Author Question: A nurse is caring for a client with irritable bowel syndrome. The physician has prescribed ... (Read 61 times)

Bernana · **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

sabina576 · **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.