pharm final GI and resp

which statement by a client leads the nurse to believe that he/she has understood how to safely and effectively use bulk forming laxatives? A. "I will mix medication with around a cup of fluid and then drink the mixture" B. "I will use milk of magnesium in conjunction with a bulk forming laxative until I have a bowel movement" C. "I will decrease the roughage in my diet while I am taking the bulk forming laxative and eat rice" D. "I will mix the dry medication with applesauce and then eat prunes before bedtime"

A. "I will mix medication with around a cup of fluid and then drink the mixture"

A client is prescribed an antitussive agent with codeine. Which statement by the client indicates that the nurses teaching has been effective? A. "this medication will cause drowsiness and I will not drive" B. " i will take this medication whenever I am coughing" C. "This medication may make me anxious and nervous" d. "I will call my health care provider if i develop diarrhea when i take it"

A. "this medication will cause drowsiness and I will not drive"

The nurse practitioner instructs the client to use OTC ranitidine instead of cimetidine. What risk is decreased when using ranitidine rather than cimetidine? A. Drug to drug interaction B. Bradycardia C. Headache D. diarrhea

A. Drug to drug interaction

A nurse is providing education to a 56 year old man who is admitted to the ED with an acute asthma attack. The nurses initial assessment reveals that the patient has a history of pneumonia, drinks large quantities of coffee, and eats a high-calorie diet. Albuterol is prescribed for him. The important consideration when the nurse is preparing a teaching plan will be that the patient A. Has a high coffee intake B. Is a 56 year old man C. Prefers a high calorie diet D. Has a history of pneumonia

A. Has a high coffee intake

the nurse should be aware that ranitidine achieves a therapeutic effect by which mean? A. Inhibiting the secretion of gastric acid B. Binding to proton pumps C. Raising the ph of gastric secretions D. Decreasing gastric motility

A. Inhibiting the secretion of gastric acid

you should instruct a client using phenylephrine spray for nasal congestion to do which of the following to avoid rebound congestion? A. Limit the use to 3-5 days B. Add an intranasal glucocorticoid C. Taper the dose before discontinuation D. Restrict the drug's use to one nostril at a time

A. Limit the use to 3-5 days

a female patient age 36 is prescribed inhaled corticosteroid for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient? A. Oropharyngeal candida albicans infection B. Delayed growth C. Suppression of the hypothalamic pituitary adrenal axis D. Hypotension

A. Oropharyngeal candida albicans infection

The client diagnosed with peptic ulcer disease states "I've never been a really anxious type of person, so I never thought I'd develop ulcers" the nurse has responded with health education addressing the etiology of peptic ulcer disease. What causation factors should the nurse cite? Select all that apply A. Physiologic or psychological stress B. Diabetes mellitus C. Nonsteroidal anti-inflammatory drugs D. Cigarette smoking E. Infections

A. Physiologic or psychological stress C. Nonsteroidal anti-inflammatory drugs D. Cigarette smoking E. Infections

A client is scheduled for a colonoscopy in the morning. The nurse will provide information to the client concerning which laxative? A. Polyethylene glycol-electrolyte solution B. Lactulose C. Castor oil D. psyllium

A. Polyethylene glycol-electrolyte solution

A middle aged client has presented to the emergency department after 36 hours of severe diarrhea that shows no sign of abating. The ED nurse should be aware that the use of diphenoxylate would be contraindicated in which circumstance? A. The clients diarrhea is caused by the ingestion of toxins B. The client has an allergy to aspirin C. The clients diarrhea is attributable to psychosocial stress D. The clients has a documented history of laxative abuse

A. The clients diarrhea is caused by the ingestion of toxins

an adult hospital client has been experiencing intractable nausea and vomiting for several hours, so the nurse has obtained an order for an antiemetic from the primary care provider. The order reads "promethazine 25 mg subcutaneously every 6 hours PRN" the nurse should contact the care provider to question what aspect of this order? A. The route B. The drug C. The frequency D. The dose

A. The route

a client prescribed an antihistamine for nausea, should be monitored for which adverse effect of this classification of medication? A. Urinary retention B. Diarrhea C. Prolonged QRS complex D. Inverted T wave

A. Urinary retention

a patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? A. "you should take the medication twice a day" B. "determine if the drug is going to make you drowsy before you drive" C. "be sure to take this medication on a full stomach" D. "this drug has to be taken every 4-6 hours"

B. "determine if the drug is going to make you drowsy before you drive"

A client with ulcers has asked the nurse if it would be acceptable for him or her to take bismuth subsalicylate. Before recommending an OTC formulation of bismuth the nurse should conduct which client assessment? A. Cognition B. Allergy status C. Immunization history D. Normal bowel pattern

B. Allergy status

A client diagnosed with peptic ulcer disease, has been prescribed clarithromycin. Which organism is this medication used to treat? A. Mycobacterium avium complex B. Helicobacter pylori C. Hemophilus influenzae D. Streptococcus pneumoniae

B. Helicobacter pylori

which of the following are common side effects of albuterol? A. Nervousness B. Increased heart rate C. Drowsiness D. tremors

B. Increased heart rate

A 25-year-old women comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma and dextromethorphan, is prescribed for her. the nurse will question this order because A. Persistent coughing may develop B. Secretions may be retained C. Respiratory secretions may be thickened D. Serotonin syndrome may result

B. Secretions may be retained

An older adult client has an elevated serum creatinine level. This client is at greatest risk for which medication related effect? A. Increased absorption B. Toxicity C. Delayed gastric emptying D. Idiosyncratic effects

B. Toxicity

which teaching intervention is most important to share with the client prescribed misoprostol? A. Report postmenopausal bleeding B. Use effective contraceptive measures C. Administer the drug one time per day D. Supplement therapy with magnesium antacids

B. Use effective contraceptive measures

Inhaled anticholinergic drugs like ipratropium work by: A. Inhibiting the action of histamine B. Vasoconstricting the bronchi and bronchioles resulting bronchodilation C. Increasing inflammation of the bronchioles D. Blocking the stimulation of the sympathetic nervous system

B. Vasoconstricting the bronchi and bronchioles resulting bronchodilation

The nurse is educating an older adult client diagnosed with rhinosinusitis in an outpatient clinic about the prescribed topical oxymetazoline. The client has a history of hypertension and coronary artery disease. Which statement made by the client establishes the need for further clarification? A. "I will blow my nose before using the nasal spray" B. "I will rinse the spray tip off after each use" C. "I can take over the counter pseudoephedrine too" D. "the drug is used no longer than 3 days"

C. "I can take over the counter pseudoephedrine too"

The use of pseudoephedrine would most likely be contraindicated in which client? A. A woman who is breast feeding B. A woman who has myasthenia gravis C. A man with a history of severe hypertension D. A man who has diagnoses of chronic obstructive pulmonary disease

C. A man with a history of severe hypertension

which medication is used to decrease viscosity of mucous secretions? A. Cimetidine B. Phenergan C. Acetylcysteine D. dextromethorphan

C. Acetylcysteine

the parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parents about the appropriate use of a "rescue drug" for acute exacerbation of their sons' asthma. What drug should the nurse suggest the parents to use in these situations? A. Beclomethasone B. Acetylcysteine C. Albuterol D. Theophylline

C. Albuterol

when reviewing a newly admitted clients previous medication record, the nurse notes that the client has previously been treated with aprepitant. The nurse is justified is suspecting that the client's medical history includes which therapy/treatment? A. Endoscopy B. Radiation therapy C. Chemotherapy D. Placement of a nasogastric tube

C. Chemotherapy

an adult client has been taking a calcium-based antacid on an increasingly frequent basis. When teaching this client, the nurse should include suggestions for the prevention of which adverse effects? A. Nausea B. Fatty stools C. Constipation D. Urinary frequency

C. Constipation

A community health is conducting a health promotion session with a group from a local senior's center. The nurse has addressed the issue of laxative overuse in this population. The nurse should highlight what consequence of the overuse of laxative? A. Fecal incontinence B. Abdominal pain C. Dependence D. Impaired absorption of water-soluble vitamins

C. Dependence

The physician orders a stat parental dose of a glucocorticoid. Recognizing the adverse effects of glucocorticoids, you must monitor the client for which of the following? Select all the apply A. Hypoglycemia B. Dysrhythmias C. Hyperglycemia D. infection

C. Hyperglycemia D. infection

a client is using psyllium hydrophilic mucilloid to promote evacuation of stool. What is the action of this medication? A. It creates a barrier between the colon wall and feces B. It irritates the intestinal mucosa thus increasing intestinal motility C. It increases mass and water content of stool promoting evacuation D. It reduces the surface tension of bowel contents

C. It increases mass and water content of stool promoting evacuation

what antiemetic is the most common first line drug for the treatment of postoperative nausea and vomiting? A. Hydroxyzine B. Dimenhydrinate C. Ondansetron D. dronabinol

C. Ondansetron

What is the reason for administering a bulk forming laxative like polycarbophil to a client experiencing liquid stools? A. Polycarbophil will increase bile and diminish bacterial flora in the intestines B. Polycarbophil will diminish the absorption of intestinal fiber and water C. Polycarbophil absorbs large amounts of water and decreases fluidity of stools Polycarbophil will provide pain relief and decrease cramping and bloating

C. Polycarbophil absorbs large amounts of water and decreases fluidity of stools

A 1 year old postoperative client has been experiencing repeated vomiting. What antiemetic drug has a black box warning against use in a client of this age? A. Benzquinamide B. Cyclizine C. Promethazine D. buclizine

C. Promethazine

A gerontological nurse has encouraged a group of caregivers who work with older adults to avoid administering first generation H1 receptor antagonists to their clients. The nurse's cautionary message is an acknowledgment of what possible nursing diagnosis? A. Risk for impaired skin integrity related to urticaria B. Risk for infection related to adverse effects of antihistamines C. Risk for falls related to sedation D. Risk for deficient fluid volume related to diarrhea

C. Risk for falls related to sedation

Pediatric patients may need to use a ___ to ensure administration of ___? A. Inhaler, theophylline B. Nebulizer, mast cell stabilizer C. Spacer, beta agonists D. Nose clip, antihistamine

C. Spacer, beta agonists

A woman is seen in the primary care providers office. Which medication should the nurse anticipate administering to a client diagnosed with chronic severe diarrhea predominant irritable bowel syndrome that has not responded to conventional therapy? A. nitazoxanide B. cholestyramine C. alosteron D. rifaximin

C. alosteron

What is the most common first line therapy for relief of an acute asthma attack? A. Inhaled steroid B. Zanthine C. Leukotriene modifiers D. Beta 2 adrenergic receptors

D. Beta 2 adrenergic receptors

What is the result of failing to respond to the defecation reflex? A. Diarrhea B. Increased defecation reflex C. Involuntary evacuation D. Decreased defecation reflex

D. Decreased defecation reflex

When describing the benefits of second generation H1 receptor antagonists to those of first generation H1 receptor antagonists, the nurse should cite what advantage? A. Lower cost B. Absence of adverse affects C. Once weekly dosing D. Decreased sedation

D. Decreased sedation

A 72 year old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? A. Hypersensitivity to povidone B. Need for additional bronchodilation C. Signs of an active lung infection D. Enlarged prostate gland

D. Enlarged prostate gland

a 72-year-old man is prescribed theophylline for symptomatic relief of bronchial asthma. Which of the following findings would alert the nurse to the need for close monitoring? A. Need for additional bronchodilation B. Hypersensitivity to povidone C. Signs of an active lung infection D. Enlarged prostate gland

D. Enlarged prostate gland

how do inhaled corticosteroid agents assist in the treatment of asthma? A. Inhaled corticosteroid agents will reduce respiratory rate B. Inhaled corticosteroid agents will reduce bronchodilation C. Inhaled corticosteroid agents will depress the central nervous system D. Inhaled corticosteroid agents will reduce airway inflammation

D. Inhaled corticosteroid agents will reduce airway inflammation

which disease is a result of cellular destruction of the GI tract resulting from regular nonsteroidal anti-inflammatory therapy? A. Liver cancer B. Bowel obstruction C. Esophageal cancer D. Peptic ulcer disease

D. Peptic ulcer disease

an adult client with a diagnosis of asthma has been prescribed montelukast. The nurse should teach the client that this drug will help relieve symptoms by which mechanism? A. Preventing mast cells from releasing histamine B. Reducing the muscle tone in the alveoli and facilitating gas exchange C. Relaxing smooth muscle in the bronchi and bronchioles D. Preventing the bronchoconstriction and inflammation that is caused by leukotrienes

D. Preventing the bronchoconstriction and inflammation that is caused by leukotrienes

a client is diagnosed with peptic ulcer disease complicated by H. Pylori. What is the rationale for adding bismuth to the client's medication regimen? A. Prevents metabolic alkalosis B. Increases pepsin activity C. Decreases gastrin secretion D. Protects gastric mucosa from stomach acid

D. Protects gastric mucosa from stomach acid

a 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patients first dose? A. The amount of fatty foods eaten daily B. The number of cigarettes smoked per day C. The amount of salt intake D. The amount of alcohol consumption

D. The amount of alcohol consumption

A middle-aged client, frustrated by increasingly frequent episodes of constipation, is highly reluctant to take medications. What nonpharmacologic measure should the nurse recommend? A. Use of a ginger or ginseng supplement B. Daily consumption of 6 to 8 L of fluids C. Adoption of a lowfat diet D. Use of a fiber supplement

D. Use of a fiber supplement

you should advise a client who is taking beclomethasone to watch for which of the following possible indications of an adverse effect of this drug? A. Abdominal pain B. Muscle twitching C. Palpitations D. White coating in the mouth

D. White coating in the mouth

A client is diagnosed with alcoholism and chronic liver failure, is confused and has an elevated serum ammonia level. What laxative will the nurse administer to lower the serum ammonia level? A. Sorbitol B. Docusate sodium C. Polyethylene glycol-electrolyte solution D. lactulose

D. lactulose

which medications are contraindicated in hypertensive patients? Select all that apply A. Theophylline B. Guaifenesin C. Acetaminophen D. caffeine

IDK

You are the nurse providing discharge instructions to a patient who is to receive home nebulizer treatments. You understand that improper cleaning may shorten the life of the nebulizer as well as expose the client to microbes that could cause a pulmonary infection. True or False?

True