Answer to Question 1
A
The most appropriate response from the nurse should be that methylcellulose is a bulk-forming agent that acts by giving the stool a more firm, less watery consistency by bulking it up.
Methylcellulose does not reduce the volume of diarrhea. Loperamide has that action.
Methylcellulose does not reduce intestinal motility, slowing intestinal transit. Opiates have that action.
Methylcellulose does not stimulate the bowel to eliminate diarrhea, leaving only formed stools.
Answer to Question 2
D
When administered on a fixed schedule, beta blockers can provide sustained protection against effort-induced anginal pain. Exercise tolerance is increased, and the frequency and intensity of anginal attacks are reduced, thus reducing stress on the heart.
Beta blockers reduce oxygen demand and block sympathetic stimulation.
Nothing indicates that this patient has suffered a heart attack, therefore a statement referring to a heart attack would be a poor choice.
Beta blockers may in fact reduce the ejection fraction, as well as AV conduction and contractili-ty.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
Client on IV patient-controlled analgesia (PCA).
Nurse Sandy
Patient teaching: nose and sinus assessment