ATI The Gastrointestinal System Test 4.0

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? 1) "avoid driving or activities requiring alertness" 2) "if you miss a dose, double the next dose" 3) "rinse your mouth out with mouthwash to reduce dryness" 4) "having one glass of wine improves effectiveness"

"Avoid driving or activities requiring alertness."

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? 1) a seizure disorder 2) rheumatoid arthritis 3) positive pregnancy test 4) heart failure

A positive pregnancy test

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? 1) "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn." 2) "the med can stain your contact lenses green" 3) "The medication can color your urine dark brown" 4) " take an iron supplement when you take sulfasalazine to prevent anemia"

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

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? 1) The drug is prescribed to female clients who have IBS-D lasting more than 6 months 2) the drug is prescribed to clients who have chronic diarrhea more than 12 months 3) the drug is most beneficial for male clients who have IBD 4) the drug is most beneficial in treating client who have constipation-predominant IBS

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

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? 1) pancreatitis 2) aspirin sensitivity 3) bronchitis 4) GERD

Aspirin sensitivity

A nurse is caring for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which if the following actions should the nurse plan to take? (Select all) 1) infuse drug 30 min before chemotherapy 2) administer drug when client reports nausea 3) infuse drug over 15 minutes 4) administer drug immediately after chemotherapy 5) repeat dose 4 hr after chemotherapy

1. Infuse the drug 30 min prior to chemotherapy. 2. Infuse the drug slowly over 15 min. 3. Repeat the dose 4 hf after chemotherapy.

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) 1) LOC 2) skin intergrity 3) temp 4) urine output 5) CBC

1. Skin integrity 2. Temperature 3. CBC

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) 1) sit upright for 30 minutes after taking 2) avoid antacids 3) take the drug 30 to 60 min before activities that trigger nausea 4) Avoid activities that require alertness. 5) Increase fluid and fiber intake.

1. Take the drug 30 to 60 min before activities that trigger nausea. 2. Avoid activities that require alertness. 3. Increase fluid and fiber intake.

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) 1) expect results in 6-12 hours 2) urinate every 4 hours 3) take the drug with at least 8 oz of fluid 4) avoid activities that require alertness 5) increase fluid and fiber intake

1. Take the drug with at least 8 oz (237 mL) of fluid. 2. Increase fluid and fiber intake.

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? 1) headache 2) drowsiness 3) abdominal pain 4) sore throat

Abdominal pain

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? 1) "Allopurinol delays the conversion of azathioprine and can lead to toxicity" 2) "azathioprine increases effectiveness of allopurinol" 3) "Allopurinol increases the metabolism of azathioprine and can require an increased dose" 4) "azathioprine decreases effectiveness of allopurinol"

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

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? 1) lubiprostone 2) azathioprine 3) sulfasalazine 4) alosetron

Alosetron

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? 1) omeprazole 2) aluminum hydroxide 3) sucralfate 4) ranitidine

Aluminum hydroxide

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 hr between taking ranitidine and which of the following over-the-counter drugs? 1) ginko biloba 2) antidiarrheals 3) st john's wort 4) antacids

Antacids

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? 1) dissolve the powder thoroughly in 8 oz of water 2) take with diphenhydramine to prevent extrapyramidal effects 3) avoid activities that require alertness 4) take 30 minutes before activities that trigger nausea

Avoid activities that require alertness.

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? 1) dizziness 2) bradycardia 3) tardive dyskinesia 4) dyspepsia

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? 1) gout 2) constipation 3) insomnia 4) hirsutism

Gout

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? 1) IBD 2) thrombophlebitis 3) agranulocytosis 4) immunization with a live virus within the last 6 weeks

Inflammatory bowel disease

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? 1) phenobarbital sodium 2) Ketoconazole 3) lisinopril 4) hydrochlorothiazide

Ketoconazole

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? 1) lethargy 2) cellulitis 3) dry mouth 4) myalgia

Lethargy

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? 1) nausea 2) constipation 3) urinary retention 4) sore throat

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? 1) one formed stool per day 2) urination without burning 3) cessation of nausea & vomiting 4) reduced GI reflux effects

One formed stool per day.

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? 1) reduces inflammation 2) reduces gastric acid 3) prevents diarrhea 4) prevents straining

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 hr apart for which of the following reasons? 1) phenytoin increases metabolism of sucralfate 2) phenytoin reduces effectiveness of sucralfate 3) sucralfate increases risk of phenytoin toxicity 4) sucralfate interferes with the absorption of phenytoin

Sucralfate interferes with the absorption of phenytoin.

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? 1) take drug with food 2) swallow capsule whole 3) dissolve the tablets in water 4) take it at bedtime

Swallow the capsules whole.