A nurse cares for a middle-aged male client who has irritable ...

[Lisaclaire]

A nurse cares for a middle-aged male client who has irritable bowel syndrome (IBS). The client states, I have changed my diet and take bulk-forming laxatives, but my symptoms have not gotten better. I heard about a drug called Amitiza.
 
  Do you think it might help? How should the nurse respond?
 
  a.
  This drug is still in the research phase and is not available for public use yet.
  b.
  Unfortunately, lubiprostone is approved only for use in women.
  c.
  Lubiprostone works well. I will recommend this prescription to your provider.
  d.
  This drug should not be used with bulk-forming laxatives.

Question 2

A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, The stool in my pouch is still liquid. How should the nurse respond?
 
  a. The stool will always be liquid with this type of colostomy.
  b. Eating additional fiber will bulk up your stool and decrease diarrhea.
  c. Your stool will become firmer over the next couple of weeks.
  d. This is abnormal. I will contact your health care provider.

[leahm14]

Answer to Question 1

ANS: B
Lubiprostone (Amitiza) is a new drug for IBS with constipation that works by simulating receptors in the intestines to increase fluid and promote bowel transit time. Lubiprostone is currently approved only for use in women. Trials with increased numbers of male participants are needed prior to Food and Drug Administration approval for men.

Answer to Question 2

ANS: A
The stool from an ascending colostomy can be expected to remain liquid because little large bowel is available to reabsorb the liquid from the stool. This finding is not abnormal. Liquid stool from an ascending colostomy will not become firmer with the addition of fiber to the client's diet or with the passage of time.

[Lisaclaire]

TYSM

[mohan]

Gracias!