Which is an important teaching point for the nurse to make to a client taking a bulk- forming laxative?

"Reduce the fiber in your diet."

"This medication will make you drowsy."

"Drink plenty of fluid while taking this."

"This laxative can be addictive."

Answer and Explanation

The Correct Answer is C

A. "Reduce the fiber in your diet.": Bulk-forming laxatives, such as psyllium, work similarly to dietary fiber by absorbing water and increasing stool bulk. Reducing dietary fiber would counteract the intended therapeutic effect and is not advised during treatment.

B. "This medication will make you drowsy.": Bulk-forming laxatives do not have central nervous system effects and are not associated with sedation or drowsiness. This side effect is more relevant for medications like antihistamines or opioid analgesics.

C. "Drink plenty of fluid while taking this.": Adequate fluid intake is essential when using bulk-forming laxatives to prevent intestinal obstruction. Water helps the fiber expand and form a soft, bulky stool, which promotes effective and safe bowel movements.

D. "This laxative can be addictive.": Unlike stimulant laxatives, bulk-forming agents do not cause dependency or lead to laxative abuse. They are safe for long-term use when taken with sufficient water and proper diet.

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Correct Answer is A

Explanation

A. "prazole": Proton pump inhibitors (PPIs) commonly end with the suffix "-prazole" (e.g., omeprazole, pantoprazole, esomeprazole). These drugs work by irreversibly blocking the hydrogen-potassium ATPase enzyme system in gastric parietal cells, effectively suppressing gastric acid production.

B. "dine": The suffix "-dine" is associated with histamine-2 receptor antagonists such as ranitidine and famotidine. These drugs reduce acid secretion by blocking histamine receptors in the stomach, but they are not proton pump inhibitors.

C. "lol": Drugs ending in "-lol" are beta-adrenergic blockers, commonly used to manage hypertension, arrhythmias, and heart failure. They do not have any role in gastric acid suppression and are unrelated to proton pump inhibitors.

D. "pril": The "-pril" suffix is used for angiotensin-converting enzyme (ACE) inhibitors such as enalapril and lisinopril, which are prescribed to treat hypertension and heart failure. They have no mechanism or indication involving gastric acid reduction.

A. cascara B. octreotide C. psyllium D. loperamide

Correct Answer is D

Explanation

A. cascara: Cascara is a natural stimulant laxative that promotes bowel movements by irritating the colon. It would increase gastrointestinal motility and worsen the client's ileostomy output, making it inappropriate in this situation.

B. octreotide: Octreotide is used for severe secretory diarrhea or conditions like carcinoid syndrome, but it is generally reserved for more complex cases and not first-line for managing high ileostomy output. It is also costly and requires subcutaneous or IV administration.

C. psyllium: Psyllium is a bulk-forming laxative that absorbs water and increases stool bulk to help with constipation. In clients with an ileostomy, it can risk causing obstruction or be ineffective at slowing output and is not typically recommended.

D. loperamide: Loperamide is an antidiarrheal that slows intestinal motility, allowing for increased absorption of fluids and electrolytes. It is commonly prescribed to manage high-output ileostomies.

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Which is an important teaching point for the nurse to make to a client taking a bulk- forming laxative?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that proton pump inhibitor drugs often end in the suffix:

Correct Answer is A

Explanation

A client with an ileostomy has been experiencing excessive output for the past 48 hours. Which medication would the nurse expect the primary health care provider to prescribe?

Correct Answer is D

Explanation

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