Which effect will the nurse expect when a patient is taking ...

[renzo156]

Which effect will the nurse expect when a patient is taking psyllium while on digoxin?
 
  a. Decreased effectiveness of the laxative
  b. Increased laxative effect
  c. Increased absorption of the digoxin
  d. Decreased absorption of the digoxin

Question 2

Which instruction by the nurse will assist in the patient's understanding of lactulose, an osmotic laxative?
 
  a. This medication draws water into the intestine and stimulates defecation.
  b. There is increased irritability directly on the intestinal wall.
  c. There is lubrication of the intestinal wall that softens the stool.
  d. There is an effect on the nerves to increase the peristalsis of the intestinal smooth muscle.

[al]

Answer to Question 1

ANS: D
Do not administer products containing psyllium (e.g., Metamucil) at the same time as salicylates, nitrofurantoin, or digoxin glycosides. The psyllium may inhibit absorption. Administer these medications at least 1 hour before or 2 hours after psyllium. Digoxin does not affect laxatives.

Answer to Question 2

ANS: A
Osmotic laxatives (e.g., magnesium hydroxide, magnesium sulfate, magnesium citrate, sodium phosphate, lactulose, polyethylene glycol) are hypertonic compounds that draw water into the intestine from surrounding tissues.

[renzo156]

Both answers were spot on, thank you once again

[al]

Great! Please up vote