ATI GI System Pharm Made Easy 4.0 Pharm Final
A nurse is planning care for a client who is receiving chemotherapy & has a new prescription for ondansetron. Which of the following actions should the nurse plan to take? (select all...) A. Infuse the drug 30 min prior to chemo b. administer the drug when the client reports nausea c. infuse the drug slowly over 15 min d. administer the drug immediately following chemo e. repeat the dose 4 hr after chemo
a, c, e
A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? a. dizziness b. bradycardia c. tardive dyskinesia d. dyspepsia
a.
A nurse is planning to administer ondansetron to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (select all..) a. headache b. diarrhea c. shortened PR interval d. hyperglycemia e. prolonged QT interval
a b e p. 233
A nurse is preparing to administer potassium chloride IV to a pt who has hypokalemia. Which of the following actions should the nurse take? (select all...) a. infuse med through a large-bore needle b. monitor urine output to ensure at least 20 ml/hour c. administer med via direct IV bolus d. implement cardiac monitoring e. administer the infusion using an IV pump
a d e
A nurse is teaching a client who has a new rx for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions? a. gout b. constipation c. insomnia d. hirsutism
a
a nurse is caring for an older adult client who has renal impairment and a new rx for cimetidine. The nurse should instruct the client to report which of the following manifestations? a. lethargy b. cellulitis c. dry mouth d. myalgia
a
A nurse is caring for 4 clients who have PUD. the nurse should identify misoprostol is contraindicated for which of the following clients? a. client who is pregnant b. client who has osteoarthritis client with kidney stone client who has UTI
a misoprostol is ABORTION
A nurse is teaching a pt who has anemia & a new rx for liquid iron supplement. which of the following info should the nurse include in the teaching? (select all...) a. add foods that are high fiber b. rinse your mouth after taking med c. expect stools to be green or black d. take med w/ glass of milk e. add red meat to your diet
a b c e
A nurse is caring for a client who is taking allopurinol to treat gout & has anew rx for sulfasalazine / mesalamine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions w/ the provider? a. allopurinol delays the conversion & can lead to toxicity b. sulfa increases the effectiveness of allopurinol c. alluprinol increases the metabolism of sulfa and can require an increased dosage d. sulfa decreases the effectiveness of allopurinol
a.
A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse include? a. Avoid driving or activities requiring alertness b. If you miss a dose, double the next dose c. Rinsing the mouth with alcohol-based mouthwash can reduce dryness d. Having one glass of wine each night can improve medication effectiveness.
a.
A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? a. nausea b. constipation c. urinary retention d. sore throat
a. pg. 231
A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? a. Irritable bowel disease b. thrombophlebitis c. agranulocytosis d. immunizations with a live virus vaccine w/ion the last 6 weeks
a. pg. 229 antidiarrheal
A nurse is teaching a client who has a new rx for sulfasalazine. Which of the following statements should the nurse make? a. Use sunscreen & protective clothing while taking sulfasalazine to prevent sunburn. b. The med can stain your contact lenses green c. The med can color your urine dark brown d. Take an iron supplement when you take sulfa to prevent anemia.a.
a. pg. 231
A nurse is providing teaching to a client who has a new rx for omeprazole to treat the duodenal ulcer. Which of the following should the nurse include? a. take the drug w. food b. swallow the capsule whole c. dissolve the tablets in water d. take the drug at bedtime
b
A nurse is reviewing the medical record of a client who has a new rx for ranitidine. The nurse should recognize that which of the following drug interacts with ranitidine? a. phenobarbital sodium b. ketoconazole c. lisinipril d. hydrochlorothiazide
b
A nurse is teaching a pt who has a new rx for omeprazole. Which of the following info should the nurse include in the teaching? a. Take this med at bedtime b. this med decreases the production of gastric acid c. take this med 2 hr after eating d. this med can cause hyperkalemia
b
A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? a. pancreatitis b. aspirin sensitivity c. bronchitis d. GERD
b
A nurse is caring for a pt who is receiving IV potassium. the nurse should monitor the pt for which manifestation as an indication of hyperkalemia? a. tachycardia b. dyspnea c. lethargy d. increased thirst
b you can die from too much potassium!!
A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (select all...) a. level of consciousness b. skin integrity c. temperature d. urine output e. CBC
b, c, e Sulfasalazine treats IBD by decreasing inflammation by inhibiting prostaglandin synthesis
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs? a. omeprazole b. aluminum hydroxide c. sucralfate d. ranitidine
b.
A nurse is teaching a pt who will begin taking aluminum hydroxide. Which of the following info should the nurse include in the teaching? a. "If constipation develops, switch to a calcium-based antacid" b. "Take this med 2 hrs before or after other meds" c. "This med increases your risk for pneumonia" d. "Have your mg level monitored while taking this med"
b. 223
A nurse is assessing a pt who is receiving magnesium sulfate & notes the pt has depressed deep tendon reflexes, The nurse should expect to administer which of the following meds? a potassium chloride b. folic acid c. calcium gluconate d.. cyanocobalamin
c magnesium toxicity -> administer calcium
A nurse is teaching a pt who takes phenytoin & has a new rx for sucralfate tablets. Which of the following instructions should the nurse include? a. Take an antacid with the sucralfate b. Take sucralfate with a glass of milk c. Allow a 2-hr interval between these meds d. chew the sucralfate thoroughly before swallowing
c sucralfate BINDS TO ULCER for protection!!!
A nurse is teaching a pt about cimetidine. Which of the following are adverse effects of cimetidine? (select all...) a. increased libido b. insomnia c. enlargement of breast tissue d. confusion e. decreased sperm count
c d e 224
A nurse is providing teaching to a client who has a new rx for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (select all...) a. sit upright for 30 min after taking the drug b. avoid antacids c. take the drug 30-60 min before activities that trigger nausea d. avoid activities that require alertness e. increase fluid & fiber intake
c, d, e
A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (select all...) a. expect results in 6-12 hrs b. urinate every 4 hr c. take the drug w/. at least 8 oz water d. avoid activities that require alertness e. increase fluid & fiber intake
c, e
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? a. dissolve the powder thoroughly in 8 oz of water b. take w/ diphenhydramine to prevent extrapyramidal effects c. avoid activities that require alertness d. take 30 min before activities that trigger nausea
c.
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? a. a seizure disorder b. rheumatoid arthritis c. a positive pregnancy test d. heart failure
c.
A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new rx for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drug at least 2 hr apart for which of the following reasons? a. phenytoin increases the metabolism of sucralfate b. phenytoin reduces the effectiveness of sucralfate c. sucralfate increases the risk of phenytoin toxicity d. sucralfate interferes w/ the absorption of phenytoin
d
A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the clien tto wait at least 1 hr between taking ranitidine & which of the following OTC drug? a. ginko biloba b. antidiarrheals c. St. John's wart d. Antacids
d.
A nurse is teaching a client who recently had an MI and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects? a. reduces inflammation b. reduces gastric acid c. prevents diarrhea d. prevents straining
d.
A nurse is caring for a pt who received prochlorperazine 4 hrs ago. The client reports spasms of the face. The nurse should expect a rx for which of the following meds? fomepizole naloxone phytonadione diphenhhydramine
diphenhydramine 233
A nurse is caring for a client who has diabetes & is experiencing nausea due to gastroparesis. The nurse should expect a rx for which of the following medications? Lubiprostone metoclopramide bisacodyl loperamide
metoclopramide 233
A nurse is providing instructions about the use of laxatives to a client who has HF. The nurse should tell the client to avoid which of the following laxatives? sodium phosphate psyllium bisacodyl polyethylene glycol
sodium phosphate 233