Abrams' Clinical Drug Therapy Rationales for Nursing Practice by Geralyn Frandsen
Abrams' Clinical Drug Therapy Rationales for Nursing Practice by Geralyn Frandsen
$2.99
Chapter 37- Drug Therapy for Constipation and Elimination Problems
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Defecation is normally stimulated by what physiologic trigger? | |
| A) | Movements and reflexes in the gastrointestinal tract | |
| B) | Stimulation from the medulla oblongata | |
| C) | Synthesis and release of digestive enzymes | |
| D) | Changes in the osmolarity of bowel contents | |
| Ans: | A | |
| Feedback: | ||
| Defecation is normally stimulated by movements and reflexes in the gastrointestinal tract. It does not result from changes in osmolarity, CNS stimulation, or the release of enzymes. | ||
| 2. | Constipation is defined as | |
| A) | the passage of fewer than three stools in any 7-day period. | |
| B) | the passage of fewer than five stools in any 7-day period. | |
| C) | the infrequent and painful expulsion of hard, dry stools. | |
| D) | a subjective sensation of bowel fullness. | |
| Ans: | C | |
| Feedback: | ||
| Constipation is the infrequent and painful expulsion of hard, dry stools. It is not defined by a particular number of stools or in terms of an individual’s subjective sensation. | ||
| 3. | A patient is using psyllium hydrophilic mucilloid (Metamucil) to promote evacuation of stool. What is the action of this medication? | |
| A) | It reduces the surface tension of bowel contents. | |
| B) | It irritates the intestinal mucosa, thus increasing intestinal motility. | |
| C) | It increases mass and water content of stool, promoting evacuation. | |
| D) | It creates a barrier between the colon wall and feces. | |
| Ans: | C | |
| Feedback: | ||
| Bulk-forming laxatives increase mass and water content of the stool, promoting evacuation. Bulk-forming laxatives do not reduce surface tension of bowel contents. Bulk-forming laxatives do not irritate the intestinal mucosa to increase intestinal motility. Bulk-forming laxatives do not create a barrier between the colon wall and feces. | ||
| 4. | Which of the following statements by your patient leads you to believe that he has understood how to safely and effectively use bulk-forming laxatives? | |
| A) | “I will mix the medication with around a cup of fluid and then drink the mixture.” | |
| B) | “I will mix the dry medication with applesauce and then eat prunes before bedtime.” | |
| C) | “I will use milk of magnesia in conjunction with Metamucil until I have a bowel movement.” | |
| D) | “I will decrease the roughage in my diet while I am taking the bulk-forming laxative and eat rice.” | |
| Ans: | A | |
| Feedback: | ||
| Bulk-forming laxatives increase mass and water content of the stool, promoting evacuation. Mixing the bulk-forming laxative with applesauce will not provide the needed fluid, and the applesauce can have a binding effect. It is not necessary to mix milk of magnesia with Metamucil. The patient should not decrease roughage in the diet or eat rice, which is binding. | ||
| 5. | Your patient is taking psyllium hydrophilic mucilloid (Metamucil) daily. What information should be included in the discharge plan? | |
| A) | Drink at least 8 ounces of fluid with the medication. | |
| B) | Mix the medication with your food at the evening meal. | |
| C) | Combine all of your medications with the mucilloid. | |
| D) | Discontinue the mucilloid if you do not have a bowel movement daily. | |
| Ans: | A | |
| Feedback: | ||
| Bulk-forming laxatives increase mass and water content of the stool, promoting evacuation. The patient should drink at least 8 ounces of fluid with the medication. The patient should not mix the medication with food or other medications. The mucilloid should not be discontinued if the patient does not have a bowel movement. | ||
Original price was: $100.00.$75.00Current price is: $75.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $100.00.$70.00Current price is: $70.00.