Immediately after administering a bulk-forming laxative, the ...

[newbem]

Immediately after administering a bulk-forming laxative, the nurse should assess:
 
  1. if the client is taking other medications.
  2. if the client is allergic to any medications.
  3. the time of the client's last bowel movement.
  4. whether the client has retrosternal pain.

Question 2

The client who is prescribed vitamin K (phytonadione) asks the nurse, How does the body normally receive this vitamin? The most appropriate response by the nurse is Vitamin K is:
 
  1. obtained only by dietary consumption of dark green, leafy vegetables.
  2. abundant in dairy products, such as such as milk, cheese, and yogurt.
  3. synthesized during fetal development, and not a replaceable substance.
  4. produced through bacterial action in the gastrointestinal tract.

[krakiolit]

Answer to Question 1

Correct Answer: 4
Rationale 1: The client's drug history should be assessed before administering any medication.
Rationale 2: The client's allergies to medications should be assessed before administering any medication.
Rationale 3: The time of the client's last bowel movement should be assessed before the bulk-forming laxative is administered.
Rationale 4: If the client has retrosternal pain after taking the drug, it might have been caused by a gelatinous mass from poor mixing of the bulk-forming laxative with liquids before administration.
Global Rationale: If the client has retrosternal pain after taking the drug, it might have been caused by a gelatinous mass from poor mixing of the bulk-forming laxative with liquids before administration. Drug history, allergy history, and time of last bowel movement should be assessed before medications are administered.

Answer to Question 2

Correct Answer: 4
Rationale 1: Consumption of dark green, leafy vegetables is not the only way to obtain vitamin K.
Rationale 2: Vitamin K is not abundant in dairy products, such as such as milk, cheese, and yogurt.
Rationale 3: Vitamin K is not synthesized during fetal development.
Rationale 4: Approximately 80 of an individual's vitamin K is produced by E. coli in the GI system.
Global Rationale: The body makes most of its needed vitamin K through bacteria in the GI tract. Fetal synthesis, vegetables, and dairy products are not the major sources of this vitamin.

[newbem]

Excellent

[diana chang]

TYSM