Immediately after administering a bulk-forming laxative, the nurse should assess:
1. if the client is taking other medications.
2. if the client is allergic to any medications.
3. the time of the client's last bowel movement.
4. whether the client has retrosternal pain.
Correct Answer: 4
Rationale 1: The client's drug history should be assessed before administering any medication.
Rationale 2: The client's allergies to medications should be assessed before administering any medication.
Rationale 3: The time of the client's last bowel movement should be assessed before the bulk-forming laxative is administered.
Rationale 4: If the client has retrosternal pain after taking the drug, it might have been caused by a gelatinous mass from poor mixing of the bulk-forming laxative with liquids before administration.
Global Rationale: If the client has retrosternal pain after taking the drug, it might have been caused by a gelatinous mass from poor mixing of the bulk-forming laxative with liquids before administration. Drug history, allergy history, and time of last bowel movement should be assessed before medications are administered.
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