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A patient taking magnesium citrate as an osmotic laxative reports abdominal cramping and diarrhea. What should the nurse recommend?

A.

Increase fluid intake

B.

Continue the medication; these are expected side effects

C.

Discontinue the medication and consult a healthcare provider

D.

Switch to a different type of laxative

Answer and Explanation

The Correct Answer is B

A. Increasing fluid intake may not alleviate the cramping and diarrhea, which are common side effects of magnesium citrate.  

 

B. Abdominal cramping and diarrhea are expected side effects of magnesium citrate, and the patient can continue the medication unless symptoms become severe.  

 

C. Discontinuing the medication should not be recommended unless the side effects are intolerable or the patient experiences severe reactions.  

 

D. Switching to a different type of laxative is unnecessary unless the patient has contraindications to magnesium citrate or develops severe side effects.


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View Related questions

Correct Answer is ["B","C","D"]

Explanation

A. Sit up comfortably in the bed is incorrect; the client should be in an upright position, which can be done while sitting up comfortably, but it’s essential to emphasize a more upright posture for optimal administration.

B. Tilt the head slightly to the side is correct; this position helps facilitate the delivery of the medication into the nasal passages.

C. Insert the tip of the nose piece into one nostril is correct; proper insertion ensures effective delivery of the medication.

D. Hold the breath for a few seconds after administering the spray is correct; this allows the medication to be absorbed more effectively.

E. Blow the nose 1 minute after administering the spray is incorrect; clients should avoid blowing their nose immediately after use to allow for proper absorption of the medication.

Correct Answer is B

Explanation

A. Using combination therapy may be beneficial in some cases but is not the first step in ensuring the most appropriate drug is chosen for a specific pathogen.

B. Obtaining sensitivity testing is essential to determine the specific antibiotic to which the pathogen is susceptible, ensuring effective treatment.

C. Checking client allergies is important to prevent adverse reactions but does not directly address whether the chosen drug is appropriate for the pathogen.

D. Evaluating the bactericidal effects is part of assessing the treatment's effectiveness, but it should follow sensitivity testing to determine the correct medication.

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