The parent of a child with cerebral palsy reports that the child has pebble-like stools most of the time and seems uncomfortable if several days have passed between stools
The nurse will suggest that the parent discuss which medication with the child's provider?
a. Bisacodyl (Dulcolax) suppositories
b. Magnesium citrate
c. Methylcellulose (Citrucel)
d. Polyethylene glycol (MiraLax)
ANS: D
Polyethylene glycol is an osmotic laxative widely used for chronic constipation, which this child has, because it provides relief from abdominal discomfort, improves stool consistency, and increases frequency. Bisacodyl is not recommended for long-term use. Magnesium citrate causes increased water loss, and methylcellulose can also cause impaction.
You might also like to view...
Your patient has recently completed her first round of chemotherapy in the treatment of lung cancer. When reviewing this morning's blood work, what findings would be suggestive of myelosuppression?
A) Decreased sodium levels and decreased potassium levels B) Increased creatinine and blood urea nitrogen (BUN) C) Decreased platelets and red blood cells D) Increased white blood cells and c-reactive protein (CRP)
An 8-year-old girl was diagnosed with a closed fracture of the radius at approximately 2 p.m. The fracture was reduced in the emergency department and her arm placed in a cast. At 11 p.m
her mother brings her back to the emergency department due to unrelenting pain that has not been relieved by the prescribed narcotics. Which action would be the priority? A) Notifying the doctor immediately B) Applying ice C) Elevating the arm D) Giving additional pain medication as ordered
Providing treatment and rehabilitation for people who have developed disease is part of:
1. primary preventive care. 2. secondary preventive care. 3. tertiary preventive care. 4. primordial preventive care.
The choice of diuretic to use in treating hypertension is based on:
1. Presence of diabetes with loop diuretics being used for these patients 2. Level of kidney function with a thiazide diuretic being used for an estimated glomerular filtration rate higher than the mid-40mL/min range 3. Ethnicity with aldosterone antagonists best for African Americans and older adults 4. Presence of hyperlipidemia with higher doses needed for patients with LDL above 130 mg/dL