Quiz #9

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process? A. narrow-angle glaucoma B. sinus bradycardia C. biliary colic D. peptic ulcer disease

A

A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA) for prevention of cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day and has a glass of wine with dinner 3 to 4 nights per week. The patient eats three meals a day. The nurse will counsel this patient to: A. change the mal pattern to five or six smaller meals per day B. switch to a decaffeinated coffee and reduce the number of servings C. discontinue taking aspirin, because it can irritate the stomach

A

The nurse has administered a dose of docusate. The nurse evaluates that the medication has been effective if the client experiences which finding? A. bowel movement with soft, formed stool B. decreased heartburn C. relief of sharp abdominal pain D. decrease in fatty stools

A

The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the health care provider's prescriptions will include which medication? A. lactulose (an osmotic laxative) B. Psyllium hydrophilic mucilloid C. bisacodyl suppository D. magnesium hydroxide

A

The nurse is providing education to a patient who has been prescribed both an antacid and a cimetidine. Which instruction should the nurse give the patient about taking the medications? A. take the antacid 30 minutes after the ranitidine B. take the antacid 15 minutes before the ranitidine C. The antacid and ranitidine should be taken at the same time for better effect D. take the antacid 1 hour after the ranitidine

A

Which statement is INCORRECT about histamine-receptor blockers? A. ranitidine and famotidine are two types of histamine-receptor blocker medications B. H2 blockers absorption is slowed if taken with meals C. antacids and H2 blockers should not be given together D. H2 blockers decrease gastric pH

A

The nurse determines the client needs further instruction on cimetidine (Tagamet) if which statements were made? (Select all that apply) A. I will take the cimetidine with my meals B. My episodes of heartburn will decrease if the medication is effective C. I will notify my health care provider if I become depressed or anxious D. taking the cimetidine with an antacid will increase its effectiveness E. I'll know the medication is working if my diarrhea stops F. some of my blood levels will need to be monitored closely since I also take warfarin for Afib

A, D, E

A client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition? A. intestinal obstruction B. vomiting following cancer chemotherapy C. peptic ulcer with melena (blood stool) D. diverticulitis with perforation

B

A client received a dose of dimenhydrinate (Dramamine), the nurse should observe relief of what sign or symptom evaluate that the medication has been effective? A. chills B. nausea and vomiting C. buzzing sound in the ears D. headache

B

A client receives a dose of scopolamine for nausea from notion sickness. The nurse determines that which sign or symptom later displayed by the client is a result of medication side and adverse effects? A. pupillary constriction B. dry mouth C. diaphoresis D. excessive urination

B

A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes ranitidine and sucralfate. The patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up. What will the nurse do? A. contact the provider to discuss switching to a proton pump inhibitor B. contact the provider to discuss serologic testing and an antibiotic C. ask the provider about ordering an endoscopic examination D. counsel the patient on non-drug intervention such as avoiding beverages containing alcohol

B

A patient who has gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PPI) medication. What will the nurse include when teaching the patient about this drug? A. the FDA has determined that there is a gastric cancer risk with this drug B. You should report any fever and cough to your provider C. this drug will be given on a short-term basis only D. you may experience hypermagnesemia when taking this drug

B

An older adult patient with severe gastroesophageal reflux (GERD) has had only minimal relief using a histamine 2 receptor antagonist (H2RA). The patient is to begin taking omeprazole. What will the nurse teach this patient? A. the medication will be used until surgery can be performed B. long-term therapy may be needed C. lifestyle changes can be as effective as medication therapy D. a complete cure is expected with this medication

B

When metronidazole (flagyl) is a component of the H. pylori treatment regimen, the patient must be instructed to do what? A. avoid foods containing tyramine B. avoid any alcoholic beverages C. take the drug on an empty stomach D. take the drug with food

B

A client with peptic ulcer disease asks the nurse what medications they might be prescribed for this problem. The nurse tells the client that which medications will be prescribed? (Select all that apply) A. nonsteroidal anti-inflammatory drugs (NSAIDs) B. proton pump inhibitors C. antacids D. antibiotics E. Histamine H2-receptor blockers

B, C, D, E

You are providing discharge teaching to a patient taking sucralfate (Carafate). Which statement by the patient demonstrates they understand how to take this medication? (Select all that apply) A. it is best to take this medication with antacids B. I will always take this medication on an empty stomach C. I will take this medication once a week D. I will continue to take this medication as a preventative therapy

B, D

A patient has a prescription to take a powdered form of psyllium after discharge. The nurse should plan to include which information when teaching the client about this medication? A. decrease the amount of fiber in the diet when taking this medication B. Mix the medication with applesauce C. mix the medication with a full glass of water or juice D. decrease fluid intake following administration of the medication

C

A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse should monitor the client for which condition that the client is at risk for which long-term use of this medication? A. chronic bronchitis B. urinary calculi C. respiratory acidosis D. metabolic alkalosis

D

A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis asks a nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using with medication? A. histamine 2 receptor antagonists B. antibiotics C. mucosal protectants D. proton pump inhibitors

D

A physician prescribes a Proton-Pump inhibitor to a patient with a gastric ulcer. Which medication is considered a PPI? A. famotidine B. famotidine C. metronidazole D. pantoprazole

D