Author Question: A client has been taking an opioid for pain relief following abdominal surgery. The client complains ... (Read 75 times)

abern · **on:** Jul 23, 2018

A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client?(Select all that apply.)

1. I should only take a laxative when necessary.
2. I should increase fluid intake.
3. I should strain when I try to have a bowel movement.
4. I should increase fiber intake.
5. I should decrease my physical activity.

Question 2

A client asks the nurse why two antibiotics have been prescribed to treat H. pylori. What is the best response by the nurse?

1. Two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.
2. One antibiotic is to treat H. pylori and the other is for a secondary infection.
3. The acid in your stomach will make one antibiotic ineffective, so you must take two.
4. You should only be prescribed one antibiotic to treat H. pylori.

firehawk60 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1, 2, 4

Rationale 1: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
Rationale 2: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
Rationale 3:I should strain when I try to have a bowel movement is incorrect because this should be avoided by the client following abdominal surgery.
Rationale 4: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation.
Rationale 5:I should decrease my physical activity is incorrect because the client should be encouraged to increase physical activity.

Global Rationale: The client should use a laxative, and dietary adjustments and increased physical activity should be considered before drugs are used to treat constipation. I should strain when I try to have a bowel movement is incorrect because this should be avoided by the client following abdominal surgery. I should decrease my physical activityis incorrect because the client should be encouraged to increase physical activity.

Answer to Question 2

1

Rationale 1: Two or more antibiotics increase the effectiveness of therapy and lower the potential for bacterial resistance.
Rationale 2:One antibiotic is to treat H. pylori and the other is for a secondary infection is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.
Rationale 3:The acid in your stomach will make one antibiotic ineffective, so you must take two is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.
Rationale 4:You should only be prescribed one antibiotic to treat H. pylori is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.

Global Rationale: Two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance. One antibiotic is to treat H. pylori and the other is for a secondary infection is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance. The acid in your stomach will make one antibiotic ineffective, so you must take two is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance. You should only be prescribed one antibiotic to treat H. pylori is incorrect because two or more antibiotics are given concurrently to increase the effectiveness of therapy and to lower the potential for bacterial resistance.