NUR2474 Exam 2: Pharmacology for Professional Nursing Exam 2 ;Questions & Answers With Rationales/ Newly Updated/Rasmussen

The nurse is caring for an older adult patient after a right hip open reduction internal fixation (ORIF). The patient is taking an opioid every 6 hours as needed for pain. The nurse discusses obtaining an order from the prescriber for which medication? a.Docusate sodium (Colace) b.GoLYTELY c.Lactulose d.Polyethylene glycol (MiraLax) (Ans- a.Docusate sodium (Colace) Oxycodone can be constipating. The patient needs something prophylactically, such as docusate sodium, that can be taken daily to prevent constipation. In addition, the patient's mobility is limited, which can further increase the risk of constipation. GoLYTELY is not indicated for constipation; it is used for cleansing the bowel before diagnostic procedures. Lactulose is not indicated; it typically is used for reducing ammonia levels in hepatic encephalopathy. Polyethylene glycol is indicated for occasional constipation; no information suggests that the patient is constipated. A patient has been taking senna (Senokot) for several days, and the nurse notes that the urine is yellowish-brown. What does the nurse know about this symptom? a.It indicates that renal failure has occurred. b.It is caused by dehydration, which is a laxative side effect. c.It is a sign of toxicity, indicating immediate withdrawal of the drug. d.It is an expected, harmless effect of senna. (Ans- d.It is an expected, harmless effect of senna. Systemic absorption of senna, followed by renal excretion, may impart a harmless yellowish-brown or pink color to the urine. This symptom is not an indication of renal failure, dehydration, or toxicity. A pregnant patient who is taking ondansetron (Zofran) for morning sickness tells the nurse she is experiencing headache and dizziness. What will the nurse tell her? a.It is not safe to take this drug during pregnancy. b.These are common side effects of ondansetron. c.She should stop taking the ondansetron immediately. d.She should report these adverse effects to her provider. (Ans- b.These are common side effects of ondansetron. The most common side effects of ondansetron are headache, diarrhea, and dizziness. Ondansetron is used off-label to treat morning sickness. These side effects do not indicate a need to stop taking the drug or to report the side effects to the provider.