The nurse is performing a premedication assessment. For which patient would laxative use be contraindicated?

Geriatric patient

Patient with quadriplegia

Patient with appendicitis

Patient with fractured femur

Answer and Explanation

The Correct Answer is C

A. Geriatric patient: Laxative use is not contraindicated in geriatric patients, but it should be used cautiously due to the risk of dehydration and electrolyte imbalances.

B. Patient with quadriplegia: Laxatives can be used for constipation in quadriplegic patients; however, they should be used carefully under medical supervision.

C. Patient with appendicitis: Laxative use is contraindicated in patients with appendicitis because it can increase the risk of perforation by stimulating bowel motility, which could lead to rupture and peritonitis.

D. Patient with fractured femur: Laxative use is not contraindicated in patients with a fractured femur. However, care should be taken to avoid dehydration and use appropriate methods for managing constipation.

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Correct Answer is B

Explanation

A. Gastric reflux syndrome: Reflux is unlikely to cause systemic symptoms such as sweating or rapid gastrointestinal symptoms.

B. Dumping syndrome: Rapid infusion of nutrients into the small intestine can cause fluid shifts, leading to symptoms such as sweating, diarrhea, and abdominal distention.

C. Expected reaction to the tube feeding: These symptoms are not expected or normal.

D. Onset of gastroenteritis: Gastroenteritis is typically caused by an infection and presents with additional symptoms like fever and persistent vomiting.

A. Dairy products are encouraged. B. Low roughage should be followed. C. Protein foods are restricted. D. No added salt is required.

Correct Answer is B

Explanation

A. Dairy products are encouraged: Dairy products can exacerbate symptoms of IBD, particularly diarrhea, and are typically restricted in many patients with IBD.

B. Low roughage should be followed: A low-roughage (low-fiber) diet helps manage diarrhea and reduce irritation in the intestines for patients with IBD.

C. Protein foods are restricted: Protein is not typically restricted in IBD. In fact, patients may need higher protein intake to support healing and maintain nutrition.

D. No added salt is required: There is no specific indication that salt needs to be restricted unless the patient has other conditions (e.g., hypertension or edema). Generally, a balanced diet is encouraged unless otherwise specified by the provider.

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The nurse is performing a premedication assessment. For which patient would laxative use be contraindicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving a tube feeding, a nurse assesses the patient to be sweaty with abdominal distention and diarrhea. What is the most likely cause of this response?

Correct Answer is B

Explanation

Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

Correct Answer is B

Explanation

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