1. Before administering a laxative to a bedfast client, it is
most important for the nurse to perform what assessment?
a-Observe the skin integrity of the client's rectal and
sacral areas b-assess the client strength in moving
and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel
movements: D rationale
the nurse should ensure that the client is not experiencing diarrhea
(answer choice D) before administering a laxative, which will increase
the frequency of bowel movements. answer choices A,B,C R4 and
assessments for the provision of care when the client experience is a
valve, but are of less priority then answer choice D which provides
data about the possible need to hold medication
2. A female client with multiple sclerosis reports having less
fatigue and improved memory since she began using the
herbal supplement, ginkgo biloba. Which information is most
important for the nurse to include in the teaching plans for
this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact
with ginkgo b-nausea and diarrhea can occur when using
this supplement
c-anxiety and headaches increased with use of ginkgo
d-ginkgo biloba use should be limited and not taken during
pregnancy: Ra- tionale
ginkgo biloba has blood thinning properties and should not be used in
taking aspirin or unsafe which increased the risk for bleeding. nausea
diarrhea anxiety and headaches are also side effects of supplements
but they do not pose the same risk as a. Although D is accurate A has a
higher priority
3. In explaining the benefits of the combination anti-infective
drug code
tri-moxazole/TMP-SMZ (bactrium) to a client receiving the
medication for a urinary tract infection, more rationale to the
nurse provide?
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