Pharm chapter 34 Nursing Considerations for Bowel Health

<p>They can mask underlying infections. (D)</p> Signup and view all the answers

<p>Bulk-forming laxatives (D)</p> Signup and view all the answers

<p>Smearing of stool on undergarments (C)</p> Signup and view all the answers

<p>Monitor hydration and wait to see if symptoms persist. (D)</p> Signup and view all the answers

<p>They can cause abdominal cramps and straining. (B)</p> Signup and view all the answers

<p>Diarrhea (B)</p> Signup and view all the answers

<p>Stool softeners should be taken consistently during opioid use. (A)</p> Signup and view all the answers

<p>They irritate the intestine to promote evacuation. (A)</p> Signup and view all the answers

<p>Increases digoxin absorption. (D)</p> Signup and view all the answers

<p>Bulk-producing laxative (B)</p> Signup and view all the answers

<p>Individual hydration needs vary, and those on opioids still require other measures. (D)</p> Signup and view all the answers

<p>Stool softeners are recommended while using opioids. (D)</p> Signup and view all the answers

<p>Constipation (C)</p> Signup and view all the answers

<p>Administer with a full glass of water. (D)</p> Signup and view all the answers

<p>It draws water into the intestine and stimulates defecation. (B)</p> Signup and view all the answers

<p>Methylnaltrexone (A)</p> Signup and view all the answers

<p>Abdominal tenderness (A)</p> Signup and view all the answers

<p>At least 1 hour before or 2 hours after administration. (A)</p> Signup and view all the answers

<p>Limit high-fiber food consumption. (D)</p> Signup and view all the answers

<p>Flatulence (D)</p> Signup and view all the answers

<p>Ensure the medication is dispersed with enough liquid. (A)</p> Signup and view all the answers

<p>A diet low in fiber and/or residue (B)</p> Signup and view all the answers

<p>Increased hemoglobin and hematocrit (C)</p> Signup and view all the answers

<p>Bulk-forming laxatives (B)</p> Signup and view all the answers

<p>A patient with diarrhea of sudden onset lasting 3 days (D)</p> Signup and view all the answers

<p>Use of morphine (C)</p> Signup and view all the answers

<p>Nonelastic skin turgor and delayed capillary filling (B)</p> Signup and view all the answers

<p>Stimulant laxatives (A)</p> Signup and view all the answers

<p>Mild diet-induced gastrointestinal upset (C)</p> Signup and view all the answers

<p>Bulk forming (D)</p> Signup and view all the answers

<p>Lubricant laxative (B)</p> Signup and view all the answers

<p>Advise the patient to consult a healthcare provider to determine the cause of the diarrhea. (D)</p> Signup and view all the answers

<p>Regular bowel elimination pattern of soft stool (C)</p> Signup and view all the answers

<p>Stimulant (C)</p> Signup and view all the answers

<p>Appendicitis (A)</p> Signup and view all the answers

<p>Geriatric patients (B)</p> Signup and view all the answers

<p>Fecal softener (A)</p> Signup and view all the answers

Stools that are soft and occur on a regular schedule for the patient.

Laxative type recommended for pregnant patients with constipation.

Condition that prevents safe use of laxatives, e.g. appendicitis.

Safest laxative choice for regular use, increases stool bulk.

Laxatives that stimulate bowel contractions but can cause cramping.

Laxatives that soften stool but may reduce muscle tone over time.

Daily movements or regular soft stools corresponding to an individual.

Certain populations like pregnant women should use selected laxatives cautiously.

Patients with lactase deficiency commonly exhibit diarrhea due to undigested lactose.

Constipation is a side effect of opioid medications, requiring stool softeners during use.

Stimulant laxatives irritate the intestine to promote peristalsis and bowel evacuation.

Psyllium can affect the absorption of digoxin, impacting its effectiveness.

Adequate hydration may help in preventing constipation but alone is often insufficient during opioid use.

Stool softeners should be used regularly when taking constipating medications like opioids.

Different laxatives serve various functions: stimulant, saline, lubricant, and bulk-forming.

Enemas are used as an intervention rather than a preventative measure for constipation.

Over-the-counter medication containing bismuth subsalicylate for diarrhea.

Patients recovering from a heart attack should avoid straining during bowel movements.

Medications that help prevent straining during defecation, especially post-surgery or heart attack.

A condition where hardened stool blocks the bowel, often seen in patients with continuous stooling.

Symptoms indicating a possible infection in the intestinal tract, requiring immediate care.

Excessive use of laxatives leading to dependency and potential complications.

Previous gastrointestinal issues that may affect current health assessments.

Staying hydrated is crucial during diarrhea to prevent dehydration.

Factors like low fiber diet, iron supplements, or medications.

Indicators include increased hemoglobin, confusion, and nonelastic skin.

Inadequate fluids can lead to constipation symptoms.

Bulk-forming laxatives and malt soup extract are appropriate.

Confusion and nonelastic skin are common signs.

Used for sudden diarrhea lasting more than 3 days.

Saline and stimulant laxatives can be risky.

Antidiarrheal may be needed for chronic or sudden episodes.

Psyllium should be mixed with a full glass of water before taking.

Psyllium can inhibit absorption of certain medications like digoxin.

Lactulose draws water into the intestine, promoting bowel movement.

Methylnaltrexone is used for opioid-induced constipation in advanced illness.

Abdominal tenderness may signal acute abdomen and is serious.

If laxatives don’t work for constipation, consider using methylnaltrexone.

Psyllium can be mixed with juice for easier administration.

Nausea, flatulence, and abdominal spasms are commonly reported effects.