Poop de scoop meds
When taking Metamucil, you can expect to have the desired outcome in how many hours
What is 12-72 hours
Vitamin A D E and K are considered what type of vitamins
What is fat soluble vitamins
The nurse has implemented a care plan for an adult client with gastroesophegeal reflux disorder (GERD). On the next clinic visit, which statement by the client indicates adherence to the plan of care?
A) "Spandex camisoles are worth heartburn."
B) "I have switched from margaritas to wine."
C) "I've lost 6 pounds because I eat every 3 hours and never before bed."
D) "I take a TUMS with the ranitidine to make it work better."
Appropriate client outcomes are freedom from pain and knowledge of lifestyle changes to manage GERD. Weight loss, small, frequent meals, and avoiding lying down within 3 hours of eating indicate correct management. Although the client knows tight-fitting spandex camisoles can worsen GERD, she is not willing to stop wearing them. Changing from margaritas to wine will not improve GERD. Antacids like TUMS should be avoided within 1 hour before or after an H2-receptor blocker like ranitidine.
The home health nurse is providing care to a client with a history of constipation. The healthcare provider prescribed psyllium mucilloid (Metamucil) for the client. After providing medication teaching for this client, which statement indicate the need for further education
A) "This medication is a lot more natural than other laxatives."
B) "I may be able to stop my Lipitor with this medication."
C) "This medication takes several days to work."
D) "I don't need to drink extra fluids while I take this medication."
D) Fluids must be increased when clients use psyllium mucilloid (Metamucil). Psyllium mucilloid (Metamucil) takes several days to work, may help to reduce cholesterol levels, and is more natural than other laxatives
What is the name of the anti nausea medication that is a serotoinin antagonist
What is Zofran
Patients that have Hepatic encephalopathy may be required to take what type of laxative
What is Lactulose
Why is it important for a pregnancy woman not to overdose on Vitamin A
A pregnancy can cause birth defects
The charge nurse is observing a newly licensed nurse conduct an abdominal assessment on a client admitted with an abdominal mass that is affecting bowel elimination. Which actions by the newly licensed nurse would require the charge nurse to intervene?
Select all that apply.
A) Performing palpation before auscultation
B) Performing auscultation before palpation
C) Using inspection, auscultation, percussion, and palpation during the abdominal assessment of the client
D) Using only inspection, percussion, and palpation during the abdominal assessment of the client
E) Using deep palpation during the assessment process
A D E) Physical examination of the abdomen in relation to bowel elimination problems includes inspection, auscultation, percussion, and palpation. Auscultation should precede palpation, because palpation can alter peristalsis. Never use deep palpation on a client who has
The nurse is admitting a child who has had diarrhea for 1 week. Which goal is appropriate for this client when writing the plan of care?
A) The client will increase the amount of sugar in the diet.
B) The client will defecate regularly by discharge.
C) The client will limit fluid intake for 3 days.
D) The client will regain normal stool consistency by discharge
D) As this client is experiencing diarrhea, the goal will be to regain normal stool consistency, which means less water will be in the stool, resulting in a more formed consistency. Defecating regularly once the diarrhea has subsided can be a goal, but it is too soon for this goal; the problem needs to be corrected first. Since the client is experiencing diarrhea, which can dehydrate the body and promote electrolyte loss, limiting fluid is not appropriate. Increasing the amount of sugar in the diet will just add to the diarrhea.
Name 2 side effects of Zofran
Headache dizziness and diarrhea
The nurse is preparing to teach a class on the prevention of constipation. Which food choice with the nurse include as an example of a high-fiber food?A) Raw fruits
B) Cooked vegetables
C) White bread
D) Cooked fruits
A) Foods high in fiber include raw fruits, bran products, and whole grain products. Low-fiber foods would include cooked fruits, cooked vegetables, and white bread
Name 3 foods that have vitamin E
margarine salad dressing nuts seeds wheat germ dark green vegetable
The nurse is providing care to a client diagnosed with celiac disease who experiences frequent diarrhea. Based on this data, the nurse anticipates the client may also experience which associated problems?
Select all that apply.
A) Skin breakdown
B) Fluid and electrolyte imbalance
C) Hair loss
D) Lifestyle issues
E) Sexual dysfunction
A, B, D
The nurse is caring for a client who is experiencing intermittent diarrhea. The client has been advised to increase the amount of soluble fiber in the diet. Which food selections by the client indicate that teaching has been effective?
Select all that apply.
A) Sunflower seeds
B) Carrot slices
C) Spinach salad
D) Corn muffins
E) Peas
B) Soluble fibers prolong stomach emptying time. Carrot slices and peas are sources of soluble fiber. The remaining selections are sources of insoluble fiber
E) Soluble fibers prolong stomach emptying time. Carrot slices and peas are sources of soluble fiber. The remaining selections are sources of insoluble fiber.
The client complaining of “acid” when lying down at night asks the nurse if there is
any medication that might help. Which statement is the nurse’s best response?
1. “There are no medications to treat this problem, but losing weight will sometimes
help the symptoms.”
2. “There are several over-the-counter and prescription medications available to treat
this. You should discuss this with the HCP.”
3. “Have you had any x-rays or other tests to determine if you have cancer or some
other serious illness?”
4. “Acid reflux at night can lead to serious complications. You need to have tests done
to determine the cause.”
2. Proton-pump inhibitors, histamine2
blockers, and antacids all treat the symptoms
of acid reflux. The nurse should
encourage the client to discuss which
medication is best with the HCP
The nurse is reviewing discharge instructions with the mother of a toddler who was hospitalized for constipation. Which statement made by the toddler’s mother indicates the need for further education?
A) "I should recognize that when my child walks stiffly on his tiptoes, this could indicate withholding."
B) "Rocking and crossing the legs could be a sign of withholding."
C) "I need to make sure my child eats a low-fiber diet."
D) "Soiling could be a sign of withholding because of involuntary overflow."
C) This child requires a diet that is high in fiber. This statement indicates the need for further instruction. All of the other statements made by the toddler’s mother indicate appropriate understanding of the information presented regarding constipation
SPinach, brussel sprouts broccoli and cabbage are all able to give which Vitamin to a pt
What is Vitamin K
) A home health care nurse is providing care to an older adult client who lives alone and has limited financial resources. The client has a history of celiac disease. When planning care for this client, which nursing diagnoses are appropriate?
Select all that apply.
A) Risk for Constipation
B) Risk for Nutrition, Imbalance: less than body requirements
C) Risk for Fluid Volume Imbalance
D) Risk for Diarrhea
E) Risk for Pain
B C D E) Client with celiac disease often have nutritional imbalance, including anemia and vitamin deficiencies; impaired absorption of fluids and electrolyte which leads to diarrhea and fluid imbalance; and pain related to abdominal bloating and cramping. Constipation is not a normal manifestation of celiac disease.
The nurse is planning care for a newly admitted bed-bound older adult client. Which nursing diagnosis would be most appropriate for this client?
A) Risk of Bowel Incontinence
B) Disturbed Body Image
C) Risk of Diarrhea
D) Risk of Constipation
D) Lack of activity, like being bed-bound, is a major contributor to constipation. Lack of movement slows bowel movements. Lack of sphincter control, not bed rest, contributes to bowel incontinence. Diarrhea would come from a GI upset triggered by diseases, medication, or diet. Disturbed Body Image would affect a client who has undergone a bowel diversion.
The nurse on a medical unit has received the morning report. Which medication
should the nurse administer first?
1. The proton-pump inhibitor pantoprazole (Protonix) to a client on call to surgery.
2. The antacid calcium carbonate (TUMS) to a client complaining of indigestion.
3. The antimicrobial bismuth (Pepto Bismol) to a client diagnosed with an ulcer.
4. The H2 blocker famotidine (Pepcid) to a client diagnosed with GERD
1. A medication for a client on call to
surgery is a priority; the client’s surgery
could be delayed if the medication has
not been administered when the call to
surgery comes.
The nurse is providing care to a client who is experiencing constipation. The healthcare provider prescribes Metamucil, a bulk-forming laxative. Which is a nursing consideration when administering this medication to the client?
A) Offering sufficient water
B) Administering rectally
C) Using to treat acute constipation
D) Assessing for tardive dyskinesia
A) It is imperative that the client take Metamucil with a sufficient amount of water for the medication to be effective. Metamucil is an oral medication, and it is not typically for use in the treatment of acute constipation, as results from the medication are not immediate. Prokinetic drugs such as Reglan may cause tardive dyskinesia. Metamucil is not associated with the cause of tardive dyskinesia.
A pt is taking Coumadin 5 mg every day at 5 pm. The have recently went to the hospital and their INR was 1.1. The pt reports that they have changed their diet. Based on the lab value and medication, what type of foods would you assume the pt has added in their diet
What is vitamin K
A school-age child, recently diagnosed with celiac disease, is underweight, vitamin-deficient, anemic, and experiences frequent diarrhea. In addition to removing gluten from his diet, what other recommendations will the nurse provide for this child and family?
Select all that apply.
A) Fat restriction
B) A high-carbohydrate diet
C) Vitamin supplements
D) High-calorie diet
E) High protein diet
A,C,D,E) A child with celiac disease who is underweight, vitamin-deficient, anemic and experiencing diarrhea will require a low-fat, high-calorie, high-protein diet. Vitamin supplements may also be required. In celiac disease, gastrointestinal dysfunction may cause carbohydrates to be incompletely digested, leading to malabsorption and intolerance
The nurse is caring for a client with chronic constipation. Which findings in the client’s health history could be the cause of the current constipation?
Select all that apply.
A) Bed rest
B) High-fiber foods
C) Low-fiber foods
D) Chronic laxative use
E) Depression
A, C, D, E
9. The nurse is discharging a client 2 days postoperative hiatal hernia repair. Which
discharge instructions should the nurse include? Select all that apply.
1. Take all the prescribed antibiotic.
2. Eat six small meals per day.
3. Use the legs to bend down, not the back.
4. Take esomeprazole (Nexium) twice a day.
5. Use the pain medication when the pain is an 8–10.
1. Prophylactic antibiotics are frequently
prescribed both presurgery and postsurgery.
The client should be instructed
to take all the medication as directed.
2. Hiatal hernia repair may not last and
the client should continue the recommended
lifestyle modifications, such as
eating small meals.
3. Part of the lifestyle modifications for
hiatal hernia is to limit pressure on the
abdominal cavity, especially after a
meal. Using the leg muscles to bend
down, rather than bending over, should
be taught to the client.