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."

Answer and Explanation

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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Correct Answer is A

Explanation

A. 2 hours after the H2 antagonist: Antacids should be administered at least 1 to 2 hours after H2 antagonists to avoid reducing the effectiveness of the H2 antagonist. H2 antagonists work by reducing stomach acid, and antacids neutralize it, so taking them too close together may reduce the effectiveness of both.

B. Within an hour after the H2 antagonist: This is incorrect because taking an antacid too soon after an H2 antagonist can interfere with the drug's action.

C. With the H2 antagonist: This is incorrect because administering antacids with an H2 antagonist could reduce the effectiveness of both medications.

D. 30 minutes prior to the H2 antagonist: This is incorrect because antacids should not be given before the H2 antagonist, as it may decrease the medication's effectiveness.

A. Geriatric patient B. Patient with quadriplegia C. Patient with appendicitis D. Patient with fractured femur

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.

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Which instruction will the nurse include in the discharge teaching of a patient taking psyllium?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive an H2 antagonist at 8:00 AM. When is the most appropriate time for the nurse to provide the antacid to this patient?

Correct Answer is A

Explanation

The nurse is performing a premedication assessment. For which patient would laxative use be contraindicated?

Correct Answer is C

Explanation

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