The nurse teaches the client to best promote optimal GI function by including what in the daily routine?

Exercise, adequate sleep, and avoiding caffeine.

Nutritious diet, avoiding alcohol, and cautious use of laxatives.

Avoiding prescription medications, increased fluid intake, and vigorous exercise.

Nutritious diet, adequate fluid intake, and exercise.

Answer and Explanation

The Correct Answer is B

This is because a nutritious diet provides adequate fiber and nutrients for the GI tract, avoiding alcohol prevents dehydration and irritation of the GI mucosa, and cautious use of laxatives prevents dependency and electrolyte imbalance.

Choice A is wrong because caffeine can stimulate the GI motility and cause diarrhea or cramps.

Choice C is wrong because some prescription medications can affect the GI function, such as antibiotics, opioids, or antacids.

Increased fluid intake is good, but not enough to promote optimal GI function.

Vigorous exercise can also cause GI distress or dehydration.

Choice D is wrong because adequate fluid intake is essential for preventing constipation and maintaining hydration.

Exercise can also help with bowel movements and overall health.

Normal ranges for GI function vary depending on the individual, but generally, a person should have at least one bowel movement every 3 days and no more than 3 bowel movements per day.

The stool should be soft, formed, and easy to pass.

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Correct Answer is C

Explanation

Dronabinol is a synthetic cannabinoid that can cause psychoactive effects such as euphoria, anxiety, hallucinations, and paranoia. The nurse should monitor the client’s mental status after administering the drug and report any changes or adverse reactions.

Choice A is wrong because dronabinol does not affect the heart rate significantly.

Choice B is wrong because dronabinol may lower or raise the blood pressure depending on the dose and the individual response, but this is not a priority assessment.

Choice D is wrong because dronabinol does not affect the skin integrity directly.

A. A client being treated for a traumatic brain injury. B. A client with a history of ischemic heart disease. C. A pediatric client. D. A client with type 2 diabetes.

Correct Answer is A

Explanation

Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines are a class of drugs that have antipsychotic, antiemetic, and sedative effects. They act by blocking dopamine receptors in the brain and can cause extrapyramidal symptoms, hypotension, and anticholinergic effects.

Choice B is wrong because phenothiazines are not contraindicated in patients with ischemic heart disease.

However, they can cause orthostatic hypotension and cardiac arrhythmias, so they should be used with caution and monitored closely in these patients.

Choice C is wrong because phenothiazines are not contraindicated in pediatric patients.

However, they can cause sedation, hypotension, and extrapyramidal symptoms, so they should be used with caution and at lower doses in these patients.

Choice D is wrong because phenothiazines are not contraindicated in patients with type 2 diabetes.

However, they can cause hyperglycemia and weight gain, so they should be used with caution and monitored closely in these patients.

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The nurse teaches the client to best promote optimal GI function by including what in the daily routine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol. In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?

Correct Answer is C

Explanation

For which client would the use of a phenothiazine most likely be contraindicated?

Correct Answer is A

Explanation

A client taking a chemical stimulant laxative and medications for heart failure and osteoarthritis calls the clinic and reports, “I’m just not feeling right.” What is the priority question the nurse should ask this client?

The nurse is caring for a pediatric client with a new onset of hypercalcemia. What condition would be most likely to cause this altered serum calcium level?

The client is 8 weeks pregnant and requires an antithyroid medication. The nurse identifies what drug as the drug of choice for this client?

The nurse is caring for a client who has begun vomiting. The nurse is aware that which part of the client’s brain has been stimulated?

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng. What is the correct response by the nurse?

A client 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 administers teriparatide and evaluates the drug as effective in achieving desired effects when what is assessed?