Gastrointestinal

- Skin integrity - Temperature - CBC

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction?

Dizziness

A nurse is assessing a client who has administered ondansetron IV one hour ago. Which of the following findings should the nurse recognize as an adverse effect of the drug?

Sucralfate interferes with the absorption of phenytoin

A nurse is caring for a client who takes 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 hrs part for which of the following reasons?

Lethargy

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?

Ketoconazole

Nurse is reviewing medical record of a client who has a new prescription for famotidine. Nurse should recognize that which of the following drugs interacts w/ famotidine?

Alosetron

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?

"use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn"

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make?

- Infuse the drug 30 min prior to chemotherapy - Infuse the drug slowly over 15 min - Repeat the dose 4 hr after chemotherapy

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?

avoid driving or activities requiring alertness

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?

Abdominal pain

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?

One formed stool per day

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effected when the client reports which of the following?

Antacids

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 one hour before taking ranitidine and which of the following over the counter drugs?

Aluminum hydroxide

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client phosphorus level when administering which of the following drugs?

Allopurinol delays the conversion of azathioprine and can lead to toxicity

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 reason should the nurse clarify these prescriptions with the provider?

Nausea

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?

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

A nurse is caring for a male client who asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting three months. Which of the following information should the nurse provide the client about alosetron?

- Take the drug 30 to 60 min before activities that trigger nausea - Avoid activities that require alertness - Increase fluid in fiber intake

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instruction should the nurse include?

Swallow the capsule whole

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?

- Take the with at least 8 oz (237 mL) of fluid. - increase fluid and fiber intake

A nurse is providing teaching to a client who is about to start psyllium to treat Constipation. Which of the following instruction should the nurse include?

Gout

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?

Prevents straining

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 cause which of the following therapeutic effects?

Inflammatory bowel disease

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

positive pregnancy test

A nurse should recognize that misoprostol is contra indicated for a client who has which of the following conditions?

Aspirin sensitivity

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?