The nurse is caring for a client in the medical-surgical unit.
The nurse is considering administering a medication for the client's concern of constipation. Which of the following medication is indicated for constipation? Select the best option from the drop-down list to best answer the question.
Digoxin
Sildenafil
Lactulose
Spironolactone
The Correct Answer is C
A. Digoxin: This medication is used for heart failure and atrial fibrillation, not for constipation.
B. Sildenafil: This medication is used to treat erectile dysfunction, not constipation.
C. Lactulose: Lactulose is an osmotic laxative commonly used to treat constipation. It works by drawing water into the stool to make bowel movements easier.
D. Spironolactone: Spironolactone is a potassium-sparing diuretic used to treat heart failure and fluid retention, not constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The first-pass effect refers to the metabolism of a drug in the liver before it reaches systemic circulation. This primarily affects oral medications, as they are absorbed through the gastrointestinal tract and first pass through the liver.
B. Intravenous (IV) drugs bypass the first-pass effect as they are directly introduced into the bloodstream.
C. Intramuscular (IM) and D. Subcutaneous (SC) routes also bypass the first-pass effect since the drug enters the bloodstream without passing through the liver initially.
Correct Answer is B
Explanation
A. Metformin is an oral medication used to manage blood glucose in type 2 diabetes. It would not be used in an emergency situation like hypoglycemia.
B. Glucagon is a hormone used to treat severe hypoglycemia by stimulating the liver to release glucose into the bloodstream. It is the appropriate treatment for hypoglycemia with a blood glucose level of 30 mg/dL.
C. Glipizide is an oral medication and is not used to treat acute hypoglycemia. In fact, it could worsen hypoglycemia if taken incorrectly.
D. Administering insulin would worsen hypoglycemia, as it lowers blood glucose levels. The client needs glucose, not more insulin.
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