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 C

Explanation

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.

A. Bright orange B. Pale yellow C. Amber D. Red

Correct Answer is C

Explanation

A. Bright orange: This is not characteristic of bile duct obstruction and may be caused by certain medications like rifampin.

B. Pale yellow: Normal urine color does not indicate bile obstruction.

C. Amber: Bile duct obstruction causes bilirubin to build up in the bloodstream, leading to dark, amber-colored urine.

D. Red: Red urine suggests hematuria (blood in urine), not bile duct obstruction.

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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

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?

Correct Answer is C

Explanation

A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

Correct Answer is C

Explanation

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