Practice Question
A nurse is caring for a client who has chronic idiopathic constipation and is prescribed lubiprostone. The client reports severe abdominal pain and has not had a bowel movement in 3 days. Which action should the nurse take?
Answer Choices:
Correct Answer:
Notify the provider of possible bowel obstruction
Rationale:
🔷 Severe abdominal pain with no bowel movement suggests a possible bowel obstruction, a medical emergency.
🔷 Lubiprostone should not be administered when obstruction is suspected because it increases intestinal fluid secretion and can worsen the condition.
🔷 The priority is to stop the medication and obtain a provider evaluation before complications occur.
🔷 Obstruction may require imaging, NPO status, or surgical intervention—requiring immediate notification.
🔷 Failure to act promptly risks perforation, ischemia, or worsening abdominal pathology.
Encourage fluid intake
🔷 Fluids do not resolve obstruction and may delay urgent assessment.
🔷 Hydration does not address the underlying emergency.
Administer the dose with food
🔷 Lubiprostone is contraindicated with suspected obstruction; administering it is unsafe.
🔷 Giving medication may worsen pain and pressure.
Ambulate the client
🔷 Ambulation helps mild constipation but is unsafe when obstruction is suspected.
🔷 Could worsen pain and delay appropriate care.
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This question is from Custom LPN Pharmacology III NSG 2410 Exam 2 Fall 2025 which contains 45 questions.
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From Exam
Custom LPN Pharmacology III NSG 2410 Exam 2 Fall 2025
45 Questions
View Full Exam Start PracticingQuestion Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pharmacology
- Answer Choices: 4