CHAPTER 26: LAXATIVES AND ANTIDIARRHEALS

CHAPTER 26: LAXATIVES AND ANTIDIARRHEALS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse understands that clients taking which of the following classifications of laxatives are most likely to experience laxative-dependence?

a.	stimulant laxatives	c.	bulk-forming laxatives
b.	saline laxatives	d.	fecal wetting agents

 

 

ANS:  A

 

	Feedback
A	Correct: Stimulant laxatives are the most likely to cause laxative dependence.
B	Incorrect: These are not as likely to cause laxative dependence, because these are usually used for preprocedural bowel preparation.
C	Incorrect: Stimulant laxatives are more likely to cause laxative dependence.
D	Incorrect: Stimulant laxatives are more likely to cause laxative dependence.

 

 

PTS:   1                    REF:   p. 597            OBJ:   Cognitive Level: Comprehension

 

2. The nurse teaching the client receiving diphenoxylate HCl (Lomotil) knows the client needs further teaching when the client responds with which of the following?

a.	“I will not use this medication when driving my car.”
b.	“I will avoid alcohol when taking this medication.”
c.	“I will contact my doctor if my diarrhea continues.”
d.	“I will take a laxative, if I do not have a bowel movement every day.”

 

 

ANS:  D

 

	Feedback
A	Incorrect: This demonstrates client understanding.
B	Incorrect: This demonstrates client understanding.
C	Incorrect: This demonstrates client understanding.
D	Correct: Diphenoxylate HCl is an antidiarrheal not a laxative.

 

 

PTS:   1                    REF:   p. 603            OBJ:   Cognitive Level: Evaluation

 

3. The nurse applies which of the following principles when teaching clients about absorbent agents such as kaolin?

a.	Take these agents on a regular schedule twice daily.
b.	Do not take these agents within several hours of other drugs.
c.	These are the least commonly used antidiarrheal agents.
d.	These agents require a prescription for purchase.

 

 

ANS:  B

 

	Feedback
A	Incorrect: These products have specific instructions regarding when to take the medication relative to having a diarrhea stool.
B	Correct: Because these are binding agents, they may bind with other drugs, affecting the absorption of the other drugs.
C	Incorrect: They are the most commonly used antidiarrheals.
D	Incorrect: Most are available OTC (over-the-counter).

 

 

PTS:   1                    REF:   p. 603            OBJ:   Cognitive Level: Application

 

4. All of the following are characteristics of the “ideal laxative,” except:

a.	acts rapidly with the production of a normally formed stool.
b.	does not interfere with drug or nutrient absorption.
c.	works for several days after administration.
d.	does not irritate the GI tract.

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is a characteristic of the “ideal laxative.”
B	Incorrect: This is a characteristic of the “ideal laxative.”
C	Correct: The “ideal laxative” should not have a residual effect.
D	Incorrect: This is a characteristic of the “ideal laxative.”

 

 

PTS:   1                    REF:   p. 597            OBJ:   Cognitive Level: Comprehension

 

5. The nurse understands that saline laxatives work by:

a.	increasing the motility of the GI tract through irritation.
b.	softening the fecal mass.
c.	lubricating the intestinal lining, facilitating passage of the stool.
d.	increasing fluid in the stool by osmosis.

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is not an action of saline laxatives.
B	Incorrect: This is not an action of saline laxatives.
C	Incorrect: This is not an action of saline laxatives.
D	Correct: Saline laxatives work by increasing fluid in the stool by osmosis.

 

 

PTS:   1                    REF:   p. 597            OBJ:   Cognitive Level: Knowledge