The nurse is instructing a patient who will take psyllium ...

[bobypop]

The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient?
 
  a. The importance of consuming adequate amounts of water
  b. The need to monitor for systemic side effects
  c. The onset of action of 30 to 60 minutes after administration
  d. The need to use the dry form of Metamucil to prevent cramping

Question 2

A patient reports having three to four stools, which are sometimes hard, per week. The nurse will perform which action?
 
  a. Recommend increased fluids and dietary fiber.
  b. Request an order for a laxative as needed.
  c. Request an order for a stool softener.
  d. Suggest discussing chronic constipation with the provider.

[uniquea123]

Answer to Question 1

ANS: A
Insufficient fluid intake can cause the drug to solidify in the gastrointestinal tract. Psyllium is not digestible, so it does not have systemic side effects. Onset of action for psyllium is between 10 and 24 hours. The dry form can cause cramping.

Answer to Question 2

ANS: A
This patient is having stools that are within the normal range for frequency. Nonpharmacologic measures should be used first to help soften stools.

[bobypop]

TYSM

[mochi09]

Excellent