The client reports to the nurse that their bowel movements are hard & difficult to pass. Which of the medications taken by the client most likely contributed to this problem? A/An:
antibiotic.
NSAID.
opioid.
decongestant.
The Correct Answer is C
A. antibiotic: While antibiotics can sometimes cause gastrointestinal side effects such as diarrhea or changes in bowel habits, they are not typically associated with causing hard or difficult-to-pass bowel movements.
B. NSAID (Nonsteroidal anti-inflammatory drug): NSAIDs can irritate the lining of the stomach and intestines, potentially leading to gastrointestinal side effects such as stomach upset, ulcers, or bleeding. However, they are not typically associated with causing hard or difficult-to-pass bowel movements.
C. opioid: Opioid medications, such as morphine, codeine, oxycodone, and hydrocodone, are well-known for causing constipation as a side effect. Opioids slow down the movement of stool through the intestines and can lead to decreased bowel motility and increased water absorption from the stool, resulting in hard, dry, and difficult-to-pass bowel movements.
D. decongestant: Decongestants are medications commonly used to relieve nasal congestion and sinus pressure. While decongestants can sometimes cause side effects such as dry mouth or urinary retention, they are not typically associated with causing hard or difficult-to-pass bowel movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I shouldn't take my vitamin D pill before the stool sample is collected." Vitamin D supplements are unlikely to interfere with the hemoccult test, as they typically do not contain substances that affect the detection of occult blood in the stool. Therefore, this statement does not demonstrate an understanding of factors relevant to the stool sample collection for the hemoccult test.
B. "I should take a laxative to help me pass my stool." Taking a laxative before collecting the stool sample is not recommended, as it can alter the consistency and composition of the stool, potentially affecting the accuracy of the hemoccult test. Laxatives may also cause diarrhea, leading to difficulty in collecting a sufficient sample. Therefore, this statement is incorrect and does not reflect effective teaching regarding stool sample collection for the hemoccult test.
C. "I must avoid drinking milk before collecting the stool sample." While certain dietary restrictions may be necessary for specific diagnostic tests, drinking milk is not typically prohibited before collecting a stool sample for a hemoccult test. Milk consumption is unlikely to interfere with the test results or the detection of occult blood in the stool. Therefore, this statement is not relevant to the hemoccult test and does not demonstrate understanding of appropriate preparation for the test.
D. "Any meat that I eat before I collect my stool sample must be fully cooked." This statement reflects an understanding of food safety and hygiene practices relevant to stool sample collection for the hemoccult test. Fully cooked meat reduces the risk of bacterial contamination in the stool sample, which could interfere with the accuracy of the test results. Therefore, this statement demonstrates effective teaching regarding the importance of food preparation in ensuring accurate test results for the hemoccult test.
Correct Answer is ["B","E"]
Explanation
A. Diarrhea: Diarrhea results in fluid loss from the body and is considered an insensible fluid loss rather than sensible fluid loss. Sensible fluid loss refers to measurable fluid losses such as urine output and sweating.
B. Urinary output: Urinary output represents sensible fluid loss as it is measurable and reflects the volume of fluid excreted by the kidneys. Monitoring urinary output is essential for assessing fluid balance in clients.
C. Profuse sweating: Profuse sweating results in sensible fluid loss as it is measurable and can lead to significant fluid depletion if not adequately replaced. Sweating is the body's mechanism for thermoregulation, and excessive sweating, such as during strenuous exercise or in hot environments, can result in notable fluid loss.
D. Vomiting: Vomiting results in fluid loss from the body and is considered an insensible fluid loss rather than sensible fluid loss. While vomiting leads to the expulsion of gastric contents and fluids, the volume of fluid loss is not easily measurable compared to urine output or sweating.
E. Increased respiratory effort: Increased respiratory effort, such as during heavy breathing or respiratory distress, can result in sensible fluid loss through exhalation. This loss occurs as water vapor is expelled from the lungs during respiration. Monitoring respiratory rate and effort can provide insights into fluid balance in clients, particularly in conditions such as respiratory infections or heart failure.
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