The client is scheduled to be treated with bisacodyl (Dulcolax) ...

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The client is scheduled to be treated with bisacodyl (Dulcolax) to promote postpartum bowel function. What is the most important instruction that the nurse should give the client?
 
  a. Always crush the tablets.
  b. Give within 1 hour of drinking milk.
  c. Never crush the tablets.
  d. Give within 1 hour of taking an antacid.

Question 2

A woman with a newborn elects not to breastfeed. Which measure will most effectively assist in suppressing her milk supply?
 
  a. Stimulation of the breasts
  b. Restriction of fluid intake
  c. A supportive bra worn at all times
  d. Heat applied to the breasts

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Answer to Question 1

ANS: C
Do not crush tablets (enteric coated). Do not administer within 1 h of milk or antacid, because enteric coating may dissolve, resulting in abdominal cramping and vomiting.

Answer to Question 2

ANS: C
Presently, nonpharmacologic measures (wearing a supportive bra 24 hr/day for 10 to 14 days, breast binding, and axillary ice packs) are recommended for lactation suppression.

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