Difficulty: Medium
Average Score: 95%
Simulated
A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?
Correct answer
A
Rationale
The correct answer is A. Laxatives are contraindicated in clients with small bowel obstructions because they can worsen the obstruction by increasing peristalsis and bowel motility, leading to potential bowel perforation. Choice B is incorrect because osmotic laxatives can also exacerbate the obstruction. Choice C is incorrect because changing the route of administration does not address the issue of contraindicated medication. Choice D is incorrect because bulk-forming laxatives can also worsen the obstruction by increasing intestinal bulk.