Gastrointestinal system medication wk 11

60. A nurse is preparing to administer loperamide to a client with pseudomembranous colitis. Which findings on assessment would the nurse document as an indication of effectiveness?

Diarrhea is resolved.

10. A nurse in a health care facility is caring for a client who is receiving an antiemetic to control vomiting related to chemotherapy. Which nursing diagnoses should the nurse prioritize for this client's care plan?

Risk for Imbalanced Fluid Volume

55. The caregivers of a young child present to the emergency department with reports that the child ingested something they shouldn't have. Which assessments should the nurse prioritize before administering an antiemetic to this young client? Select all that apply.

What time was the substance ingested? What chemicals or substances were ingested? What is the client's blood pressure?

31. During a routine clinic visit, a client reports using an over-the-counter antidiarrheal agent for treatment of diarrhea. The nurse reviews the drug information with the client and Points: determines the client grasps the importance of contacting the primary health care provider if the diarrhea is not resolved within which time frame?

48 hours

41. A nurse has administered bismuth to a client with diarrhea. Which intervention should the nurse perform to promote an optimal response to the prescribed drug therapy?

Administer the drug after each loose bowel movement.

21. The nursing instructor is teaching a class on the various categories of laxatives. The instructor determines the class is successful when the students correctly choose which drugs as one which increase peristalsis by direct action on the intestinal wall? Select all that аpply.

Bisacodyl Sennosides

39. A nurse has administered cascara sagrada to a client with constipation. Which effects should the nurse prioritize in the client after administration of the drug?

Brownish discoloration of urine

22. A client with a history of chronic constipation presents to the clinic with reports of occasional heartburn. The nurse will caution the client about using which antacids as they may exacerbate the constipation? Select all that apply.

Calcium carbonate Aluminum hydroxide

50. A nurse has administered cimetidine to an older adult client. Which assessment findings should the nurse prioritize?

Confusion and dizziness,

12. A group of nursing students are analyzing the various categories of upper gastrointestinal system drugs. The instructor determines the session is successful when the students correctly choose which drugs as examples of a proton pump inhibitor? Select all that apply.

Esomeprazole Omeprazole

23. The nurse notes a client has a new prescription for a laxative. The nurse would question this order if which disorder is noted in the client's medical record? Select all that apply

Fecal impaction Intestinal obstruction Acute appendicitis

57. The nurse notes a new prescription for a client for psyllium. The nurse concludes the client is having an adverse reaction to which drug the client is also currently prescribed? Select all that apply.

Fexofenadine Amitriptyline Clonidine Spironolactone

59. After administering diphenoxylate to a client, the nurse would assess the client closely for increased CNS depression if the client was also prescribed which medication? Select all that apply.

Fexofenadine Zolpidem Temazepam

14. A client asks the nurse if it would be okay to take ginger to aid with digestion. Before telling the client it is okay to take ginger, the nurse should assess the client's history for which medical conditions? Select all that apply.

Gallstones Hypertension

26. The nursing instructor isteaching a class illustrating the action of various GI medications. The instructor determines the class is successful when the students correctly choose which medications that exert their action by reducing gastric motility and decreasing the amount of secreted acid in the stomach? Select all that apply.

Glycopyralate Propanthline

34. The nurse is preparing to administer ranitidine to a client who is currently receiving warfarin. Which assessment finding should the nurse prioritize for this client?

Increased bleeding

36. A health care provider has prescribed difenoxin with atropine to a client with acute diarrhea. The nurse will carefully monitor the client for which adverse reaction after noting the client is also prescribed a MAO?

Increased risk of hypertensive crisis

51. The nurse is assessing a client's history and finds that the client uses a laxative that dehydrates local tissues, causes irritation and increases peristalsis. Which drug does the nurse conclude the client is using? Select all that apply.

Lactulose Glycerin

17. A client with a nasogastric tube is prescribed misoprostol. The nurse anticipates administering this drug in which manner?

Liquid formulation

16. A client is prescribed an antidiarrheal drug. The nurse should question administering this drug if which disorder is noted in the client's medical record? Select all that apply. Points:

Obstructive jaundice Abdominal pain of unknown origin Pseudomembranous colitis

54. The nursing instructor is teaching a session examining the various drugs used to treat ulcerative colitis. The instructor determines the session is successful when the students correctly choose which drugs that are aspirin-like compounds with anti-inflammatory properties? Select all that apply.

Olsalazine Mesalamine

4. A client is diagnosed with an infection with H. pylori. The nurse anticipates the client will be prescribed which drug in combination with an antibiotic? Select all that apply.

Omeprazole Lansoprazole

29. A nurse is conducting an ongoing assessment after administering an antacid to a client. The nurse should question the effectiveness of which drugs if noted in the client's record? Select all that apply.

Phenytoin Isoniazid Digoxin

53. The nurse is preparing to administer an antidiarrheal to a client. The nurse will question this order if which organism is documented on the stool sample report? Select all that apply.

Salmonella Escherichia coli Shigella

19. A nurse is preparing to administer diphenoxylate to a client. The nurse should teach the client they may experience which adverse effects? Select all that apply.

Sedative effects Euphoric effects Slowed Gl effects

11. A client diagnosed with ulcerative colitis has been prescribed sulfasalazine. The nurse should prioritize which finding on the ongoing assessment?

Severe blood- and mucus-filled diarrhea

44. A nurse is preparing a presentation for a community group to include information on the proper use of syrup of ipecac. The nurse should point out that the use of ipecac is specially contraindicated in which situations? Select all that apply.

The client is comatose or has altered mental status. The substance is a low-viscosity petroleum distillate. The client is having seizures. The substance is a caustic or corrosive agent.

48. A 30-year-old female client is prescribed misoprostol. Which instruction should the nurse prioritize in the teaching session for this client?

Use a reliable contraceptive method.

58. A nurse educating a client on the antacid aluminum hydroxide should warn the client about which adverse reactions? Select all that apply.

anorexia bone pain tremors

25. A nurse has administered the antacid calcium carbonate to a client. Which adverse reactions should the nurse monitor the client for during the ongoing assessment? Select all that apply.

confusion rebound hyperacidity headache

32. A nurse is teaching a client about metoclopramide. The nurse determines that the teaching session was successful when the client correctly chooses which signs or symptoms to report to the health care provider? Select all that apply.

difficulty swallowing uncontrolled tongue movement diarrhea

56. A nurse is preparing to teach a client about the antacid magnesium oxide which the health care provider has prescribed. Which adverse reactions should the nurse point out to the client? Select all that apply.

hypotension diarrhea dehydration

49. After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a gastrointestinal stimulant?

metoclopramide

7. A nurse is preparing a teaching plan for a client for the newly prescribed laxative. Which potential adverse effects should the nurse point out to this client? Select all that apply.

perianal irritation nausea cramps bloating

30. A client reports using chamomile tea as a remedy to treat gastrointestinal upset. The nurse should assess the client for a hypersensitivity to which plants? Select all that apply.

ragweed asters chrysanthemums

9. A client with intestinal stenosis is showing signs of colon obstruction after beginning psyllium. What intervention should the nurse prioritize?

Administer the drug with adequate fluid intake.

45. A health care provider has prescribed bisacodyl to a client with constipation. The client reports epigastric pain and a burning sensation after taking the drug. Which instructions should the nurse provide to the client?

Avoid milk before taking the drug

52. The nurse is caring for a client diagnosed with cancer. The nurse should perform which assessment(s) for safe administration of the ondansetron? Select all that apply.

Determine if the client takes any antidepressants or antipsychotic drugs for possible interactions. Assess if the client has any nausea or vomiting, and so the number of episodes, and amount of vomitus. Obtain baseline vital signs, renal profile with electrolytes at baseline to compare with later labs.

47. A nursing student is preparing a presentation on antidiarrheal drugs. Which drugs would the student point out as being chemically related to opioid drugs and exert their effect by decreasing intestinal peristalsis? Select all that apply.

Difenoxin Diphenoxylate

3. After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students correctly choose which drug as producing the laxative effect by promoting water retention and softening the stool?

Docusate

1. A nurse is preparing a client to receive an antineoplastic drug. The nurse prepares administer which additional drug to the client? Select all that apply.

Granisetron Ondasnetron

43. The nurse is assessing a clent who reports symploms of upsel stomach and chronic diarrhea. The nurse concludes the client should be administered which antacids cautiously? Select all that apply.

Magnesium hydroxide Sodium bicarbonate Magnesium oxide

The nurse prioritizes a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements for client who is prescribed an antiemetic. Which instructions should the nurse include in the client's plan of care? Select all that apply.

Make the environment pleasant as possible. Remove items with strong smells and odors. Use mouthwash or frequent oral rinses.

15. A client is brought to the emergency department for a drug overdose. The nurse concludes the emetic is safe to give to the client if which client assessment finding is noted?

Mental status is intact.

28. The nurse is preparing to administer a drug to help manage a client's lower Gl disorder. Which drug should the nurse question before administration if the client is currently prescribed warfarin? Select all that apply.

Mesalamine Olsalazine

2. The nurse is preparing to administer a laxative that adds bulk and water to the contents of the intestines. Which drug would the nurse be likely to administer? Select all that apply.

Polycarbophil Methylcellulose

46. The nurse is preparing to administer a prescribed medication to a client diagnosed with GERD. If the nurse discovers the client has a history of vitamin B12 which medications will the nurse administer cautiously? Select all that apply.

Rabeprazole Pantoprazole

38. A nurse is preparing to administer sulfasalazine to a client with inflammatory bowel disease. The nurse should question this order if the client's record indicates hypersensitivity to which drug?

Sulfamethoxazole/trimethoprim

27. A client is prescribed a bowel evacuant in preparation for a colonoscopy. The client reports "going to the bathroom about every 30 to 45 minutes" and their stools are "like water." The client also reports being thirsty and mouth feels dry. Which nursing diagnosis would the nurse most likely prioritize?

Risk for Imbalanced Fluid Volume

6. A client's history reveals that the client is experiencing intestinal gas. Which medication would the nurse expect the primary health care provider to prescribe? Select all that apply.

Simethicone Charcoal

13. A nurse is preparing a teaching plan for a client with an acute peptic ulcer who is prescribed aluminum carbonate gel. Which instructions should the nurse prioritize for this client?

Take the drug hourly for the first 2 weeks.

37. The nurse is scheduled to administer sucralfate 1 gram po four times daily to a pregnant client admitted with gastroesophageal reflux disease (GERD). What is the priority teaching that would be provided regarding this medication?

Take the medicine one hour before meals and at bedtime.

A health care provider has prescribed omeprazole for a client. The nurse will carefully monitor the client for increased adverse reactions if the client is also prescribed which additional medications? Select all that apply.

Warfarin Digoxin Daizepam

20. The nurse is caring for a client who is prescribed mesalamine and warfarin. Which potential assessment finding should the nurse prioritize in this client?

bleeding

40. A nurse has administered trimethobenzamide to a client reporting nausea and vomiting. Which adverse reaction should the nurse prioritize on ongoing assessment?

blurred vision

8. A client reports using ginger for motion sickness. The nurse would urge the client to use caution if the client has which medical condition?

galistones

24. A health care provider has prescribed simethicone to a client with postoperative abdominal distention. Which assessment finding should the nurse prioritize in this client?

heartburn

35. A nurse is preparing to administer polycarbophil to a client with irritable bowel syndrome. The nurse determines caution is warranted after discovering the history of which disorder in the client's history?

rectal bleeding

18. A nurse is teaching a client about the prescribed sulfasalazine. The nurse determines the teaching session is successful when the client correctly chooses which adverse reactions to be aware of when taking this medication? Select all that apply.

reduced sperm count headache