A patient has been experiencing occasional episodes of constipation and has been unable to achieve consistent relief by increasing physical activity and improving his diet
What pharmacologic intervention should the nurse recommend to the patient for ongoing use?
A) Mineral oil enemas
B) Bisacodyl (Dulcolax)
C) Senna (Senokot)
D) Psyllium hydrophilic mucilloid (Metamucil)
Ans: D
Feedback:
Psyllium hydrophilic mucilloid (Metamucil) is a bulk-forming laxative that is safe for ongoing use. None of the other listed laxatives should be used on an ongoing basis because of the risk of dependence.
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You are the nurse caring for patients in the urology clinic. A new patient, 78 years old, presents with complaints of urinary incontinence. An anticholinergic is prescribed
Why might this type of medication be an inappropriate choice in the elderly population? A) Gastrointestinal hypermotility can be an adverse effect of this medication. B) Detrusor instability can be an adverse effect of this medication. C) Confusion can be an adverse effect of this medication. D) Increased symptoms of urge incontinence can be an adverse effect of this medication.
Which of the following has a slower onset and longer duration?
A. mealtime insulin B. Humalog insulin C. Basal insulin D. Novolin R insulin
The community health nurse needs to locate information about end-stage renal disease, including vital statistics and health insurance facts. Which electronic resource will be most helpful in locating the information?
A) National Library of Medicine B) United States Census Bureau C) March of Dimes D) National Center for Health Statistics
The client experienced female circumcision as a puberty ritual while living in Africa as a child. What condition should the nurse monitor the client for as an adult?
1. Early menopause 2. Increased menstrual flow 3. Chronic urinary tract infection 4. Tendency for postpartum hemorrhage