Author Question: A client who is experiencing explosive diarrhea asks the nurse what causes the condition. The nurse ... (Read 35 times)

silviawilliams41 · **on:** Jul 23, 2018

A client who is experiencing explosive diarrhea asks the nurse what causes the condition. The nurse responds that diarrhea can be a defense mechanism that removes:

Standard Text: Select all that apply.
1. toxins.
2. pathogens.
3. excess stool.
4. excess water.
5. excess nutrients.

Question 2

Which statements about bulk-forming laxative drugs are accurate?

Standard Text: Select all that apply.
1. They work immediately after one dose.
2. They are contraindicated when the client has undiagnosed abdominal pain, suspected intestinal obstruction, or fecal impaction.
3. They must be taken with plenty of water, or they can cause an esophageal obstruction.
4. The prototype of bulk-forming laxatives is milk of magnesia.
5. Bulk-forming laxative powder should never be taken dry.

Leostella20 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2
Rationale 1: In some cases, diarrhea is a type of body defense, rapidly and completely ridding the body of toxins.
Rationale 2: In some cases, diarrhea is a type of body defense, rapidly and completely ridding the body of pathogens.
Rationale 3: Removing excess stool is not a body defense associated with diarrhea.
Rationale 4: Removing excess water is not a body defense associated with diarrhea.
Rationale 5: Removing excess nutrients is not a body defense associated with diarrhea.
Global Rationale: In some cases, diarrhea is a type of body defense, rapidly and completely ridding the body of toxins and pathogens. Diarrhea is not a body defense to remove too much stool, excess water, or excess nutrients.

Answer to Question 2

Correct Answer: 2,3,5
Rationale 1: Bulk-forming laxatives increase the size of the fecal mass and stimulate defecation. Several doses of psyllium might be needed over 13 days to produce an optimum therapeutic effect.
Rationale 2: Bulk-forming laxatives are contraindicated when the client has undiagnosed abdominal pain, suspected intestinal obstruction, or fecal impaction.
Rationale 3: Bulk-forming laxatives must be taken with plenty of water; otherwise, psyllium could swell in the esophagus and cause an obstruction.
Rationale 4: The prototype of bulk-forming laxative drugs is psyllium mucilloid.
Rationale 5: Powders should never be swallowed dry, or esophageal obstruction may result.
Global Rationale: Bulk-forming laxatives increase the size of the fecal mass and stimulate defecation. Several doses of psyllium might be needed over 13 days to produce an optimum therapeutic effect. They must be taken with plenty of water; otherwise, psyllium could swell in the esophagus and cause an obstruction. The prototype of bulk-forming laxative drugs is psyllium mucilloid. Bulk-forming laxatives are contraindicated when the client has undiagnosed abdominal pain, suspected intestinal obstruction, or fecal impaction. Powders should never be swallowed dry, or esophageal obstruction may result.