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    Med surg proctored exam (examplify)

    A 60 year-old female patient reports that she has been taking bisacodyl tablets (over-the-counter) daily for 3 months. Which would be the most appropriate response by the nurse?

    Explanation & Rationale

    A. This medication may cause your bowels to lose their normal activity.: Prolonged use of stimulant laxatives like bisacodyl can lead to dependency, where the colon relies on the medication to stimulate bowel movements. This may result in decreased natural bowel motility over time, making it important to limit long-term use. B. If you take this medication, you don't need to eat a high fiber diet.: Maintaining a high-fiber diet is still important for healthy bowel function. Relying solely on laxatives does not address the underlying need for dietary fiber and can worsen long-term bowel health. C. This medication can be taken every day for the rest of your life.: Daily, long-term use of bisacodyl is not recommended due to the risk of dependency, electrolyte imbalance, and decreased bowel tone. Continuous use can cause more harm than benefit. D. You may take this medication along with antacids.: While bisacodyl can interact with certain antacids, especially enteric-coated forms, this advice does not address the primary concern of long-term use and potential bowel dependence. Monitoring interactions is secondary to preventing chronic misuse.

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