ATI RN Pharmacology Proctored Exam -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Bisacodyl 10 mg per rectum. Bisacodyl is a stimulant laxative that helps stimulate bowel movements. Given the client's situation of not having a bowel movement for 4 days postpartum with a third-degree perineal laceration, prompt relief is needed to prevent complications such as constipation or increased pressure on the perineal area. Administering Bisacodyl per rectum will provide a faster onset of action compared to oral medications, ensuring timely relief for the client.


Choice B: Magnesium hydroxide is a laxative used for constipation but may not provide immediate relief for the client in this urgent situation.


Choice C: Famotidine is a histamine-2 blocker used for managing stomach acid but is not indicated for addressing constipation.


Choice D: Loperamide is an antidiarrheal medication and is contraindicated in this scenario as it can worsen constipation.

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