Author Question: A patient taking a chemical stimulant laxative and medications for heart failure and osteoarthritis ... (Read 29 times)

SO00 · **on:** Jul 23, 2018

A patient taking a chemical stimulant laxative and medications for heart failure and osteoarthritis calls the clinic and reports to the nurse that she is not feeling right. What is the priority question the nurse should ask this patient?

A) Effectiveness of laxatives
B) Timing of medication administration
C) The amount of fiber in her diet
D) Amount of fluid ingested

Question 2

The mother of a preschool aged child brings her child to the clinic and asks what immunizations the child needs before starting school.

What immunizations will the nurse expect this child needs if the child is healthy and has received immunizations on schedule in the past? (Select all that apply.) A) Diphtheria and tetanus toxoids and acellular pertussis vaccine, adsorbed (DTaP)
B) Inactivated poliovirus vaccine (IPV)
C) Measles, mumps, and rubella vaccine (MMR)
D) Hepatitis B
E) Haemophilus influenzae type b vaccine (Hib)

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

Answer to Question 1

B
Feedback:
Because laxatives increase the motility of the gastrointestinal (GI) tract and some laxatives interfere with the timing or process of absorption, it is not advisable to take laxatives with other prescribed medications. The administration of laxatives and other medications should be separated by at least 30 minutes, so the nurse should question when the patient is taking the laxatives and other medication. Other options may be questions the nurse would eventually ask, but the priority is timing of medication administration.

Answer to Question 2

A, B, C
Feedback:
The 4- to 6-year-old, preparing to enter school needs booster DTaP, IPV, MMR, influenza and varicella. High-risk groups, which does not include this child, will also need HepA and MCV.