Which drug would be most effective for an obstetric patient who ...

[MGLQZ]

Which drug would be most effective for an obstetric patient who is complaining of constipation as a result of her enlarging uterus and use of prenatal vitamins?
 
  a. Saline laxative
  b. Lubricant laxative
  c. Stimulant laxative
  d. Mineral oil

Question 2

The nurse is performing a premedication assessment. For which patient would laxative use be contraindicated?
 
  a. Patient with quadriplegia
  b. Patient with appendicitis
  c. Geriatric patient
  d. Patient with fractured femur

[blazinlyss]

Answer to Question 1

ANS: B
Lubricant and bulk-forming laxatives may be used in the pregnant patient because little cramping accompanies their use. Saline laxatives are not safe for a pregnant woman because of the bowel distention and possible electrolyte imbalance they may cause. Stimulant laxatives are too harsh for a pregnant woman because they may cause cramping. Mineral oil is not a good laxative to use on a regular basis because it can cause malabsorption of vitamins.

Answer to Question 2

ANS: B
Patients who have a history of an inflammation of the gastrointestinal (GI) tract, including gastritis, colitis, Crohn's disease, ulcerative colitis, and appendicitis, should not take laxatives and should be referred to a health care provider. Quadriplegic and geriatric patients as well as patients with fractures may generally take laxatives and stool softeners on a regular basis.

[MGLQZ]

Thank you!

[blazinlyss]

Always glad to help...