The nurse is reviewing a client's daily medications taken at home. Which of the following medications has a risk of dependency if used daily?
bisacodyl (Dulcolax)
psyllium (Metamucil)
polyethylene glycol (MiraLAX)
docusate sodium (Colace)
The Correct Answer is A
A. Bisacodyl is a stimulant laxative that can lead to dependency if used daily, as the body may become reliant on the medication for bowel movements. Chronic use can also result in electrolyte imbalances and diminished bowel function.
B. Psyllium is a bulk-forming laxative that works by increasing the bulk of stool and does not typically lead to dependency.
C. Polyethylene glycol is an osmotic laxative that can be used daily without a significant risk of dependency, as it draws water into the bowel to facilitate stool passage.
D. Docusate sodium is a stool softener that aids in preventing constipation but does not carry a risk of dependency when used regularly.
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Correct Answer is C
Explanation
A. Grapefruit juice does not have a known interaction with metronidazole and does not need to be avoided.
B. Dairy does not interfere with metronidazole's absorption or effectiveness, so it is not a contraindication.
C. Alcohol should be strictly avoided during and for at least 48 hours after metronidazole treatment, as it can cause a severe reaction, including nausea, vomiting, flushing, and rapid heart rate.
D. Tyramine-based foods do not interact with metronidazole, so they are not a contraindication for this medication.
Correct Answer is A
Explanation
A. Following the insertion of the Nexplanon rod, it is important to inform the client that backup contraception methods are needed for the first 24 hours to ensure pregnancy prevention while the implant becomes effective.
B. While smoking cessation is advised due to the increased risk of thrombotic events with hormonal contraceptives, it is not the priority instruction immediately following the insertion of Nexplanon.
C. The statement regarding weight loss is incorrect; Nexplanon is more commonly associated with weight gain rather than loss, so advising clients on calorie consumption is misleading.
D. Although Nexplanon has a high efficacy rate in preventing pregnancy, stating a prevention rate of 100% is inaccurate and misleading, as no contraceptive method is completely foolproof.