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10 Cards in this Set

  • Front
  • Back

You are interviewing the latest admission to your GI floor. The patient requests a magnesium citrate "cocktail" every night to "keep her regular." Her request is evidence of potential:

Laxative abuse

A patient needing to evacuate the colon for endoscopy would likely take which of the following?

Polyethylene glycol electrolyte solution (NuLYTELY)

You are caring for an 89-year-old with frequent liquid stools. When preparing a plan of care for this patient what nursing diagnosis is a priority?

Deficient fluid volume

Your client is scheduled for a colonoscopy in the morning. What laxative would you expect to be prescribed the evening before the procedure?

Polyethylene glycol-electrolyte solution

Your patient, a 15-year-old girl, is brought to your office by her mother, who reports the patient has chronic diarrhea. The patient reports lack of appetite and is significantly underweight with dry hair and skin. Oral assessment reveals erosion of tooth enamel. When asked, the patient reports occasional laxative use for "constipation." What do you suspect?

Bulimia with laxative abuse

The nurse should monitor a client closely for increased CNS depression when diphenoxylate (Lomotil) is given to a client taking which of the following medications?Select all that apply:

• Fexofenadine (Allegra)• Zolpidem (Ambien)• Temazepam (Restoril)

You are a home health nurse caring for a 72-year-old male in his home. He complains to you about diarrhea on an almost daily basis. What would you explain to this patient is a common cause of diarrhea in older adults?

Laxative overuse

A patient who has been experiencing liquid stools is prescribed polycarbophil (FiberCon). What is the reason for administering a bulk-forming laxative?

Polycarbophil absorbs large amounts of water and decreases fluidity of stools.

At your general medicine practice, your newest patient is a 2-year-old girl from Nigeria whose mother reports the child has excellent health, except for the diarrhea she has demonstrated. Diarrhea started within days of their arrival in the United States 3 weeks ago. History reveals nothing remarkable, but her mother comments on her love of (and continual consumption of) ice cream, something new to her since coming to this country. What could be causing her diarrhea?

Lactase deficiency

The patient has been instructed to use over-the-counter (OTC) loperamide (Imodium) for diarrhea. Today, the patient has now come to the clinic with continued diarrhea after using loperamide for 7 days. The nurse notes a past medical history of hepatitis. The nurse is aware that this patient needs to be evaluated for which of the following potential adverse effects?

CNS toxicity