The physician orders psyllium for constipation.
Which client situation would require the nurse to his order?
A client with a hip fracture and is on bedrest for 4 weeks
A client who has severe pain and is prescribed morphine
A client who is post-operative and is on a clear liquid diet
A client with recent a stroke and has difficulty swallowing
The Correct Answer is D
Choice A rationale
A client with a hip fracture and is on bedrest for 4 weeks may indeed experience constipation due to decreased physical activity. However, this situation would not necessarily require the nurse to question the order for psyllium. Psyllium is a bulk-forming laxative that can help relieve constipation by increasing stool bulk and improving bowel regularity.
Choice B rationale
Morphine is an opioid medication that can cause constipation as a side effect. Therefore, a client who is experiencing severe pain and is prescribed morphine may benefit from a laxative like psyllium to help manage opioid-induced constipation. This situation would not necessarily require the nurse to question the order for psyllium.
Choice C rationale
A client who is post-operative and is on a clear liquid diet may experience constipation due to the low fiber content of the diet. However, this situation would not necessarily require the nurse to question the order for psyllium. Once the client progresses to a regular diet, psyllium can help add bulk to the stool and promote regular bowel movements.
Choice D rationale
This choice is correct. A client with a recent stroke who has difficulty swallowing may be at risk for aspiration, or the inhalation of food or liquid into the lungs, when taking psyllium. Psyllium is a bulk-forming laxative that absorbs water in the intestines to form a softer, bulkier stool. If a client with swallowing difficulties were to aspirate the psyllium, it could potentially expand in the lungs when it comes into contact with moisture, leading to serious complications. Therefore, the nurse should question the order for psyllium in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While collecting a urine sample can be important in diagnosing certain conditions, it is not the most important action to take prior to administering an antibiotic for pneumonia.
Choice B rationale
Ensuring the patient is on a cardiac monitor is not the most crucial action prior to administering an antibiotic for pneumonia. While it’s important to monitor the patient’s vital signs, it’s not specifically related to the administration of antibiotics.
Choice C rationale
Collecting a blood culture sample is the most important action to take prior to administering an antibiotic for pneumonia. This is to identify the specific bacteria causing the infection, which can help in selecting the most effective antibiotic.
Choice D rationale
Checking baseline vital signs, including temperature, is important but not the most crucial action prior to administering an antibiotic for pneumonia. It’s part of the overall assessment but does not directly impact the choice or effectiveness of the antibiotic.
Correct Answer is B
Explanation
Choice A rationale
Sucralfate is a medication used to treat and prevent ulcers. It works by forming a protective barrier over the ulcer, allowing it to heal. Therefore, the statement “This medication will help prevent future ulcers” is correct.
Choice B rationale
Sucralfate should be taken on an empty stomach, not with food. This is because food can interfere with the medication’s ability to form a protective barrier over the ulcer.
Choice C rationale
Constipation is a common side effect of sucralfate. Therefore, the statement “This medication can cause constipation” is correct.
Choice D rationale
Coughing up blood can be a sign of a serious condition, such as a bleeding ulcer. If a patient taking sucralfate starts coughing up blood, they should definitely call their doctor.
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