Pharm 2 Part 2/4

A client has begun taking a stimulant laxative. In monitoring the client for medication side and adverse effects, the nurse is likely to note which finding? 1 Abdominal cramps 2 Peptic ulcer disease 3 Gastrointestinal bleeding 4 Partial bowel obstruction

1 Abdominal cramps

The nurse has just given a client a dose of an "as needed" (PRN) medication called loperamide. The nurse documents in the client's record that the client received this medication for complaints of what symptom? 1 Diarrhea 2 Tarry stools 3 Constipation 4 Abdominal pain

1 Diarrhea

A client receives a dose of scopolamine. The nurse determines that which sign or symptom later displayed by the client is a result of medication side and adverse effects? 1 Dry mouth 2 Diaphoresis 3 Excessive urination 4 Pupillary constriction

1 Dry mouth

The nurse is administering senna to an older client. What is the expected result of this medication? 1 It increases peristalsis. 2 It lines the wall of the bowel. 3 It adds fiber and bulk to the stool. 4 It stimulates the vagus nerve to improve bowel tone.

1 It increases peristalsis.

A client has just been given a prescription for diphenoxylate with atropine. The nurse determines that the client understands important information about this medication if the client makes what statement? 1 "It's best to take this medication with a laxative." 2 "This medication contains a habit-forming ingredient." 3 "I might drool frequently from taking this medication." 4 "I will probably become irritable from taking this medication."

2 "This medication contains a habit-forming ingredient."

A client has been told by a primary health care provider to take psyllium daily. The nurse would tell the client to take the medication with which item? 1 A dose of antacid 2 A total of two glasses of liquid 3 Gelatin, applesauce, or pudding 4 A multivitamin and mineral supplement

2 A total of two glasses of liquid

A client has been given lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse instructs the client to take which product for pain while taking this medication? 1 Ibuprofen 2 Acetaminophen 3 Naproxen sodium 4 Acetylsalicylic acid

2 Acetaminophen

The nurse notes in the medication record that a client is taking calcium carbonate chewable tablets. Based on the data, the nurse would ask the client about a history of which symptom? 1 Flatus 2 Heartburn 3 Rectal pain 4 Muscle twitching

2 Heartburn

The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the primary health care provider's prescriptions will include which medication? 1 Bisacodyl 2 Lactulose 3 Magnesium hydroxide 4 Psyllium hydrophilic mucilloid

2 Lactulose

A client who has had a myocardial infarction has a prescription to take a powdered form of psyllium after discharge. The nurse would plan to include which information when teaching the client about this medication? 1 Mix the medication with applesauce. 2 Mix the medication with a full glass of water or juice. 3 Decrease fluid intake following administration of the medication. 4 Decrease the amount of fiber in the diet when taking this medication.

2 Mix the medication with a full glass of water or juice.

A client in the postanesthesia care unit (PACU) has a prescription for droperidol. The nurse determines that this medication has been prescribed to treat which condition? 1 Pain 2 Nausea 3 Headache 4 Confusion

2 Nausea

A client rings the call bell and asks for medication to relieve postoperative gas pains. The nurse selects which medication to be given as prescribed on the medication sheet? 1 Droperidol 2 Simethicone 3 Acetaminophen 4 Magnesium hydroxide

2 Simethicone

A client with constipation has been directed to take oral bisacodyl. The nurse instructs the client on how to receive the most rapid effect from the medication. The client demonstrates understanding of use of this medication by stating that which method will produce the most rapid effect? 1 "I will take it at bedtime." 2 "I will take it with a large meal." 3 "I will take it on an empty stomach." 4 "I will drink two glasses of milk when I take it."

3 "I will take it on an empty stomach."

The nurse instructs a client taking aluminum hydroxide that a common side or adverse effect associated with administration of this medication is which effect? 1 Cramping 2 Headache 3 Constipation 4 Muscle weakness

3 Constipation

Lactulose is prescribed for a client with a diagnosis of hepatic encephalopathy. The nurse would determine that this medication is effective if serum diagnostics reveal which finding? 1 Increased protein level 2 Increased red blood cell count 3 Decreased serum ammonia level 4 Decreased white blood cell count

3 Decreased serum ammonia level

A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse would monitor the client for which condition that the client is at risk for with long-term frequent use of this medication? 1 Urinary calculi 2 Chronic bronchitis 3 Metabolic alkalosis 4 Respiratory acidosis

3 Metabolic alkalosis

A client has received a dose of dimenhydrinate. The nurse would observe relief of what sign or symptom to evaluate that the medication has been effective? 1 Chills 2 Headache 3 Nausea and vomiting 4 Buzzing sound in the ears

3 Nausea and vomiting

The nurse is preparing to give a client directions for proper use of aluminum hydroxide tablets. Which instruction would the nurse provide to the client? 1 "Take the tablet at the same time as an antacid." 2 "Swallow the tablet whole with a full glass of water." 3 "Take each dose with a laxative to prevent constipation." 4 "Chew the tablet thoroughly and then drink 8 ounces of water."

4 "Chew the tablet thoroughly and then drink 8 ounces of water."

A client has begun medication therapy with pancrelipase. Which finding indicates that the medication has been effective? 1 Relief of heartburn 2 Elimination of abdominal pain 3 Stabilization of blood glucose levels 4 A decrease in the amount of fat in the stools

4 A decrease in the amount of fat in the stools

A client has a prescription for magnesium citrate to prevent constipation after undergoing barium studies of the gastrointestinal tract. How would the nurse administer the magnesium citrate? 1 With fruit juice only 2 At room temperature 3 With a full glass of water 4 After it is chilled in the refrigerator

4 After it is chilled in the refrigerator

The nurse has administered a dose of docusate. The nurse evaluates that the medication has been effective if the client experiences which finding? 1 Decreased heartburn 2 Decrease in fatty stools 3 Relief of sharp abdominal pain 4 Bowel movement with soft, formed stool

4 Bowel movement with soft, formed stool

A client is told by the primary health care provider to take aluminum hydroxide as needed for heartburn. The nurse advises the client to watch for which common side effect of this medication? 1 Dizziness 2 Excitability 3 Restlessness 4 Constipation

4 Constipation

Oral rifaximin has been prescribed for a client with portosystemic encephalopathy. The nurse reviews the primary health care provider's prescription and determines that this medication has been prescribed for which purpose? 1 Prevent infection. 2 Prevent restlessness in the client. 3 Prevent fluid retention and ascites. 4 Destroy normal bacteria found in the bowel.

4 Destroy normal bacteria found in the bowel.

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse would withhold the medication and question the prescription if the client has a history of which disease process? 1 Biliary colic 2 Sinus bradycardia 3 Peptic ulcer disease 4 Narrow-angle glaucoma

4 Narrow-angle glaucoma

Sucralfate is prescribed for a client. The nurse determines that the client understands the instructions for medication administration if the client states to take the medication at what time? 1 At bedtime 2 One hour after meals 3 At noontime with a meal 4 One hour before meals and again at bedtime

4 One hour before meals and again at bedtime