Older adults are more likely to use laxatives with regularity. In ...

[awywial]

Older adults are more likely to use laxatives with regularity. In advising an older adult practicing this habit, the nurse would identify which of the following factors? Select all that apply.
 
  a. Consistent use of laxatives inhibits natural defecation reflexes, and is thought to cause rather that cure constipation.
  b. Habitual use of laxatives may lead to the need for ever-increasing dosages until the intestine fails to work properly.
  c. Laxatives may interfere with fluid and electrolyte balance.
  d. Laxatives increase the absorption of certain vitamins.

Question 2

The nurse must administer an enema to an adult patient with constipation. Which of the following would be a safe and effective distance for the nurse to insert the tubing into the patient's rectum? Select all that apply.
 
  a. 2 in. (5.1 cm)
  b. 3 in. (7.6 cm)
  c. 4 in. (10.2 cm)
  d. 5 in. (12.7 cm)

[owenfalvey]

Answer to Question 1

A, B, C
Laxatives are used to treat constipation. In general, laxatives work by stimulating peristalsis. They are frequently abused by people who self-medicate with OTC drugs, who may become dependent on them, thus requiring ever-increasing dosages until the intestine fails to work properly. Laxatives may cause fluid and electrolyte imbalance. Laxatives decrease, not increase, the absorption of certain vitamins.

Answer to Question 2

B, C
When administering an enema, the nurse should insert the tubing about 3 to 4 inches into the patient's rectum. Two inches would not be effective because it would not place the fluid high enough in the rectum. Five inches is too far.