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

Author Question: A patient has been taking psyllium (Metamucil) 2 to 3 times daily for several days. The patient ... (Read 117 times)

vHAUNG6011

  • Hero Member
  • *****
  • Posts: 514
on: Jul 23, 2018
A patient has been taking psyllium (Metamucil) 2 to 3 times daily for several days. The patient complains of stomach pain but has not had a stool. What will the nurse do?
 
  a. Ask the patient to drink a full glass of water.
  b. Give another dose of the psyllium.
  c. Request an order for a bisacodyl (Dulcolax) suppository.
  d. Palpate the patient's abdomen and auscultate for bowel sounds.

Question 2

A patient is admitted with lower abdominal pain and nausea. The nurse performing the initial assessment notes that the patient's abdomen is distended and firm, and hypoactive bowel sounds are present.
 
  The patient has not had a stool for 3 days. The nurse will contact the provider, who will:
  a. order a bulk-forming laxative.
  b. order extra fluids and fiber.
  c. perform diagnostic tests.
  d. prescribe a cathartic laxative.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

alexanderhamilton

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Psyllium is a bulk-forming laxative and can cause a fecal impaction or obstruction. Abdominal pain can be a sign of impaction or obstruction, so the nurse should assess the patient for this complication. Giving fluids by mouth, administering more laxative, or giving a suppository are all contraindicated if an obstruction has developed and should not be done until this condition is ruled out.

Answer to Question 2

ANS: C
Laxatives are contraindicated for patients with abdominal pain, nausea, cramps, or other symptoms of abdominal disease or an acute surgical abdomen. Laxatives should not be used in patients with obstruction or impaction. This patient shows signs of abdominal obstruction, and laxatives could cause a bowel perforation secondary to increased peristalsis. A bulk-forming laxative is contraindicated. Patients with acute abdomens should be kept NPO pending diagnosis. A cathartic laxative is contraindicated.


vHAUNG6011

  • Member
  • Posts: 514
Reply 2 on: Jul 23, 2018
:D TYSM

coreycathey

  • Member
  • Posts: 333
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Measuring Patient Height Measuring Patient Height
Teaching an illterate patient Teaching an illterate patient
A Patient Being Prepared for Electroconvulsive Therapy. A Patient Being Prepared for Electroconvulsive Therapy.
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
Reputable Websites for Patient Education Cont. Reputable Websites for Patient Education Cont.
Estimated times of divergence of human and Neanderthal genomic Estimated times of divergence of human and Neanderthal genomic
Video: Cellular defenses (natural killer cells, phagocyte types & process of phagocytosis)

For a complete list of videos, visit our video library