During a health history, the nurse learns that a patient uses laxatives every day to ensure a bowel movement. What should the nurse expect to be prescribed for this patient? (Select all that apply.)
a. Daily enema
b. Psyllium (Metamucil)
c. Daily rectal suppository
d. Docusate sodium (Colace)
e. Methylnaltrexone (Relistor)
ANS: B, D
Chronic laxative use should be discontinued. Bulk-forming agents such as psyllium (Metamucil) or stool softeners such as docusate sodium (Colace) should be used instead of laxatives. Enemas and rectal suppositories are used only in extreme cases and are discontinued when an acute episode is resolved. Methylnaltrexone (Relistor) given subcutaneously treats opioid-induced constipation for patients receiving palliative care when other laxatives have not been effective. It does not treat other forms of constipation.
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While teaching a health class to junior and senior male high school students, the school nurse educates them regarding the first sign of testicular cancer, which would include
A) one testicle being lower than the other in the scrotal sac. B) enlargement of the testicle. C) back pain. D) coughing bloody sputum.
The nurse is performing a focused interview with an older adult client. Which of the following statements indicate the client has an increased risk of developing depression? Standard Text: Select all that apply
1. "I've been so lonely since my wife, Maggie, passed away 2 months ago.". 2. "My mother had a history of depression.". 3. "I was diagnosed with chronic bronchitis 4 years ago.". 4. "My son visits at least once a week and takes care of my financial stuff.". 5. "I visit my sister every Monday and she makes me dinner.".
The nurse is collecting data on a 12-month-old child with iron deficiency anemia. Which of the following findings would the nurse expect to note in this child?
1. Bradycardia 2. Tachycardia 3. Hyperactivity 4. A reddened appearance to the cheeks of the face
A nursing student is conducting a web search for information on the NCLEX. What
should the nursing student know about the NCLEX? A) All candidates receive the same questions B) All candidates receive same number of questions C) The computer terminates the examination for all candidates D) Duration of the examination is the same for all candidates