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

Author Question: A patient has been taking psyllium Metamucil two to three times daily for several days. The patient ... (Read 137 times)

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
on: Jul 23, 2018
A patient has been taking psyllium Metamucil two to three 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 Dulco-lax suppository.
  d. Palpate the patient's abdomen and aus-cultate for bowel sounds.

Question 2

An older adult patient with congestive heart failure develops crackles in both lungs and pitting edema of all extremities. The physician orders hydrochlorothiazide HydroDIURIL.
 
  Before ad-ministering this medication, the nurse reviews the patient's chart. Which laboratory value causes the nurse the most concern? a. Elevated creatinine clearance
  b. Elevated serum potassium level
  c. Normal blood glucose level
  d. Low levels of low-density lipoprotein (LDL) cholesterol


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Expo

  • Sr. Member
  • ****
  • Posts: 351
Reply #1 on: Jul 23, 2018
Answer to Question 1

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

A
Hydrochlorothiazide should not be given to patients with severe renal impairment; therefore, an elevated creatinine clearance would cause the most concern. Thiazide diuretics are potas-sium-wasting drugs and thus may actually improve the patient's potassium level. Thiazides may elevate the serum glucose level in diabetic patients. Thiazides increase LDL cholesterol; however, this patient's levels are low, so this is not a risk.


Mr. Wonderful

  • Member
  • Posts: 866
Reply 2 on: Jul 23, 2018
Gracias!

TheDev123

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Photo of the neck of a patient with non-Hodgkin’s lymphoma showing the swelling associated with enla Photo of the neck of a patient with non-Hodgkin’s lymphoma showing the swelling associated with enla
A physician uses a portable electronic tablet to enter patient data while in the examination room. A physician uses a portable electronic tablet to enter patient data while in the examination room.
Positioning the Patient in the Prone Position Positioning the Patient in the Prone Position
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ... Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ...
Patient with DiGeorge syndrome. Note low set ears and wide set downward slanting eyes; often these ... Patient with DiGeorge syndrome. Note low set ears and wide set downward slanting eyes; often these ...
Video: Exercise and cardiac output

For a complete list of videos, visit our video library