Which instruction is most appropriate for a client who is receiving a bulk-forming laxative?
Take with at least two full glasses of water
Increase food intake
Decrease water intake
Exercise more than three times a week
The Correct Answer is A
A. Take with at least two full glasses of water : This is the correct answer. Bulk-forming laxatives require adequate fluid intake to swell in the intestine, forming a gel-like substance that aids in stool formation and bowel movement. Without sufficient water, they can cause or worsen constipation.
B. Increase food intake: This is not specific to the administration of bulk-forming laxatives and may not directly address the proper use of the medication.
C. Decrease water intake: This is incorrect and potentially harmful, as inadequate water intake can lead to impaction or obstruction when taking bulk-forming laxatives.
D. Exercise more than three times a week: While regular exercise is beneficial for bowel health, this instruction does not directly relate to the specific needs of taking bulk-forming laxatives.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cetirizine (Zyrtec): Cetirizine is an antihistamine used to treat mild allergic reactions, such as seasonal allergies or mild hives. It is not the treatment of choice for severe allergic reactions like anaphylaxis, which this patient may be experiencing given the symptoms and history of peanut allergy.
B. Diphenhydramine (Benadryl): Diphenhydramine is an antihistamine that can be used for mild to moderate allergic reactions, including urticaria and mild anaphylaxis. While it may be part of anaphylactic treatment, it is not the primary treatment for severe symptoms like difficulty breathing.
C. Guaifenesin: Guaifenesin is an expectorant used to relieve chest congestion and make coughs more productive. It is not appropriate for treating allergic reactions or respiratory distress related to anaphylaxis.
D. Epinephrine: Epinephrine is the first-line treatment for anaphylaxis, which is a severe and potentially life-threatening allergic reaction. It works by rapidly reducing airway swelling, improving breathing, and stabilizing blood pressure. Given the patient's symptoms and history of peanut allergy, epinephrine is the most appropriate medication.
Correct Answer is B
Explanation
A. Therapeutic effects may take weeks: the onset of the antisecretory effect of omeprazole is usually achieved within one hour, but it may take up to 4 weeks for it to work fully.
B. This drug should not be taken for a prolonged period of time: prolonged use can lead to complications such as nutrient malabsorption and bone fractures.
C. This drug must be used with antacids to be effective: This is incorrect; omeprazole is a proton pump inhibitor and works independently of antacids.
D. This drug is safe for long-term use: Omeprazole is generally safe for short-term use, but long-term use should be carefully monitored due to potential risks (such as decreased bone density, vitamin B12 deficiency, and kidney disease). It is not considered safe for indefinite or unrestricted long-term use.
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