The parent of a child with cerebral palsy reports that the child ...

[Metfan725]

The parent of a child with cerebral palsy reports that the child has pebble-like stools most of the time and seems uncomfortable if several days have passed between stools.
 
  The nurse will suggest that the parent discuss which medication with the child's provider?
  a. Bisacodyl (Dulcolax) suppositories
  b. Magnesium citrate
  c. Methylcellulose (Citrucel)
  d. Polyethylene glycol (MiraLax)

Question 2

A patient's provider has recommended a bulk-forming laxative for occasional constipation. Which statement by the patient indicates understanding of the teaching about this agent?
 
  a. I can take this medication long term.
  b. I should not take this drug if I have diverticulitis.
  c. I should take each dose with a full glass of water.
  d. This drug can cause severe diarrhea.

[livaneabi]

Answer to Question 1

ANS: D
Polyethylene glycol is an osmotic laxative widely used for chronic constipation, which this child has, because it provides relief from abdominal discomfort, improves stool consistency, and increases frequency. Bisacodyl is not recommended for long-term use. Magnesium citrate causes increased water loss, and methylcellulose can also cause impaction.

Answer to Question 2

ANS: C
Bulk-forming laxatives provide insoluble substances that swell in water to both soften and increase the size of the fecal mass. Patients should be taught to take the dose with a full glass of water. Laxatives in general are not recommended for long-term use. Bulk-forming laxatives are safe for patients with diverticulitis. They are often used to treat diarrhea, because they help form the fecal mass.

[Metfan725]

TYSM

[mohan]

Excellent