GI Med Questions

6. A client with a peptic ulcer is diagnosed with a helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen?

1. "My ulcer will heal because the medications will kill the bacteria." 2. "These medications are only taken when I have pain from the ulcer." 3. "The medications will kill the bacteria and stop the acid production." 4. "These medications will coat the ulcer and decrease the acid production in my stomach."

8. The client has a prn prescription for loperamide hydrochloride (Immodium). For which condition should the nurse plan to administer this medication?

1. Constipation 2. Abdominal pain 3. An episode of diarrhea 4. Hematest-positive nasogastric tube drainage

4. The nurse has given instructions to a client who has just been prescribed cholestyramine (questran). Which statement by the client indicates a need for further instructions?

1. I will continue taking vitamin supplements. 2. This medication will help lower my cholesterol. 3. This medication should only be taken with water. 4. A high-fiber diet is important while taking this medication.

7. The client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition?

1. Intestinal obstruction 2. Peptic ulcer with melena 3. Diverticulitis with perforation 4. Vomiting following cancer chemotherapy

3. A client with Crohn's disease is scheduled to receive an infusion of inflizimab (Remicade). What intervention by the nurse will determine the effectiveness of treatment?

1. Monitoring the leukocyte count for 2 days after the infusion 2. Checking the frequency and consistency of bowel movements 3. Checking serum liver enzyme levels before and after the infusion. 4. Carrying out a hematest on gastric fluids after the infusion is completed.

9. A histamine (H2)- receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select all that apply:

1. Nizatidine (Axid) 2. Ranitidine (Zantac) 3. Famotidine (Pepcid) 4. Cimetidine (Tagamet) 5. Esomeprazole (Nexium) 6. Lansoprazole (Prevacid)

10. The client has a PRN prescription for ondansetron (Zofran). For which condition should the nurse administer this medication to the postoperative client?

1. Paralytic ileus 2. Incisional pain 3. Urinary retention 4. Nausea and vomiting

2. The client who chronically uses nonsteroidal anti-inflammatory drugs (NSAIDS) has been taking misoprostol (cytotec). The nurse determines that the medication is having the intended therapeutic effect if which of the following is noted?

1. Resolved diarrhea 2. Relief of epigastric pain 3. Decreased platelet count 4. Decreased white blood cell count

1. The client with a gastric ulcer has a prescription for sucralfate (Carafate), 1 gram by mouth 4 times a day. The nurse schedules the medication for which times?

1. With meals and at bedtime 2. Every 6 hours around the clock 3. One hour after meals and at bedtime 4. One hour before meals and at bedtime

5. The client has begun medication therapy with pancrelipase (pancrease). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

1. weight loss 2. relief of heartburn 3. reduction of steatorrhea 4. absence of abdominal pain