The nurse would question a bisacodyl order for which client health problems?
Hypertension
Pain from recent surgery and is prescribed opioids
Abdominal pain of unknown origin
Colostomy of the lower descending colon
The Correct Answer is C
A. Hypertension: Bisacodyl has no direct effects on blood pressure or fluid retention. It is generally safe for use in clients with hypertension, provided fluid balance is monitored, especially in the elderly.
B. Pain from recent surgery and is prescribed opioids: Opioids often lead to constipation, and bisacodyl may be appropriately prescribed to relieve opioid-induced constipation. Its stimulant laxative effect is useful in this context.
C. Abdominal pain of unknown origin: Bisacodyl stimulates intestinal peristalsis, which can worsen conditions like appendicitis, bowel obstruction, or perforation. It should not be given until the cause of abdominal pain is clearly identified.
D. Colostomy of the lower descending colon: Clients with colostomies may still experience constipation and benefit from laxatives like bisacodyl. Use should be based on individual assessment but is not automatically contraindicated.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client was taking NSAIDs: Misoprostol is specifically indicated for the prevention of NSAID-induced gastric ulcers. Its prostaglandin-like action protects the gastric mucosa from damage caused by these medications, making this an appropriate use.
B. The client could possibly be pregnant: Misoprostol is contraindicated in pregnancy because it can induce uterine contractions, leading to miscarriage, premature labor, or birth defects. Pregnancy must be ruled out before administration.
C. Can cause constipation: Misoprostol is more commonly associated with side effects such as diarrhea and abdominal cramping, not constipation. Gastrointestinal upset is a known but usually manageable adverse effect.
D. Needs to be taken without food: Misoprostol is typically taken with food to reduce gastrointestinal side effects. Taking it without food is not recommended and does not impact its ulcer-protective action significantly.
Correct Answer is C
Explanation
A. Abdominal pain: Loperamide is not indicated for isolated abdominal pain and may actually worsen symptoms if used inappropriately, especially if the pain is related to a bowel obstruction or inflammatory condition.
B. Infection: While diarrhea may accompany infection, loperamide is typically avoided in infectious diarrhea, especially when caused by bacteria or toxins, because it can delay pathogen clearance and worsen the illness.
C. Diarrhea: Loperamide is an antidiarrheal agent that slows intestinal motility, allowing more fluid absorption in the colon. It is commonly prescribed PRN for symptomatic relief of non-infectious diarrhea.
D. Constipation: Administering loperamide in the setting of constipation would exacerbate the condition. It further reduces bowel motility, increasing the risk of fecal impaction or ileus.
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