The nurse is caring for a patient receiving palliative care with opioid-induced constipation. Laxative therapy has been unsuccessful in treating this patient. Which PRN medication should the nurse provide to best alleviate this type of constipation?
Bisacodyl
Mineral oil
Methylnaltrexone
Docusate
The Correct Answer is C
A. Bisacodyl: A stimulant laxative that promotes bowel movements but may not be effective in refractory opioid-induced constipation.
B. Mineral oil: A lubricant that softens stools but does not address the opioid-specific cause of constipation.
C. Methylnaltrexone: A peripherally acting opioid antagonist that specifically targets opioid-induced constipation without affecting pain relief, making it the best option for refractory cases.
D. Docusate: A stool softener that is typically ineffective alone for severe opioid-induced constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sharp: This type of pain is typically associated with more acute or localized conditions, such as in an injury or inflammation, but not with peptic ulcer disease.
B. Burning: This is the most characteristic description of pain associated with peptic ulcer disease. The burning sensation is often related to acid irritation of the ulcerated tissue in the stomach or duodenum.
C. Stabbing: Stabbing pain is more likely to be associated with conditions such as acute pancreatitis or peritonitis, but it's not typical for peptic ulcers.
D. Dull: A dull ache is often seen in conditions such as chronic muscle pain or arthritis, but it’s not the typical presentation for peptic ulcer disease, which usually involves more intense, burning pain.
Correct Answer is B
Explanation
A. Caries: While xerostomia can increase the risk of dental caries, saliva substitutes are not a direct treatment for cavities.
B. Xerostomia: This condition is directly treated with saliva substitutes to provide moisture and lubrication.
C. Halitosis: Saliva substitutes may indirectly help with bad breath but are not a direct treatment.
D. Mucositis: This involves inflammation of the mucous membranes, typically managed with pain relief and protective agents, not saliva substitutes.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
