N221 EXAM 2 Test Questions with Correct Answers

When administering a bulk-forming laxative, the nurse instructs the patient to drunk the medication mixed in a full 6-8 ounces glass of water. Which statement best represents the rationale for this instruction? a. There will be fewer systemic effects b. The water will help to reduce the bulk of the intestinal contents c. The water acts as a lubricant to soften bowel movements d. These laxatives may cause esophageal obstruction if taken with insufficient water c. The water acts as lubricant to soften bowel movements While recovering from surgery, an elderly woman started taking senna (Senokot) to relieve constipation caused by the pain medication. She states that she plans to take senna daily when she gets home as she likes this new regularity of bowel movements. Which teaching principle is appropriate for this patient? a. It is important to have daily bowel movement to ensure bowel health b. Long-term laxative can cause laxative dependence and bowel damage c. Glycerin suppositories should be used BID to encourage daily bowel movements d. Daily use of stimulant laxative is safe for use in the elerly b. Long-term laxative use can cause laxative dependence and bowel damage Which type of antidiarrheal medication slows peristalsis by reducing smooth muscle tone of the GI tract? a. Adsorbents b. Anticholinergics c. Intestinal flora modifiers d. Lubricants b. Anticholinergics A patient asks the nurse why he is receiving lactobacillus acidophilus for diarrhea caused by antibiotic therapy. The nurse's best response is: a. It helps to destroy the normal intestinal flora that is causing the diarrhea b. It slows down peristalsis and soothes diarrhea c. It coats the walls of the GI tract and binds to toxins that are present d. L. acidophilus replenishes the intestine with a beneficial bacterium d. L. acidophilus replenishes the intestine with a beneficial bacterium