Which prescribed intervention for a 61-year-old female patient with chronic short bowel syndrome will the nurse question?
a. Ferrous sulfate (Feosol) 325 mg daily
b. Senna (Senokot) 1 tablet every day
c. Psyllium (Metamucil) 2.1 grams 3 times daily
d. Diphenoxylate with atropine (Lomotil) prn loose stools
b. Senna (Senokot) 1 tablet every day
Patients with short bowel syndrome have diarrhea because of decreased nutrient and fluid absorption and would not need stimulant laxatives. Iron supplements are used to prevent iron-deficiency anemia, bulk-forming laxatives help make stools less watery, and opioid antidiarrheal drugs are helpful in slowing intestinal transit time.
You might also like to view...
Which action by a nurse is necessary to provide culturally competent care?
1. Acceptance of the beliefs and characteristics of a patient 2. Participation in rituals and prayers of a patient 3. Knowledge of customs of a patient 4. Allowing all practices requested by a patient
The nurse knows which of the following clients listed below is most likely to exhibit signs and symptoms of fatigue?
A) An obese client with a recurring flulike illness, muscle and joint pain, headaches, and sleep problems B) A sleep-deprived new mother with headache, sore throat, and anemia C) A woman with breast cancer, joint pain, lack of motivation, and inability to concentrate D) A client with major depression, allergies, and history of type 1 diabetes
The nurse considering interventions for the outcome of prevention of contractures in a spinal cord–injured patient will include which of the following in the nursing care plan?
1. Apply cold wraps to the limbs twice a day. 2. Perform full range of motion every 2 hours. 3. Use significant tactile stimuli each shift. 4. Apply splints to the limbs.
The nurse is discussing the treatment of congenital aganglionic megacolon with the caregivers of a child diagnosed with this disorder. Which statement best explains the treatment for this diagnosis?
A) "The treatment for the disorder will be a surgical procedure." B) "Your child will be treated with oral iron preparations to correct the anemia." C) "We will give enemas until clear and then teach you how to do these at home." D) "Your child will receive counseling so the underlying concerns will be addressed."