The gastrointestinal system
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?
"Avoid driving or activities requiring alertness"; can cause drowsiness and dizziness.
A nurse is teaching a client who has a new prescription for Sulfasalazine. Which of the following statements should the nurse make?
"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn"
They nurse should recognize that sulfasalazine is contraindicated for clients have have which of the following conditions?
Aspirin sensitivity; any sensitivity to salicylates or trimethoprim is contraindicated.
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?
Abdominal pain; serotonin 5-HT3 receptor antagonist, can cause ischemic colitis. Report abdominal pain, bloody diarrhea, or rectal bleeding
The 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 she the nurse clarify these prescriptions with the provider?
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?
Alosetron; serotonin 5HT3 receptor antagonis, can develop severe constipation = impaction, perforation & fatal ischemic colitis.
A nurse is caring for a client with a new prescription for famotidine to treat Gerd. The nurse should instruct the client to wait at least one hour in between taking famotidine and which of the following over-the-counter drugs?
Antacids; decreases absorption
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instruction should the nurse include?
Avoid activities that require alertness; opioid agonist can cause dizziness and sedation.
The nurses assessing a client who was administered Ondansetron IV one hour ago. Which of the following finding should the nurse recognize as an adverse effect of this drug?
Dizziness; and lightheadedness most common adverse effect
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?
Gout; causes hyperuricemia. Drink plenty of water and report edema or pain in joints
The nurse should recognize the Diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?
Inflammatory bowel disease; opioid, can cause toxic mega colon.
The nurses planning care for our client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following action should the nurse take?
Infuse a truck 30 minutes prior to chemotherapy, infuse the drug slowly over 15 minutes, repeat the dose for hours after chemotherapy
A nurse is reviewing the medical record for a client has a new prescription for famotidine. The nurse should recognize that which of the following drugs interacts with famotidine?
Ketoconazole; famotidine reduces absorption of ketoconazole
A nurse is caring for a client who has a prescription for alosetron. The new should recognize that alosetron therapy is effective when the client reports which of the following?
One formed stool per day; treats The diarrhea and pain of severe irritable bowel syndrome.
A nurse is teaching a client recently had a myocardial infarction it has a new prescription for Docusate sodium. The nurse should inform the client that Docusate sodium has which of the following therapeutic effects?
Prevents straining; stool softener, prevents elevation of BP.
A nurse is administering sulfasalazine to a client. Which of the following data should a nurse collect to help identify an adverse drug reaction?
Skin integrity, temperature, CBC
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 two hours apart for which of the following reasons?
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 instruction should the nurse include?
Swallow the capsules whole; proton pump inhibitor = unstable in stomach acid
A nurse is providing teaching to a client who has a new prescription for diphenhydrinate to prevent motion sickness. Which of the following instruction should the nurse include?
Take the drug 30 to 60 minutes before activities that trigger nausea, increase fluid and fiber intake, avoid activities that require alertness. Can cause anticholinergic effects such as dry mouth and constipation.
The nurse is providing teaching to a client who is about to start taking the psyllium to treat constipation. Which of the following instruction should the nurse include?
Take the drug with at least 8 ounces of fluid, increase fluid and fiber intake; 1-3 days for therapeutic effects
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 to the client about alosetron?
The drug is prescribed to female clients who have IBS-D lasting more than six months
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs?
aluminum hydroxide; can cause hypophosphatemia because of aluminum's ability to bind with phosphate and decrease its absorption
A nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations?
lethargy; histamine 2 receptor antagonist, which can cross the blood brain barrier. Adults with kidney impairment are at risk for central nervous system effects
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?
nausea; Chloride channel activator.
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?
positive pregnancy test; prostaglandin E1 analog is a teratogenetic drug
