A client asks if he could use an over-the-counter bulk-type laxative. Which assessment finding would cause the nurse to tell the client not to use this drug?
1. The client is over age 60.
2. The client takes warfarin every other day.
3. The client has type 2 diabetes.
4. The client has a history of fecal impaction.
5. The client is allergic to penicillin.
Correct Answer: 2,4
Rationale 1: There is no contraindication for use of this laxative class in clients over 60.
Rationale 2: Bulk-type laxatives may decrease the absorption and effects of warfarin.
Rationale 3: Bulk-type laxatives may decrease serum glucose levels in clients with type 2 diabetes. This is not an adverse outcome.
Rationale 4: If there is a chance that the client has a fecal impaction, bulk-type laxative should not be used.
Rationale 5: Allergy to penicillin is not a contraindication for use of bulk-type laxatives.
You might also like to view...
The patient is admitted for chemotherapy, but the nurse notices laboratory values indicating that the patient is immunosuppressed. The nurse should:
a. place the patient in a single room with a HEPA filtration system. b. tell staff that hand washing is not recommended when working with this patient. c. start as many intravenous lines as possible to provide potential antibiotics. d. avoid the use of antimicrobial soaps when bathing and providing perineal care.
The average expected apical pulse range of a full-term, quiet, alert newborn is:
1. 80 to 100 beats/min. 2. 100 to 120 beats/min. 3. 120 to 160 beats/min. 4. 150 to 180 beats/min.
The nurse is teaching the parents of a juvenile diagnosed with type 1 diabetes the three "polys" of diabetes symptoms. Which of the following describes excessive hunger?
A) Polyuria B) Polydipsia C) Polyphagia D) Polycythemia
The nurse must restrain a child and knows that a blanket restraint will be best for which child in the nurse's care?
A. A 7-year-old child who has a laceration of the forearm B. A 5-year-old child who needs to have an IV started in the antecubital space C. A 3-year-old child who has a laceration of the forehead that needs stitches D. A 1-year-old child who needs a lumbar puncture to check for meningitis