A clinic patient with a history of heart failure requires a laxative for treatment of chronic constipation. What medication would be most appropriate for this patient?
A) Senna (Senokot)
B) Lactulose (Chronulac)
C) Magnesium sulfate (Milk of Magnesia)
D) Castor oil (Neoloid)
B
Feedback:
Lactulose is often the drug of choice when a patient with cardiovascular problems requires a laxative. It is salt free, an important consideration in patients with heart failure; it acts by exerting a gentle osmotic pull of fluid into the intestinal lumen. Senna, magnesium sulfate, and castor oil are more aggressive laxatives and might not be the best choice for a patient with cardiovascular problems.
You might also like to view...
A community nurse approaches the organization's manager wanting to set up screening for risk factors for Tourette's syndrome in children. Which response by the manager is the most appropriate?
A. Allocate funding for a family psychosocial or cognitive condition screening. B. Deny the request because Tourette's syndrome has very little impact. C. Explain that Tourette's syndrome is most likely inherited. D. Facilitate cooperative agreements with a community laboratory facility.
The nurse is assisting with a "code blue" that has just been called for a patient who appears to be in asystole
Which of the following medications should the nurse identify in the crash cart in anticipation of administering them to the patient? Select all that apply. A) Atropine B) Epinephrine C) Lidocaine D) Magnesium sulfate E) Heparin
An older patient is diagnosed with arterial peripheral vascular disease. What will the nurse assess in this patient? Select all that apply.
1. Leg ulcers 2. Pain with walking 3. 40-year history of smoking 4. Pain relieved when legs dangle 5. History of working as a computer operator
In caring for a client with interstitial cystitis, the nurse would focus significant nursing interventions on
a. administering antibiotics. b. providing emotional support. c. teaching about an acid-ash diet. d. teaching preventive measures.