ATI The Gastrointestinal System

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. Aluminum hydroxide

A nurse is reviewing the medical record of a client who has a new prescription for ranitidine. The nurse should recognize that which of the following drugs interacts with ranitidine? A. Phenobarbital sodium B. Ketoconazole C. Lisinopril D. Hydrochlorothiazide

B. Ketoconazole

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include? A. Take the drug with food B. Swallow the capsules whole C. Dissolve the tablets in water D. Take the drug at bedtime

B. Swallow the capsules whole

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 that apply). A. Expect results in 6-12 hours B. Urinate every 4 hours C. Take the drug with at least 8 oz (237 mL) of fluid D. Avoid activities that require alertness E. Increase fluid and 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 (237 mL) of water B. Take with diphenhydramine to prevent extrapyramidal effects C. Avoid activities that require alertness D. Take 30 minutes before activities that trigger nausea

C. Avoid activities that require alertness

A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the client to wait at least 1 hour between taking ranitidine and which of the following over-the-counter drugs? A. Ginkgo biloba B. Antidiarrheals C. St. John's wort D. Antacids

D. Antacids

A nurse is teaching a client who recently had a myocardial infarction 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. Prevents straining

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hours 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 for phenytoin toxicity. D. Sucralfate interferes with the absorption of phenytoin.

D. Sucralfate interferes with the absorption of phenytoin.

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to 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. "Avoid driving or activities requiring alertness."

A nurse is assessing a client who was administered ondansetron IV 1 hour 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. Dizziness

A nurse is teaching a client who has a new prescription 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. Gout

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. Nausea

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following? A. One formed stool per day B. Urination without burning C. Cessation of nausea or vomiting D. Reduced GI reflux effects

A. One formed stool per day

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take? (Select all that apply). A. Infuse the drug 30 min prior to chemotherapy. B. Administer the drug when the client reports nausea. C. Infuse the drug slowly over 15 min. D. Administer the drug immediately following chemotherapy. E. Repeat the dose 4 hr after chemotherapy.

A, C, E

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? A. "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn." B. "The medication can stain your contact lenses green." C. "The medication can color your urine dark brown." D. "Take an iron supplement when you take sulfasalazine to prevent anemia."

A. "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? A. Allopurinol delays the conversion of azathioprine and can lead to toxicity. B. Azathioprine increases the effectiveness of allopurinol. C. Allopurinol increases the metabolism of azathioprine and can require an increased dosage. D. Azathioprine decreases the effectiveness of allopurinol.

A. Allopurinol delays the conversion of azathioprine and can lead to toxicity.

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? A. Inflammatory bowel disease B. Thrombophlebitis C. Agranulocytosis D. Immunization with a live virus vaccine within the last 6 weeks

A. Inflammatory bowel disease

A nurse is caring for an older adult client who has renal impairment and a new prescription 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. Lethargy

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 that apply). A. Level of consciousness B. Skin integrity C. Temperature D. Urine output E. CBC

B, C, E

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (Select all that apply). A. Sit upright for 30 minutes after taking the drug B. Avoid antacids C. Take the drug 30 to 60 minutes before activities that trigger nausea D. Avoid activities that require alertness E. Increase fluid and fiber intake

C, D, E

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug? A. Headache B. Drowsiness C. Abdominal pain D. Sore throat

C. Abdominal pain

Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? A. Lubiprostone B. Azathioprine C. Sulfasalazine D. Alosetron

D. Alosetron

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. Aspirin sensitivity

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 positive pregnancy test

A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron? A. The drug is prescribed to female clients who have IBS-D lasting more than 6 months. B. The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months. C. The drug is most beneficial for male clients who have inflammatory bowel disease. D. The drug is most beneficial in treating clients who have constipation-predominant IBS (IBS-C).

A. The drug is prescribed to female clients who have IBS-D lasting more than 6 months.