Pharmacology II: Gastrointestinal NCLEX

A H2 receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2 receptor antagonists?

-Nizatidine -Ranitidine -Famotidine -Cimetidine

The client has a Rx for metoclopramide four times daily. The nurse determines that which is the most appropriate time to schedule this med?

30 mins before meals and at bedtime

the client has an as need prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

An episode of diarrhea

A PCP has written a prescription for ranitidine 300 mg once daily on the clients discharge medication list. The nurse determines to instruct the client to take the medication at which time?

At bedtime

The client diagnosed with portosystemic encephalopathy is receiving oral lactulose daily. The nurse should check which to determine medication effectiveness?

Blood ammonia level

The nurse is administering a dose of prochlorperazine to the client for nausea and vomiting. The nurse should instruct the client to report which frequent side effect of this medication?

Blurred vision

An older client has recently been taking cimetidine. The nurse should monitor the client for which most frequent central nervous system side effect of this medication?

Confusion

The nurse is collecting data from a client who is taking pantoprazole. The nurse determines that the medication is most effective if the client states relief of which symptom?

Heartburn

A client uses the alternative therapy of cascara sagrada known as Californian buckthorn for ongoing management of chronic constipation. The nurse monitors the client's laboratory results for which electrolyte imbalance related to long-term use of this medication?

Hypokalemia

Psyllium is prescribed for the client diagnosed with a cardiac disorder to facilitate defecation and prevent straining with bowel movements. The nurse reinforces instructions to the client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication?

I need to mix the medication with a full glass of water

The nurse is assigned to care for the client with a diagnosis of hepatic encephalopathy. Which prescribed medication should the nurse most anticipate administering?

Lactulose syrup

Atropine sulfate is prescribed for the client diagnosed with gastrointestinal hypermotility, and the nurse reviews the client's record before administering the medication. Which finding, if noted on the client's record, most indicates the need to contact the PCP before administering the medication?

Narrow-angle glaucoma

The client has an as needed Rx for ondasteron. For which condition should the nurse administer this med?

Nausea and vomiting

A client has just taken a dose of trimethobenzamide. The nurse determines that the medication has been effective if the client reports which outcome?

Nausea and vomiting has been relieved

The client with peptic ulcer disease has been prescribed to take cimetidine. The nurse determines that which is the primar action for this medication?

Protects the gastric mucosa

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

Reduction of steatorrhea

The client who is scheduled for an intravenous pyelogram has been instructed to take liquid magnesium citrate on the day before the scheduled procedure. The client asks the nurse about the administration procedure for this medication. Which instruction should the nurse provide to the client?

Take the medication on ice

The PCP has written Rx for ranitidine, for a client with GERD. The nurse is explaining how this medication works to treat this disease. Which explanation should the nurse give?

The medication suppresses acid secretion by blocking H2 receptors

A client with a peptic ulcer is diagnosed with a Heliocobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?

The medications will kill the bacteria and stop the acid production

The nurse has reinforced instructions to the client who has been prescribed cholestyarime. Which statement by the client indicates a need for further teaching?

This medication should only be taken with water

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

Vomiting following cancer chemotherapy

The client with diagnosed PUD has been prescribed misoprostol and sucralfate. The nurse reinforces teaching the client that these 2 meds will work primarily for which reason?

protects the gastric mucosa

The client has a prescription for sucralfate 1g by mouth 4 times daily. The nurse should best schedule the administration of this med at which time?

One hour before meals and at bedtime