When reviewing a client's history, a nurse determines that the use of laxatives would be contraindicated if the client has a history of which of the following?
Chronic hepatitis.
Type 1 diabetes.
Acute appendicitis.
Cardiac Disease.
The Correct Answer is C
Choice A rationale:
Laxatives are generally contraindicated in clients with chronic hepatitis due to potential liver-related complications. However, this choice is not directly related to the use of laxatives.
Choice B rationale:
Laxatives may be used with caution in clients with type 1 diabetes to manage constipation. While there are considerations related to blood sugar control, it is not an absolute contraindication.
Choice D rationale:
Laxatives can be used in clients with cardiac disease, although some types of laxatives may be safer than others. This choice does not represent a contraindication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Fever is a common side effect of the influenza vaccine (Fluzone). It's not usually a severe adverse reaction and is typically mild and short-lived. Patients should be informed about this potential side effect so they are aware and can take appropriate measures, such as taking antipyretic medications if needed.
Choice B rationale:
Hypotension is not a common adverse reaction to the influenza vaccine. While vaccines can sometimes cause allergic reactions, leading to symptoms like hypotension, this is very rare. Warning about this potential side effect would not be a priority.
Choice C rationale:
Sedation is not a common adverse reaction to the influenza vaccine. In general, the influenza vaccine is not associated with sedation. This side effect is more likely to be associated with medications or treatments other than vaccines.
Choice D rationale:
Constipation is not a common side effect of the influenza vaccine. Gastrointestinal symptoms like constipation are not typically associated with the influenza vaccine. It's important to focus on informing patients about potential side effects that are more likely to occur.
Correct Answer is A
Explanation
Choice A rationale:
Sulfonamides can increase the risk of crystalluria, which may lead to kidney stones. Adequate fluid intake can help dilute the urine and reduce the risk of crystalluria and kidney stone formation. This is a relevant and appropriate response by the nurse.
Choice B rationale:
Sulfonamides can make the skin more sensitive to sunlight, increasing the risk of sunburn. However, increasing fluid intake is primarily to prevent kidney stone formation, not a reaction to sunlight.
Choice C rationale:
While maintaining adequate hydration does help prevent dehydration, this answer does not directly address the potential side effects or risks associated with sulfonamide use. It is a bit too general and doesn't provide specific information related to the medication.
Choice D rationale:
Sulfonamides can affect blood counts in some cases, but maintaining adequate fluid intake is not primarily related to preventing low blood counts. It's more about mitigating the specific side effects associated with sulfonamide use, such as crystalluria and kidney stones.
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