Which instruction will the nurse include in the discharge teaching of a patient taking psyllium?
"Administer with a full glass of water."
"Avoid mixing in juice."
"Fat-soluble vitamin deficiency is common."
"Limit the intake of high-fiber foods."
The Correct Answer is A
A. "Administer with a full glass of water.": Psyllium is a bulk-forming laxative that absorbs water in the intestines. Sufficient hydration is essential to prevent obstruction or impaction.
B. "Avoid mixing in juice.": Psyllium can be mixed in any non-carbonated liquid, including juice, making this instruction unnecessary.
C. "Fat-soluble vitamin deficiency is common.": Psyllium does not interfere with fat-soluble vitamin absorption, so this statement is incorrect.
D. "Limit the intake of high-fiber foods.": Psyllium complements a high-fiber diet, so restricting fiber is counterproductive.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Geriatric patient: Laxative use is not contraindicated in geriatric patients, but it should be used cautiously due to the risk of dehydration and electrolyte imbalances.
B. Patient with quadriplegia: Laxatives can be used for constipation in quadriplegic patients; however, they should be used carefully under medical supervision.
C. Patient with appendicitis: Laxative use is contraindicated in patients with appendicitis because it can increase the risk of perforation by stimulating bowel motility, which could lead to rupture and peritonitis.
D. Patient with fractured femur: Laxative use is not contraindicated in patients with a fractured femur. However, care should be taken to avoid dehydration and use appropriate methods for managing constipation.
Correct Answer is A
Explanation
A. Serum amylase: Serum amylase levels are typically elevated in cases of acute pancreatitis. Amylase is an enzyme produced by the pancreas, and an elevation indicates pancreatic inflammation or injury.
B. Serum bilirubin: While elevated bilirubin levels can indicate liver or biliary issues, they are not diagnostic for pancreatitis.
C. Serum calcium: Hypocalcemia (low calcium) can be seen in severe acute pancreatitis, but it is not a primary diagnostic indicator for the condition.
D. Serum lipids: Elevated serum lipids (especially triglycerides) can contribute to pancreatitis, but they are not diagnostic for it. Serum amylase and lipase are more specific to the diagnosis of pancreatitis.
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