Your patient has been taking the stimulant laxative Bisacodyl to treat frequent bouts of constipation. Which statement made by the nurse reflects appropriate education to reduce the instances of constipation?
"Combining this medication with an osmotic laxative will create a synergistic effect and alleviate the constipation more effectively
"Increasing your daily activity and fluid intake can help promote healthy bowel patterns. This should help reduce the need to take laxatives frequently
"Too much fiber in your diet can cause blockages. It is best for you to reduce your fiber intake to avoid needing laxatives so frequently
"Continue to take the medication every time you are constipated, Frequent/prolonged use of stimulant laxatives is considered a safe and effective way to promote healthy bowel patterns,"
The Correct Answer is B
A. "Combining this medication with an osmotic laxative will create a synergistic effect and alleviate the constipation more effectively": Using multiple laxatives together increases the risk of dehydration, electrolyte imbalances, and laxative dependence. Routine combination therapy is not recommended for managing chronic constipation.
B. "Increasing your daily activity and fluid intake can help promote healthy bowel patterns. This should help reduce the need to take laxatives frequently": Regular physical activity and adequate hydration stimulate intestinal motility and soften stool. These lifestyle measures address the underlying causes of constipation and help prevent reliance on stimulant laxatives.
C. "Too much fiber in your diet can cause blockages. It is best for you to reduce your fiber intake to avoid needing laxatives so frequently": Adequate dietary fiber increases stool bulk and promotes regular bowel movements. Reducing fiber can worsen constipation rather than improve bowel regularity.
D. "Continue to take the medication every time you are constipated, Frequent/prolonged use of stimulant laxatives is considered a safe and effective way to promote healthy bowel patterns": Frequent or prolonged use of stimulant laxatives like bisacodyl can lead to electrolyte disturbances and laxative dependence. Education should focus on preventive strategies rather than long-term stimulant use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Advise the client to monitor blood glucose more frequently but continue metformin as prescribed:While monitoring blood glucose is important, continuing metformin in the presence of renal impairment can increase the risk of lactic acidosis. Dose adjustment or discontinuation may be required based on kidney function.
B. Suggest administering metformin with meals to reduce gastrointestinal side effects and continue therapy:Taking metformin with meals may reduce GI upset, but it does not address the serious risk of lactic acidosis in clients with renal impairment. This intervention alone is insufficient for patient safety.
C. Notify the provider to consider discontinuing metformin due to the risk of lactic acidosis from renal impairment:Metformin is contraindicated or used with caution in clients with reduced kidney function because impaired renal clearance increases the risk of lactic acidosis, a rare but potentially fatal adverse effect. Prompt communication with the provider is the safest action.
D. Encourage the client to increase fluid intake to enhance metformin clearance:Increasing fluids does not significantly reduce the risk of lactic acidosis in renal impairment. Kidney function, not hydration status, primarily determines metformin clearance, making this action insufficient.
Correct Answer is A
Explanation
A. Metabolism is affected by aging in the form of decreased kidney and liver function:In older adults, liver enzyme activity and renal clearance often decline, which can slow drug metabolism and excretion. This increases the risk of drug accumulation and toxicity, making dose adjustments and careful monitoring essential when administering new medications.
B. Bedtime of the patient:The patient’s bedtime may affect adherence or convenience but does not directly impact metabolism or excretion. Timing related to sleep is not the priority when considering age-related pharmacokinetics.
C. Time of day for administering the medication:While timing may influence therapeutic effect for some drugs, it is less critical than considering how aging affects drug metabolism and elimination. Pharmacokinetic changes take precedence in older adults.
D. Generic vs. brand name:The choice between generic and brand name may affect cost or patient preference but does not impact the body’s metabolism of the drug. Age-related organ function remains the key consideration.
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