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

Author Question: A nurse is caring for a client with irritable bowel syndrome. The physician has prescribed ... (Read 101 times)

Bernana

  • Hero Member
  • *****
  • Posts: 530
on: Jul 23, 2018
A nurse is caring for a client with irritable bowel syndrome. The physician has prescribed polycarbophil to the client. The nurse would administer this drug cautiously if the client's history revealed which of the following?
 
  A) Abdominal pain
  B) Pseudomembranous colitis
  C) Rectal bleeding
  D) Intestinal obstruction

Question 2

A physician has prescribed difenoxin with atropine to a client with acute diarrhea. The client informs the nurse that he is also taking MAOI antidepressants.
 
  The nurse would assess the client for which of the following that might result from the interaction of the two drugs?
 
  A) Decreased effect of difenoxin
  B) Increased risk of hypertensive crisis
  C) Increased cholinergic blocking adverse reactions
  D) Increased risk of CNS depression


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

sabina576

  • Sr. Member
  • ****
  • Posts: 356
Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: C
Feedback:
The nurse should administer polycarbophil with caution in clients with rectal bleeding, in pregnant women, and during lactation. Antidiarrheals are contraindicated in clients with abdominal pain and pseudomembranous colitis. Aminosalicylates are contraindicated in clients with intestinal obstruction.

Answer to Question 2

Ans: B
Feedback:
The nurse should monitor the client for an increased risk of hypertensive crisis as an effect of the interaction between difenoxin with atropine and MAOI antidepressants. When the client is administered antihistamines, opioids, sedatives, or hypnotics with antidiarrheal drugs, there will be increased risk of CNS depression. When the client is administered antihistamines and general antidepressants with antidiarrheal drugs, there will be increased cholinergic blocking adverse reactions. There will not be a decreased effect of difenoxin when there is an interaction between difenoxin and MAOI antidepressants.


Bernana

  • Member
  • Posts: 530
Reply 2 on: Jul 23, 2018
Wow, this really help

raenoj

  • Member
  • Posts: 340
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

The average human gut is home to perhaps 500 to 1,000 different species of bacteria.

When using an interpreter, the nurse should pose questions directly to the patient, not the interpre When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Establishing a caring and trusting relationship helps the client come to terms with a terminal illne Establishing a caring and trusting relationship helps the client come to terms with a terminal illne
Children with Down syndrome have a small head, short, thick neck, flattened face, and a distinctive ... Children with Down syndrome have a small head, short, thick neck, flattened face, and a distinctive ...
Boy with Down syndrome. Boy with Down syndrome.
Wrap the client securely with sheets. (A) Lay one side of the sheet over the body. (B) Enclose the ... Wrap the client securely with sheets. (A) Lay one side of the sheet over the body. (B) Enclose the ...
Variable expressivity of Waardenburg syndrome Variable expressivity of Waardenburg syndrome
Video: Glucose Evaluation Procedure

For a complete list of videos, visit our video library