This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has been taking psyllium (Metamucil) 2 to 3 times daily for several days. The patient ... (Read 95 times)

vHAUNG6011

  • Hero Member
  • *****
  • Posts: 514
on: Jul 23, 2018
A patient has been taking psyllium (Metamucil) 2 to 3 times daily for several days. The patient complains of stomach pain but has not had a stool. What will the nurse do?
 
  a. Ask the patient to drink a full glass of water.
  b. Give another dose of the psyllium.
  c. Request an order for a bisacodyl (Dulcolax) suppository.
  d. Palpate the patient's abdomen and auscultate for bowel sounds.

Question 2

A patient is admitted with lower abdominal pain and nausea. The nurse performing the initial assessment notes that the patient's abdomen is distended and firm, and hypoactive bowel sounds are present.
 
  The patient has not had a stool for 3 days. The nurse will contact the provider, who will:
  a. order a bulk-forming laxative.
  b. order extra fluids and fiber.
  c. perform diagnostic tests.
  d. prescribe a cathartic laxative.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

alexanderhamilton

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Psyllium is a bulk-forming laxative and can cause a fecal impaction or obstruction. Abdominal pain can be a sign of impaction or obstruction, so the nurse should assess the patient for this complication. Giving fluids by mouth, administering more laxative, or giving a suppository are all contraindicated if an obstruction has developed and should not be done until this condition is ruled out.

Answer to Question 2

ANS: C
Laxatives are contraindicated for patients with abdominal pain, nausea, cramps, or other symptoms of abdominal disease or an acute surgical abdomen. Laxatives should not be used in patients with obstruction or impaction. This patient shows signs of abdominal obstruction, and laxatives could cause a bowel perforation secondary to increased peristalsis. A bulk-forming laxative is contraindicated. Patients with acute abdomens should be kept NPO pending diagnosis. A cathartic laxative is contraindicated.


vHAUNG6011

  • Member
  • Posts: 514
Reply 2 on: Jul 23, 2018
:D TYSM

EAN94

  • Member
  • Posts: 307
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The ratio of hydrogen atoms to oxygen in water (H2O) is 2:1.

Did you know?

After a vasectomy, it takes about 12 ejaculations to clear out sperm that were already beyond the blocked area.

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Aristolochic acid (AA), a component of birthwort,a plant used in herbal remedies since ancient times Aristolochic acid (AA), a component of birthwort,a plant used in herbal remedies since ancient times
Pure Alexia in a Patient with Multiple Sclerosis Pure Alexia in a Patient with Multiple Sclerosis
Digital recording devices can be helpful when providing patient education to visually impaired ... Digital recording devices can be helpful when providing patient education to visually impaired ...
Role-Playing a Situation in Which a Patient Is from Another Culture Role-Playing a Situation in Which a Patient Is from Another Culture
A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw
After 159 days,she paid a maturity value of $11,626, which included interest of $814. After 159 days,she paid a maturity value of $11,626, which included interest of $814.
Video: What is an ecosystem?

For a complete list of videos, visit our video library