HLTH 314 Quizzes 9-12 questions and answers
with solutions 2025
A client is about to undergo a diagnostic bowel procedure. The nurse expects which drug to be
used to induce total cleansing of the bowel?
a. Docusate sodium (Colace)
b. Lactulose
c. Mineral Oil
d. Polyethylene glycol (GoLYTELY) - ANSWER D
Response Feedback:
Polyethylene glycol (goLYTELY) is an osmotic laxative used for diagnostic and surgical bowel
prep, such as colonoscopies, to ensure visualization of the bowels. The other options are
incorrect.
When administering a laxative to a client, which assessment is important to monitor?
a. Temperature
b. Blood pressure
c. Fluid and electrolyte status
d. White blood cell count - ANSWER C
Response Feedback:
The use of all laxatives can cause electrolyte imbalances and changes in fluid output. Patients
can be at risk for dehydration. Blood pressure, temperature, and white blood cell count are not
directly impacted by laxative use.
,A client has excessive and painful gas after surgery. The nurse checks the medication orders and
prepares to administer which drug for this problem?
a. Aluminum hydroxide with magnesium (Maalox)
b. Famotidine (Pepcid)
c. Calcium carbonate (Tums)
d. Simethicone (Mylicon) - ANSWER D
Response Feedback:
Simethicone is an antiflatulence medication that alters the elasticity of mucus-coated gas
bubbles and breaks them into smaller ones. The other answers are incorrect.
A client is receiving an aluminum-containing antacid. The nurse will inform the patient to watch
for which possible adverse effect?
a. Diarrhea
b. Constipation
c. Tachycardia
d. Headache - ANSWER B
Response Feedback:
Aluminum-based antacids have a constipating effect as well as an acid-neuralizing capability.
The other options are incorrect.
The nurse anticipates which laxative to be ordered for her patient with hepatic encephalopathy?
a. Psyllium (Metamucil)
, b. Bisacodyl (Dulcolax)
c. Lactulose
d. Magnesium Citrate - ANSWER C
Response Feedback:
Lactulose is an osmotic laxative that also reduces blood ammonia levels; elevated blood
ammonia levels are seen in hepatic encephalopathy. The other answers are incorrect.
A client wants to prevent problems with constipation and asks the nurse for advice about which
type of laxative to use. The nurse answers with what class of laxative that is the most safe to use
on a long-term basis?
a. Emollient laxatives
b. Osmotic laxatives
c. Bulk-forming laxatives
d. Stimulant laxatives - ANSWER C
Response Feedback:
Bulk-forming laxatives are the only laxatives recommended for long-term use. They are the most
gentle on your body and generally are not associated with electrolyte disturbances, fluid loss,
absorption issues, or dependence. Stimulant laxatives are the most likely of all the laxative
classes to cause dependence and can be harsh (can cause increased cramping) to the GI tract.
Lubricants/emollient laxatives can cause increased fluid loss and impair the absorption of
vitamins A, D, E, & K. Osmotic laxatives can cause increased electrolyte disturbances and fluid
losses.
A client is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease
(GERD). The nurse will include which teaching statement about this medication?
with solutions 2025
A client is about to undergo a diagnostic bowel procedure. The nurse expects which drug to be
used to induce total cleansing of the bowel?
a. Docusate sodium (Colace)
b. Lactulose
c. Mineral Oil
d. Polyethylene glycol (GoLYTELY) - ANSWER D
Response Feedback:
Polyethylene glycol (goLYTELY) is an osmotic laxative used for diagnostic and surgical bowel
prep, such as colonoscopies, to ensure visualization of the bowels. The other options are
incorrect.
When administering a laxative to a client, which assessment is important to monitor?
a. Temperature
b. Blood pressure
c. Fluid and electrolyte status
d. White blood cell count - ANSWER C
Response Feedback:
The use of all laxatives can cause electrolyte imbalances and changes in fluid output. Patients
can be at risk for dehydration. Blood pressure, temperature, and white blood cell count are not
directly impacted by laxative use.
,A client has excessive and painful gas after surgery. The nurse checks the medication orders and
prepares to administer which drug for this problem?
a. Aluminum hydroxide with magnesium (Maalox)
b. Famotidine (Pepcid)
c. Calcium carbonate (Tums)
d. Simethicone (Mylicon) - ANSWER D
Response Feedback:
Simethicone is an antiflatulence medication that alters the elasticity of mucus-coated gas
bubbles and breaks them into smaller ones. The other answers are incorrect.
A client is receiving an aluminum-containing antacid. The nurse will inform the patient to watch
for which possible adverse effect?
a. Diarrhea
b. Constipation
c. Tachycardia
d. Headache - ANSWER B
Response Feedback:
Aluminum-based antacids have a constipating effect as well as an acid-neuralizing capability.
The other options are incorrect.
The nurse anticipates which laxative to be ordered for her patient with hepatic encephalopathy?
a. Psyllium (Metamucil)
, b. Bisacodyl (Dulcolax)
c. Lactulose
d. Magnesium Citrate - ANSWER C
Response Feedback:
Lactulose is an osmotic laxative that also reduces blood ammonia levels; elevated blood
ammonia levels are seen in hepatic encephalopathy. The other answers are incorrect.
A client wants to prevent problems with constipation and asks the nurse for advice about which
type of laxative to use. The nurse answers with what class of laxative that is the most safe to use
on a long-term basis?
a. Emollient laxatives
b. Osmotic laxatives
c. Bulk-forming laxatives
d. Stimulant laxatives - ANSWER C
Response Feedback:
Bulk-forming laxatives are the only laxatives recommended for long-term use. They are the most
gentle on your body and generally are not associated with electrolyte disturbances, fluid loss,
absorption issues, or dependence. Stimulant laxatives are the most likely of all the laxative
classes to cause dependence and can be harsh (can cause increased cramping) to the GI tract.
Lubricants/emollient laxatives can cause increased fluid loss and impair the absorption of
vitamins A, D, E, & K. Osmotic laxatives can cause increased electrolyte disturbances and fluid
losses.
A client is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease
(GERD). The nurse will include which teaching statement about this medication?
