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

Author Question: The nurse administers psyllium (Metamucil) to a patient who has requested a laxative. The nurse ... (Read 368 times)

Coya19@aol.com

  • Hero Member
  • *****
  • Posts: 601
on: Jul 23, 2018
The nurse administers psyllium (Metamucil) to a patient who has requested a laxative. The nurse should monitor the patient for ____________ and provide ______________ to minimize the effects and risks.
 
  a. nausea and vomiting; an antiemetic
  b. abdominal cramps; a K-pad (warming pad)
  c. esophageal obstruction; 8 ounces of water
  d. watery stools; 30 mL of water

Question 2

The nurse is caring for an elderly patient who is status-post right hip open-reduction internal fixation (ORIF).
 
  The patient is taking oxycodone (OxyContin) every 6 hours as needed for pain and chlorpheniramine (Chlor-Trimeton) daily. The nurse discusses obtaining an order from the prescriber for which of the following medications?
  a. GoLYTELY
  b. Lactulose
  c. Docusate sodium (Colace)
  d. Polyethylene glycol (MiraLax)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Danny Ewald

  • Sr. Member
  • ****
  • Posts: 332
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Esophageal obstruction can occur if the psyllium is taken without sufficient fluids. It should be administered with a full glass of water or juice to promote passage.
Nausea, vomiting, and watery stools are not associated with psyllium, therefore intervention is unnecessary.

Answer to Question 2

ANS: C
Oxycodone and chlorpheniramine both can be constipating. The patient needs something prophylactically, such as docusate sodium, that can be taken daily to prevent constipation. In addition, the patient's mobility is limited, which can further increase the risk of constipation.
GoLYTELY is not indicated for constipation. It is used for cleansing the bowel prior to diagnostic procedures.
Lactulose is not indicated. It typically is used for reducing ammonia levels in hepatic encephalopathy.
Polyethylene glycol is indicated for occasional constipation. No information suggests that the patient is constipated.


Coya19@aol.com

  • Hero Member
  • *****
  • Posts: 601
Reply #2 on: Jul 23, 2018
Thank you!


Danny Ewald

  • Sr. Member
  • ****
  • Posts: 332
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

The Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

NURSE NURSE
The patient is undergoing an allergy skin test by receiving subdermal inoculations of allergens. Inf The patient is undergoing an allergy skin test by receiving subdermal inoculations of allergens. Inf
Patient teaching - eye assessment Patient teaching - eye assessment
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient. (a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
Patient Physical Status Classification Patient Physical Status Classification
Video: Cellular defenses (natural killer cells, phagocyte types & process of phagocytosis)

For a complete list of videos, visit our video library