Ch 40 Upper GI System drugs
4. A nurse educating a client on the antacid magnesium oxide (Mag-Ox) should warn the client of which of the following adverse reactions? Select all that apply.
diarrhea, dehydration, hypotension
What is the most common adverse reaction the nurse would expect in a client receiving and antiemetic?
drowsiness
A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider. The nurse determines that the teaching was successful when the client states which of the following? Select all that apply.
dysphagia, uncontrolled tongue movements, shuffling gait
empty the stomach rapidly when and individual has overdosed or ingested poison
emetics
induces vomiting
emetics
18. A 30-year-old nonpregnant client is prescribed misoprostol. Which of the following should the nurse instruct the client as part of the teaching plan?
use a reliable contraceptive method
Prolonged treatment of proton pumps may decrease the bodys ability to absorb
vitamin B12, resulting in anemia
CTZ results in
vomit
antacids do not
"coat" stomach lining, may increase sphinter tone of lower esophagus
Which of the following statemtns made by the client woul dbe of concern to the nurse?
"iw ill take this antacid right before i eat'
How would the nurse correctly admin an antacid to a client taking other oral meds?
2 hours before or after admin of other drugs
A client is receiving an antiemetic. The nurse identifies a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would the nurse include in the client's plan of care? Select all that apply.
A) Remove items with strong smells and odors. B) Use mouthwash or frequent oral rinses. C) Make the environment as pleasant as possible.
A nurse is conducting a class for a community group. As part of the class, the nurse is explaining the use of syrup of ipecac. The nurse would emphasize that this drug is contraindicated in which of the following cases? Select all that apply.
A) The client is comatose or has altered mental status. C) The client is having seizures. D) The substance is a caustic or corrosive agent. E) The substance is a low-viscosity petroleum distillate.
Before administering a prescribed emetic, which of the following would the nurse need to assess? Select all that apply
A) What chemicals or substances were ingested? C) What time was the substance ingested? E) What symptoms were noted before seeking treatment?
suppress gastric acid secretion by blocking the final sep in production of gastric acid by the gastric mucosa
ATPas enzyme system
proton pump system name
ATPase enzyme system
A nurse should monitor a client taking which of the following drugs for increased adverse effects and toxicity if omeprazole (Prilosec) therapy is initiated? Select all that apply.
B) Digoxin (Lanoxin) C) Diazepam (Valium) D) Warfarin (Coumadin)
A nurse should recognize that administering antacids to clients taking which of the following medications can result in decreased drug absorption and decreased drug effects? Select all that apply.
B) Isoniazid (Nydrazid) C) Digoxin (Lanoxin) D) Phenytoin (Dilantin)
1. Which of the following antacids may have a laxative effect and should be used cautiously in clients who have chronic diarrhea? Select all that apply.
B) Magnesium hydroxide (Milk of Magnesia) C) Magnesium oxide (Mag-Ox) E) Sodium bicarbonate (Bell/ans)
A group of nursing students are reviewing information about upper gastrointestinal system drugs. The students demonstrate understanding of the material when they identify which of the following as a proton pump inhibitor?
B) Omeprazole C) Esomeprazole
stomach acid that sids in digestion
HCl
At a yearly physical examination, 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, which medical conditions should the nurse make sure the client does not have? Select all that apply.
HTN and gallstones
7. After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students identify which of the following as a gastrointestinal stimulant?
Metoclopramide (Reglan)
A client is diagnosed with an infection with H. pylori. Which of the following drugs are commonly used in combination with certain antibiotics in the treatment of this infection? Select all that apply.
Omeprazole and Lansoprazole
A nurse follows a specific protocol when administering which of the following medications to prevent nausea induced by doxorubicin (Adriamycin) administration? Select all that apply.
Ondansetron and Granisteron
When describing the action of which drug would the nurse explain that it works to reduce gastric motility and decrease the amount of acid secreted by the stomach via blockade of cholinergic receptors? Select all that apply.
Propantheline and Glycopyrrolate
The nurse should administer which of the following medications cautiously to clients with vitamin B12 deficiency as the prolonged use of these drugs decreases the body's ability to absorb vitamin B12? Select all that apply.
Rabeprazole and Pantoprazole
24. A nurse in a health care facility is caring for a client who is receiving an antiemetic to control vomiting related to chemotherapy. Which of the following nursing diagnoses should the care plan for this client include?
Risk For Imbalance Fluid Volume
A nurse is caring for a client who has been prescribed aluminum carbonate gel (Basaljel) for the relief of an acute peptic ulcer. Which of the following interventions should the nurse perform to promote an optimal response to therapy?
admin drug hourly for first 2 weeks
constipation, intestinal impaction, anorexia, weakness, tremors, and bone pain
aluminum-containing antacids
3. A nurse educating a client on the antacid aluminum hydroxide (ALternaGEL) should warn the client about which of the following adverse reactions? Select all that apply.
anorexia, tremors, bone pain
drugs that neutralize acidity of stomach and duodenal contents by combining with HCl and increasing the pH of stomach acid
antacids
treats or prevents nausea or vomiting
antiemetics
When explaining how to tuse transdermal scopolamine, the nurse tells the client to apply the system
behind the ear"
16. A client is administered trimethobenzamide hydrochloride (Tigan) to control nausea and vomiting. The nurse would assess the client for which of the following?
blurred vision
Which of the following antacids may produce constipation and should be used cautiously in clients who have chronic constipation? Select all that apply.
calcium carbonate and aluminum hydroxide
rebound hyperacidity, metabolic alkalosis, hypercalcemia, vomit, confusion, h/a, renal calculi and neurologic impairment
calcium-containing antacid
group of nerve fibers located fon the surface of the fourth ventricle of brain
chemoreceptor trigger zone
Reduc gastric motility and decrease the amount of acid secreted by the stomach
cholinergic blocking drugs
19. A nurse is caring for a client brought to the health care facility for a drug overdose. In which of the following cases can the client be administered an emetic?
clients mental status is intact
A nurse is caring for an elderly client who has received cimetidine. Which of the following interventions should the nurse perform?
closely monitor for confusin and dizziness
aluminum- or calcium- containing antacids may cause
constipation
admin of histamine h2 and carmustine
decreased WBC count
A client is taking ginger medicinally for motion sickness. The nurse would urge the client to use caution if the client has which medical condition?
gallstones
failure of the body to remove stomach contents normally
gastric stasis
When a histamine H2 antagonis drug is prescribed for the treatment of a peptic ulcer, the nurse monitors the client for which adverse effect?
h/a and somnolence
inhibit action of histamine H2 receptor cells of stomach reducing secretion of gastric acid
histamine h2 antagonists
used prophylactically to treat stress-related ulcers and acute upper GI bleeding in critically ill patients
histamine h2 antagonists
A client is prescribed ranitidine. A review of the client's medication history reveals that she also takes warfarin for treatment of deep vein thrombosis. The nurse would monitor the client for which of the following?
increased risk for bleeding
admin of histamine h2 and opiod analgesics
increased risk of resp depression
magnesium-containing products may produce a ____ effect
laxative
A client with a nasogastric tube is prescribed therapy to prevent ulcer development. Which of the following would be the best option for the drug?
liquid formulation
severe diarrhea, dehydration, and hypermagnesemia
magnesium-containing antacis
used to treat delayed gastric emptying and emesis
metoclopramide (Reglan)
drug that may cause spontaneous abortion
misoprostol
Reduce the risk of NSAID-induced gastric ulcers in hight risk patiens, such as older adults or critically ill.
prostaglandin drug, misoprostol (cytotec
specifically associated with H. pylori infections
proton pump inhib
suppress gastric acid secretion by inhib of hydrogen-ATPase
proton pump inhib
A nurse educating a client on the antacid calcium carbonate (Mylanta) should warn the client of which of the following adverse reactions? Select all that apply
rebound hyperacidity, h/a, confusion
If a client is taking metoclopramide, which of the following behaviors indicates and irrereversible condition that should be reported immediately
rhythmic, involuntary movements of the tongue, face, mouth, or jaw
A nurse is caring for a client who is prescribed omeprazole for a duodenal ulcer. The client is also taking benzodiazepines for the management of a seizure disorder. The nurse would assess the client for which of the following?
risk for toxic level of benzodiazepines
systemic alkalosis and rebound hyperacidity
sodium bicarbonate
pepsin inhibitor or mucosal protective drug
sucralfate (Carafate)
