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 371 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 first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

In the United States, there is a birth every 8 seconds, according to the U.S. Census Bureau's Population Clock.

Did you know?

Glaucoma is a leading cause of blindness. As of yet, there is no cure. Everyone is at risk, and there may be no warning signs. It is six to eight times more common in African Americans than in whites. The best and most effective way to detect glaucoma is to receive a dilated eye examination.

The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Providing patient education Providing patient education
Patient teaching: rectal and anal assessment Patient teaching: rectal and anal assessment
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
Toxoplasma gondii in the heart of an HIV patient. Toxoplasma gondii in the heart of an HIV patient.
Video: Gastrin (gastric emptying) & Secretin (buffering gastric acid)

For a complete list of videos, visit our video library