A nurse is caring for a client with intestinal stenosis who has ...

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A nurse is caring for a client with intestinal stenosis who has been prescribed psyllium. During the course of the treatment, the client shows the signs of colon obstruction.
 
  What intervention should the nurse perform to avoid the occurrence of colon obstruction?
 
  A) Administer the drug with adequate fluid intake.
  B) Give mineral oil to the client after meals.
  C) Administer the drug after chilling it.
  D) Provide foods high in bulk or roughage.

Question 2

A nurse is caring for a client with constipation. The physician prescribes cascara sagrada to the client. Which of the following effects should the nurse monitor for in the client after administration of the drug?
 
  A) Sudden increase in weight
  B) Brownish discoloration of urine
  C) Reduced sperm count
  D) Abdominal pain and cramping

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Answer to Question 1

Ans: A
Feedback:
The nurse should administer the drug with adequate fluid intake to avoid obstruction of the esophagus, stomach, small intestine, and colon in a client with intestinal stenosis. Mineral oil is given to the client as a laxative on an empty stomach in the evening. The nurse should provide foods high in bulk or roughage to avoid constipation in a client receiving laxatives. The nurse administers a laxative with an unpleasant or salty taste after chilling it to disguise its taste.

Answer to Question 2

Ans: B
Feedback:
The nurse should monitor for pink-red, red-violet, red-brown, yellow-brown, or black discoloration of urine after administration of cascara sagrada to the client. Reduced sperm count is the adverse effect of sulfasalazine. Abdominal pain and cramping are the adverse effects of olsalazine. Cascara sagrada does not cause a sudden increase in the weight of the client.

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