(Pharm) Gastrointestinal 2 {TERM 3}
You are giving patient teaching to a patient that is asking questions about antacids. The patient wants to know why some antacids cause constipation and why others cause diarrhea. Which of the following is most accurate regarding antacids and their intestinal side effects?
Brands with magnesium may cause diarrhea.and brands with calcium or aluminum may cause constipation.
You are taking care of a 43 yr old male patient that has been recently diagnosed with gastric ulcers and is to begin taking Sucralfate (Carafate) 1g oral suspension four times daily. While giving patient teaching, which of the following client statements would require further teaching?
"I should not take my antacid within 15 minutes before or after sucralfate"
A nurse is reinforcing teaching with a client who has a new prescription for famotidine (Pepcid). Which of the following statements by the client indicates understanding of the teaching?
"I will take my pill at meal time."
History: 23 yr old female with HTN, DM type II, hypercholesterolemia, GERD and chronic UTIs. She just gave birth to a male child and is breast-feeding. Whe states that she has a history of spontaneous abortions and is afraid that her child may be sick. You inform her that the MD has assessed her child and that she may speak the the doctor if she continues to have concerns. You are now giving discharge teaching. Which of the following statements by the patient would cause the most concern?
"If I get heartburn I will take Malox"
A nurse is reinforcing teaching for a client who has a prescription for metronidazole (Flagyl) to treat peptic ulcer. The client asks the nurse why this medication has been prescribed. Which of the following responses by the nurse is correct?
"The purpose of this medication is to get rid of the infection from H. pylori."
One year after his gastrectomy, the client develops pernicious anemia. A home health nurse administers 1,000 mcg of vitamin B12 intramuscularly every month. If the label on the vial of vitamin B12 indicates that there is 1 mg of drug per mL of solution, the nurse is accurate in withdrawing which amount?
1 mL
Hx: This patient presents with DM type II, HTN, alcoholism, and smoking (10 years). The patient presented with tarry stool and was subsequently diagnosed with a gastric ulcer. Order: Carafate 1,000 mg po qid for gastric ulcers. How many cc will the nurse adminiser per dose?
10 mL
Order: 20 g (by mouth) three times daily for Hepatic Encephalopathy. How many mL do you administer per dose? 10g/15ml
20/10 x 15 = 30ml
Diagnostic tests reveal that the client has a duodenal ulcer. The physician writes an order for a tetracycline antibiotic and for 1 ounce of bismuth subsalicylate (Pepto-Bismol) to be administered every 6 hours. When preparing the client's medication, the nurse correctly administers which equivalent volume?
30 mL
A client with peptic ulcer disease has a new order for propantheline (Pro-Banthine). The nurse instructs the client to take this medication:
30 minutes before meals
A client has been given a prescription for metoclopramide (Reglan) four times a day. The nurse determines that the client is taking the medication at optimal times if the client reports using the medication:
30 minutes before meals and at bedtime
A client asks the nurse about which product should be taken for headache. The client is taking lansoprazole (Prevacid) for long-term management of Zollinger-Ellison syndrome. The nurse determines that which of the following would be the best choice for this client?
Acetaminophen (Tylenol)
The licensed practical nurse (LPN) assists the team leader in planning the discharge teaching for a client with a duodenal ulcer. Their goal is to provide the client with information that will help prevent further gastrointestinal irritation. The nurse should instruct the client to follow the label directions when taking which medication to relieve occasional pain and discomfort associated with her ulcer?
Acetaminophen (Tylenol)
Which of the following is the most appropriate teaching for a patient that has been taking Aluminum hydroxide (Malox) for heartburn?
Do not take aluminum hydroxide for longer than 2 weeks without your doctor's advice.
(Select all that apply) A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists, one of which could be prescribed. (Select all that apply)
Famotidine (Pepcid) & Ranitidine (Zantac) & Nizatidine (Axid) Cimetidine (Tagamet)
Which of the following best describes the action of metoclopramide (Reglan)?
Metoclopramide increases muscle contractions in the upper digestive tract.
A nurse is preparing to give instructions to the client who has been given a prescription for diphenoxylate with atropine (Lomotil). The nurse teaches the client to:
Not exceed recommended dose, because it can be habit forming.
A nurse is preparing to administer pancrelipase (Viokase) to a client who has pancreatitis. Which of the following is an appropriate nursing action?
Offer a glass of water following medication administration.
A client has begun taking lansoprazole (Prevacid). The nurse monitors for which of the following intended effects of this medication?
Relief of nighttime heartburn
A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client he should avoid which of the following laxatives?
Sodium phosphate (Fleet Phospho-Soda)
True or false: The patient should use these produces (antidiarrheal drugs) in the presence of abdominal pain, nausea, and vomiting.
This is a false statement.
A nurse is caring for a client who is starting omeprazole (Prilosec) PO for management of GERD. The nurse should recognize that this medication works by
decreasing the production of gastric acid.
When sucralfate is given with enteral (tube) feedings, the feeding tube may become clogged and/or sucralfate may not work as well. Which of the following would be an appropriate nursing intervention?
interrupt the feeding for 1 hour before and after the sucralfate dose.
A nurse is reinforcing discharge teaching with a client who has a new prescription for aluminum hydroxide (Amphojel). The nurse should advise the client to:
wait 1 to 2 hr before taking other oral medications.
(Select all that apply) Which of the following are considerd overdose symptoms of aluminum hydroxide (Malox)? (Select all that apply)
weight loss & constipation & weight gain & urinating less than usual
For which of the following clients who have PUD is misoprostol (Cytotec) contraindicated?
27-year-old client who is pregnant
A nurse is reinforcing teaching with a client who has a new prescription for metoclopramide (Reglan). Which of the following should the nurse instruct the client to avoid while taking this medication?
Alcohol
A nurse is reinforcing teaching with a client who has a prescription for sulfasalazine (Azulfidine). Which of the following should the nurse include in the teaching?
"Notify the provider if you experience a sore throat."
(Select all that apply.) A nurse is providing information about probiotic supplements to a male client. Which of the following information should the nurse include? (Select all that apply.)
"Probiotics are used to treat Clostridium difficile." & "Probiotics are micro-organisms that are normally found in the GI tract." & "You may experience bloating while taking probiotic supplements."
The client questions the nurse why the physician has prescribed an antibiotic for her ulcer. Which explanation by the nurse regarding the use of antibiotics for ulcer therapy is most accurate?
Antibiotics eliminate a microorganism that depletes gastric mucus.
A client with recurrent constipation has begun using psyllium (Metamucil). The nurse tells this client that this medication should be taken with:
A full glass of liquid, followed by a second glass of liquid
A nurse is administering a dose of prochlorperazine (Compazine) to a client for nausea and vomiting. The nurse tells the client to report which of the following symptoms, which is a frequent side effect of this medication?
Blurred vision
A nurse is taking a history for a female client who has irritable bowel syndrome with constipation. Which of the following in the client's history is a contraindication to lubiprostone (Amitiza)?
Crohn's disease
You are taking care of a 43 yr old male patient that has been recently diagnosed with gastric ulcers and is to begin taking Sucralfate (Carafate) 1g oral suspension four times daily. While giving patient teaching, which of the following client statements would require further teaching?
"I will take this medication with food to prevent GI upset"
A nurse is caring for a client who was administered prochlorperazine 4 hr ago. The client reports spasms of his face. The nurse should anticipate a prescription for which of the following medications?
Diphenhydramine
You are taking care of a 43 yr old male patient that has been recently diagnosed with gastric ulcers and is to begin taking Sucralfate (Carafate) 1g oral suspension four times daily. While giving patient teaching, which of the following client statements would require further teaching?
"This medication cannot heal my active ulcers"
You are taking care of a 43 yr old male patient that has been recently diagnosed with gastric ulcers and is to begin taking Sucralfate (Carafate) 1g oral suspension four times daily. While giving patient teaching, which of the following client statements would require further teaching?
"This medication will prevent future ulcers from occurring"
A client taking sucralfate (Carafate) PO for PUD has been started on phenytoin (Dilantin) to control seizures. Which of the following should be included when reinforcing teaching for the client?
Allow a 2-hr interval between these medications.
(Select all that apply.) A nurse is reinforcing teaching for a client who has peptic ulcer disease about managing his condition. Which of the following instructions should the nurse include? (Select all that apply.)
"Seek measures to reduce stress." & Avoid smoking
You are giving discharge teaching to a patient that has been prescribed metoclopramide (Reglan). Which of the following would be considered appropriate teaching?
Never take metoclopramide for longer than 12 weeks
A nurse is providing instruction to a client who has a new prescription for ondansetron (Zofran). The nurse should advise the client that which of the following is an adverse effect of the medication?
Headache
