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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Hyponatremia, or low sodium levels, is not typically associated with the use of milk of magnesia. Milk of magnesia works by drawing water into the intestines, which can help to soften the stool and stimulate bowel movements. While it can affect fluid balance, it does not directly affect sodium levels in the body.
Choice B rationale
This choice is correct. Milk of magnesia contains magnesium and can lead to hypermagnesemia, or high magnesium levels, if taken in excess or if the client has impaired kidney function. Hypermagnesemia can cause various symptoms, including nausea, vomiting, low blood pressure, and in severe cases, heart arrhythmias and cardiac arrest.
Choice C rationale
Hypokalemia, or low potassium levels, is not typically associated with the use of milk of magnesia. While milk of magnesia can affect fluid and electrolyte balance, it does not directly affect potassium levels in the body.
Choice D rationale
Hypercalcemia, or high calcium levels, is not typically associated with the use of milk of magnesia. Milk of magnesia does not contain calcium, so it would not contribute to an increase in calcium levels in the body.

A. Ibuprofen B. Diphenhydramine C. Loratadine D. Acetaminophen.

Correct Answer is C

Explanation

Choice A rationale
Ibuprofen does not have a significant interaction with erythromycin18.
Choice B rationale
Diphenhydramine does not have a significant interaction with erythromycin18.
Choice C rationale
Loratadine should be avoided while on erythromycin. Erythromycin can increase the concentration of loratadine, which can lead to an increased risk of side effects, including heart rhythm abnormalities18.
Choice D rationale
Acetaminophen does not have a significant interaction with erythromycin18. Nystatin Nystatin Explore

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The physician orders psyllium for constipation. Which client situation would require the nurse to his order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed milk of magnesia. After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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The physician orders psyllium for constipation.

Which client situation would require the nurse to his order?