A patient is administered a stimulant cathartic. Which of the following is the most common adverse effect of a stimulant cathartic?

A) Nausea
B) Vomiting
C) Diarrhea
D) Rectal bleeding


C
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The stimulant cathartics are the strongest and most abused laxative products. These drugs act by irritating the GI mucosa and pulling water into the bowel lumen. As a result, feces are moved through the bowel too rapidly to allow colonic absorption of fecal water, so a watery stool is eliminated. Nausea, vomiting, and rectal bleeding should not routinely occur.

Nursing

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An immunosuppressed patient is receiving chemotherapy treatment at home. What infection-control measure should the nurse recommend to the family?

A) Family members should avoid receiving vaccinations until the patient has recovered from his or her illness. B) Wipe down hard surfaces with a dilute bleach solution once per day. C) Maintain cleanliness in the home, but recognize that the home does not need to be sterile. D) Avoid physical contact with the patient unless absolutely necessary.

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The nurse is working at an ambulatory care clinic. A woman reports with complaints of discovering a lump in her breast. When considering the likelihood the mass is malignant, which characteristic is most indicative of breast cancer?

1. The borders of the mass are uneven. 2. The client reports tenderness with palpation. 3. The mass is readily moved beneath the skin. 4. The skin over the mass is smooth.

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The nurse is planning to perform a physical assessment on an adult client. Prior to the assessment, which should be the nurse's first action?

A. Wash hands in the presence of the client. B. Provide a gown for the client to change into. C. Explain to the client what will happen during the examination. D. Obtain a written consent.

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Which refers to a newborn whose rate of intrauterine growth was slowed and whose birth weight falls below the 10th percentile on intrauterine growth charts?

a. Postterm b. Postmature c. Low birth weight d. Small for gestational age

Nursing