term use of laxatives may cause:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medications is an antiemetic agent?

Correct Answer is D

Explanation

A client is brought to the emergency department with hypoglycemia blood glucose level of 19 mg/dL. What drug should the nurse prepare to administer intravenously?

Correct Answer is C

Explanation

The nurse administers metoclopramide to the client with what condition?

A client with a history of peptic ulcer disease has responded well to treatment with a histamine-2 antagonist. What effect will this nurse explain to the client this drug has?

When caring for a client who has been diagnosed with a peptic ulcer, the nurse administers omeprazole and amoxicillin. What diagnostic finding indicates therapeutic effects of this drug regimen?

The nurse admits a client who reports taken a proton pump inhibitor for more than a decade. What question will the nurse ask this client?

A client has not responded to conservative treatment for nausea and vomiting as has subsequently been prescribed dronabinol. In addition to monitoring the client's nausea, the nurse should prioritize what assessment after administering the drug?

One therapeutic indication for Histamine-2 Antagonists is:

The nurse is teaching a client about metoclopramide (Reglan) therapy. Which client statement indicates to the nurse that the client has a correct understanding of the therapy?

The nurse suspects the client diagnosed with diabetes may be having a hypoglycemic reaction when what symptom is assessed?