A nurse is teaching a newly licensed nurse about adverse effects of medications.
The nurse should include that which of the following medications can cause constipation?
Anticholinergics/antispasmodics.
Opioid narcotics.
Iron supplements.
Magnesium-containing antacids.
Correct Answer : A,B,C
Choice A rationale
Anticholinergics/antispasmodics can cause constipation by reducing the muscle contractions of the gastrointestinal tract, leading to slower movement of contents and resulting in constipation.
Choice B rationale
Opioid narcotics cause constipation by binding to opioid receptors in the gastrointestinal tract, which decreases intestinal motility and inhibits the secretion of fluids, leading to hard and dry stools.
Choice C rationale
Iron supplements can cause constipation as a common side effect due to their effect on the gastrointestinal tract. They can make stools harder and more difficult to pass.
Choice D rationale
Magnesium-containing antacids typically do not cause constipation. In fact, they are more likely to have a laxative effect due to the presence of magnesium, which can increase water in the intestines and soften stools.
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Correct Answer is B
Explanation
Choice A rationale
An ileal conduit does not provide the client with control over elimination. It is a type of urinary diversion, and the client wears an external pouch to collect urine.
Choice B rationale
In an ileal conduit, the client's ureters are attached to a section of the small intestine, which is then brought to the surface of the abdomen to form a stoma. Urine flows through this conduit into an external pouch.
Choice C rationale
An ileal conduit is not a tube that directly connects the kidney to an external pouch. It involves using a section of the small intestine to create a passageway for urine to exit the body.
Choice D rationale
Stool is not passed through an ileal conduit. The ileal conduit is specifically for urinary diversion, while stool passes through the regular gastrointestinal tract.
Correct Answer is D
Explanation
Choice A rationale
Fresh vegetables do not typically cause bladder irritation. In fact, they are often recommended for a healthy diet and can help with overall bodily functions.
Choice B rationale
Red meat is not commonly associated with bladder irritation. However, consuming it in excessive amounts may have other health implications.
Choice C rationale
Dairy products are not known to cause bladder irritation. They can be a part of a balanced diet unless there is an individual intolerance or allergy.
Choice D rationale
Caffeinated beverages, such as coffee, tea, and some sodas, can irritate the bladder and increase the frequency and urgency of urination. This is due to the diuretic effect of caffeine, which stimulates bladder activity.