The client takes a stool softener on a regular basis and now ...

[abern]

The client takes a stool softener on a regular basis and now reports a change in bowel patterns. Which assessment finding is the priority for the nurse to discuss with the physician?
 
  1. Stools that are smaller in size
  2. An increase in bowel frequency
  3. A decrease in bowel frequency
  4. Cramping with each stool passed

Question 2

The client is scheduled for bowel surgery. What medications are appropriate for the cleansing the bowel bowel prep prior to this procedure?
 
  1. Docusate sodium (Colace)
  2. Bisacodyl (Dulcolax)
  3. Methylcellulose (Citrucel)
  4. Sodium phosphate (Fleet Phospho-Soda)
  5. Mineral oil

[jordangronback]

Answer to Question 1

Correct Answer: 4
Rationale 1: Stools that are smaller in size are a concern, but are not the priority concern.
Rationale 2: An increase in bowel frequency does not need to be reported at this time.
Rationale 3: A decrease in bowel frequency does not need to be reported at this time.
Rationale 4: Cramping could indicate a serious condition that should be reported to the physician.

Answer to Question 2

Correct Answer: 2,4
Rationale 1: Docusate sodium (Colace) is a stool softener, and is not appropriate for a bowel prep.
Rationale 2: Bisacodyl (Dulcolax) is a stimulant laxative and appropriate for a bowel prep.
Rationale 3: Methylcellulose (Citrucel) is a bulk forming laxative and is not appropriate for a bowel prep.
Rationale 4: Sodium phosphate (Fleet Phospho-Soda) is an osmotic saline laxative and appropriate for a bowel prep.
Rationale 5: Mineral oil is not appropriate for a bowel prep.

[abern]

Thanks for the timely response, appreciate it

[debra928]

TYSM