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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Use open-ended questions to find out about the sensation: While open-ended questions can help the nurse gather information about the nature and quality of the pain, they may not provide a precise measure of pain intensity. Open-ended questions are valuable for understanding the client's subjective experience of pain, but they may not be as effective as using a pain scale for quantifying pain intensity.

B. Offer the client a pain scale to quantify the current level of pain: This is the most appropriate action for assessing pain intensity. Pain scales, such as the Numeric Rating Scale (NRS) or Visual Analog Scale (VAS), allow clients to indicate their pain intensity on a scale from 0 to 10 or by marking a point along a continuum. Pain scales provide a standardized method for quantifying pain intensity, which helps healthcare providers monitor changes in pain over time and assess the effectiveness of pain management interventions.

C. Question the client about the location of the pain: While identifying the location of pain is important for understanding its source and potential underlying causes, it does not directly assess pain intensity. Location is one aspect of pain assessment but does not provide a complete picture of pain intensity on its own.

D. Ask about what precipitates the pain: Understanding what precipitates or exacerbates pain is important for comprehensive pain assessment, but it focuses more on pain triggers rather than pain intensity. While this information can be valuable for developing a holistic pain management plan, it does not directly assess the current level of pain intensity.

A. quickly resuming the client's normal food intake. B. requesting a prescription for an antidiarrheal drug from the provider. C. encouraging easily digestible foods when the diarrhea stops. D. limiting the client's fluid intake to about 1000 mL/day.

Correct Answer is ["B","C"]

Explanation

A. Quickly resuming the client's normal food intake: This is not recommended, as the client's gastrointestinal system needs time to recover from food poisoning. Resuming normal food intake too quickly may exacerbate symptoms or prolong recovery. It's essential to give the gastrointestinal system time to heal and gradually reintroduce foods as tolerated.

Answer: B. Requesting a prescription for an antidiarrheal drug from the provider.

C. Encouraging easily digestible foods when the diarrhea stops.

Rationale:

When caring for a client with profuse diarrhea from food poisoning, the nurse's interventions should focus on managing symptoms, preventing dehydration, and promoting recovery. Options B and C are appropriate nursing interventions for this scenario:

B. Requesting a prescription for an antidiarrheal drug from the provider: Antidiarrheal medications such as loperamide (Imodium) may be prescribed to help control diarrhea and reduce fluid loss. These medications work by slowing down bowel motility and can provide symptomatic relief, particularly for clients with profuse diarrhea from food poisoning. However, the use of antidiarrheal drugs should be guided by a healthcare provider's prescription to ensure appropriate dosing and monitoring, especially considering individual client factors and potential contraindications.

C. Encouraging easily digestible foods when the diarrhea stops: This is the correct option. Once the diarrhea subsides, it is appropriate to encourage the client to gradually reintroduce easily digestible foods. These foods are gentle on the digestive system and help prevent further irritation or upset. Examples of easily digestible foods include bananas, rice, applesauce, toast (BRAT diet), boiled potatoes, boiled chicken, and clear broths.

D. Limiting the client's fluid intake to about 1000 mL/day: Fluid intake should be encouraged rather than limited, especially in cases of profuse diarrhea. Diarrhea can lead to significant fluid loss and dehydration, so it's crucial to ensure adequate hydration. The client should be encouraged to drink clear fluids such as water, electrolyte solutions, and herbal teas to replace lost fluids and electrolytes.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is ["B","C"]

Explanation

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