The nurse is teaching a client being discharged with a prescription for senna. The nurse should caution the client about what potential adverse effect?

abdominal cramping

rectal bleeding

confusion

gastroesophageal reflux

Answer and Explanation

The Correct Answer is A

A. abdominal cramping: Senna is a stimulant laxative that promotes bowel movements by irritating the intestinal lining and increasing peristalsis. This action can often lead to abdominal cramping or discomfort, especially when used regularly or in higher doses.

B. rectal bleeding: While rectal bleeding can occur with chronic misuse or overuse of laxatives, it is not a common or expected side effect of senna when used appropriately. If bleeding occurs, it warrants discontinuation and further evaluation.

C. confusion: Confusion is not associated with senna. This symptom is more commonly seen with medications that affect the central nervous system, especially in older adults, but not with stimulant laxatives.

D. gastroesophageal reflux: Senna acts on the lower gastrointestinal tract and does not influence the upper GI system or lower esophageal sphincter. Therefore, it does not contribute to or worsen gastroesophageal reflux.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. being sick increases the need for insulin: Illness can elevate blood glucose levels and increase insulin requirements, but this is a temporary condition. It does not explain the fundamental need for insulin in clients with Type 1 Diabetes.

B. people with Type 1 Diabetes produce no insulin at all: Type 1 Diabetes is characterized by autoimmune destruction of pancreatic beta cells, leading to absolute insulin deficiency. These clients are entirely dependent on exogenous insulin to regulate blood glucose and sustain life.

C. healthcare providers can manage diabetes better with insulin when the client is in the hospital: While insulin is often used during hospitalizations for tight glucose control, this does not explain why all Type 1 diabetics require insulin therapy continuously, not just during hospital stays.

D. all people with diabetes need insulin: Not all individuals with diabetes require insulin. Many people with Type 2 Diabetes can manage their condition with oral medications, lifestyle changes, or non-insulin injectables.

A. a lack of dyspepsia B. no gastroesophageal reflux C. increased appetite and absence of nausea D. absence of Helicobacter pylori

Correct Answer is D

Explanation

A. a lack of dyspepsia: While symptom relief is important, the primary therapeutic goal of the omeprazole and amoxicillin regimen is eradication of H. pylori. Dyspepsia can resolve temporarily with acid suppression alone and does not confirm that the underlying infection has been treated.

B. no gastroesophageal reflux: Omeprazole may help reduce reflux symptoms due to its acid-suppressing effects, but this is not a primary indicator of treatment success in peptic ulcer disease caused by H. pylori.

C. increased appetite and absence of nausea: Improved appetite and reduced nausea may occur as symptoms resolve, but they are nonspecific. These signs do not definitively confirm that H. pylori, the causative agent of many ulcers, has been successfully eradicated.

D. absence of Helicobacter pylori: The purpose of combining omeprazole (a proton pump inhibitor) with amoxicillin (an antibiotic) is to eliminate H. pylori. Confirming its absence through follow-up testing (e.g., urea breath test, stool antigen test) is the most reliable measure of therapeutic success.

View Question and Answer

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

The nurse is teaching a client being discharged with a prescription for senna. The nurse should caution the client about what potential adverse effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that all of her clients with Type 1 Diabetes will need insulin because:

Correct Answer is B

Explanation

When caring for a client who has been diagnosed with a peptic ulcer, the nurse administers omeprazole and amoxicillin. What diagnostic finding indicates therapeutic effects of this drug regimen?

Correct Answer is D

Explanation

A nurse is preparing to administer loperamide to a client. Which findings on assessment would the nurse documents as an indication of effectiveness?

The nurse is teaching a client who has been diagnosed with type 2 diabetes about the newly prescribed external insulin pump. What are appropriate teaching points for the nurse to include? Select all that apply.

A client diagnosed with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client's occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client's needs?

The nurse is caring for a client who has been prescribed chlorpromazine. The nurse correctly identifies which of the client's body system as being associated with the majority of the medications adverse effects?

What priority teaching point should the nurse include when instructing a client about the use of antacids?

A client with a long history of constipation is prescribed magnesium sulfate. What aspect of the client's current health status should the nurse address before administering the medication?

One therapeutic indication for Histamine-2 Antagonists is:

The nurse administers psyllium to a client diagnosed with constipation. What outcome best demonstrates therapeutic effects?