Author Question: A physician has prescribed bisacodyl to a client with constipation. The client complains of ... (Read 36 times)

Chelseaamend · **on:** Jul 23, 2018

A physician has prescribed bisacodyl to a client with constipation. The client complains of epigastric pain and a burning sensation after taking the drug. Which of the following instructions should the nurse provide to the client?

A) Immediately stop taking the drug.
B) Take antacids between meals.
C) Take the drug in powdered form.
D) Avoid milk before taking the drug.

Question 2

A physician has prescribed simethicone to a client with postoperative abdominal distention. After administering the drug, the nurse would assess the client for the possibility of which of the following?

A) Heartburn
B) Vomiting
C) Fainting
D) Nausea

Ddddd · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: D
Feedback:
The nurse should instruct the client to avoid milk, antacids, H2 antagonists, and proton pump inhibitors 1 to 2 hours before taking the bisacodyl tablets because the enteric coating may dissolve early before reaching the intestinal tract, resulting in gastric lining irritation or dyspepsia and decreasing the laxative effect of the drug. The nurse need not instruct the client to immediately stop taking the drug, take the drug in powdered form, or take antacids between meals as these interventions will not help in preventing gastric lining irritation.

Answer to Question 2

Ans: A
Feedback:
The nurse should monitor for heartburn, bloating, constipation, and diarrhea in the client after administering simethicone. Vomiting, fainting, and nausea are adverse reactions to methylcellulose, which is administered for the relief of constipation.