Exam 34: Drugs Used to Treat Constipation and Diarrhea

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The nurse is assessing a patient with constipation.Which situation(s)would cause constipation? (Select all that apply.)

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A,D,E

Which effect will the nurse expect when a patient is taking psyllium while on digoxin?

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D

The nurse is performing a premedication assessment.For which patient would laxative use be contraindicated?

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B

An older adult is admitted through the emergency department with complaints of nausea,abdominal tenderness,and continual stooling.On assessment,the nurse notes abdominal distention,smearing of stool on undergarments,and hypoactive bowel sounds LUQ and LLQ.The patient is unable to determine when the last bowel movement was.What is the nurse's priority assessment?

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What is the mechanism of action of a stimulant laxative?

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Which symptom is the patient with a lactase deficiency most likely to exhibit?

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A patient who has had a myocardial infarction is advised to avoid straining with defecation.Which medication would be prescribed to this patient?

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The nurse is caring for a patient receiving palliative care with opioid-induced constipation.Laxative therapy has been unsuccessful in treating this patient.Which PRN medication should the nurse provide to best alleviate this type of constipation?

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The nurse is assessing a patient taking lactulose to treat chronic constipation.Which adverse effect should the nurse immediately report to the healthcare provider?

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A friend reports using loperamide (Imodium)for continual diarrhea for a week since returning home from a vacation outside the country.Which is the nurse's best response?

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Which is the laxative of choice for an older patient who is in the end stage of Alzheimer's disease and requires a daily laxative?

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Which instruction by the nurse will assist in the patient's understanding of lactulose,an osmotic laxative?

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Which sign(s)and symptom(s)is/are consistent with dehydration? (Select all that apply.)

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Which instruction will the nurse include in the discharge teaching of a patient taking psyllium?

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A patient is receiving morphine for pain control.What will the nurse emphasize about preventing constipation?

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When the nurse assesses bowel habits in a patient,which is the best example of normal bowel elimination?

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The nurse in a long-term care facility is preparing to pass medications to the residents.To which of the following residents should the nurse administer an antidiarrheal? (Select all that apply.)

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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?

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Which treatment(s)would be considered safe for an infant? (Select all that apply.)

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