PrepU GI pharm quiz

A patient with COPD presents at the Emergency Department (ED) in acute respiratory distress. The patient's family tells the nurse that the patient just started taking ipratropium. They deny any drug allergies, but report she does have some food allergies, but the family cannot remember what it is. What would the nurse suspect is the problem?

An allergy to soy products

Natalie has nausea and is taking ondansetron. The nurse explains that the action of this drug is what?

Block Serotonin receptors in the CTZ

The client's theophylline levels are increased. The nurse questions the client about his intake of which of the following?

Caffeine

Your patient is being seen in the office today for a cough that is making it difficult to sleep at night. The physician prescribes DMX for the cough. Which statement is true about DMX?

DMX works in the medulla to suppress the cough reflex

Patient education for a client switching allergy medications from diphenhydramine to fexofenadine should include which of the following?

Fexofenadine is less sedating

Which of the following have been associated with development of oral thrush?

Flunisolide MDI

A client with COPD takes theophylline. The nurse identifies that the client is still experiencing severe dyspnea. Upon review of labs, the theophylline level remains nontherapeutic. The nurse evaluates the client for which of the following drugs that may cause decreased theophylline levels?

Nicotine

The nurse effectively evaluates therapy after administration of loperamide by inquiring about:

Number of diarrheal stools

Which of the following should be periodically monitored with the use of a biguanide?

Creatinine (Cr)

Simethicone may be given individually or in addition to other medications to produce what therapeutic effect?

Decrease the amount of gas associated with GI disorders

What drug is known to be effective in treating acute bronchospasm?

Epinephrine (Adrenalin)

Following an endoscopy, a client has been diagnosed with duodenal ulcer with a urea breath test positive for H. Pylori. The nurse anticipates which medication addition to the regimen?

An antibiotic

Which of the following patients would most likely benefit from treatment with ondansetron?

A client who is receiving chemotherapy for the treatment of colon cancer

The mechanism of action of metformin is as:

A drug that increases insulin action in the peripheral tissues and reduces hepatic glucose production

A client is prescribed a spacer when administering flunisolide. The nurse teaches spacer use for what reason?

A spacer helps decrease systemic absorption of the medication

Your client has a history of cystic fibrosis. What would be the drug of choice to decrease the amount of secretions associated with this disease?

Acetylcysteine

A client is prescribed aluminum hydroxide with magnesium hydroxide for abdominal pain. Patient education associated with this prescription should include which of the following?

Administer the medication 1 hour before or 2 hours after other oral medications

Nursing intervention for a client on expectorant includes

Assessing for signs of increase sputum production

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

Diabetic gastroparesis

Your patient is prescribed fexofenadine for relief of symptoms associated with allergic rhinitis. Which feature of the patient's medical history would be of concern?

Elevated renal function tests

Which of the following elicit their pharmacological effect by thinning respiratory secretions?

Expectorant drugs

The health care provider orders IV famotidine for a client with an acute exacerbation of chronic peptic ulcer disease. When teaching the client about the effects of the medication, which information will the nurse include?

Famotidine decreases secretion of gastric acid.

Your client has been taking omeprazole for 5 weeks. The nurse determines the optimal intended effect has been achieved when the client reports not having which of the following symptoms:

Heartburn

The client tells the nurse that symptoms have become worse since using oxymetazoline, a nasal decongestant spray. What is the best assessment question for the nurse to ask?

How long have you been using the medication?

Which of the following statements is not true concerning the effects of exercise and insulin resistance (IR)?

Hyperglycemia can occur as a result of aerobic exercise

The nurse recognizes which of the following as an expected adverse effect of pseudoephedrine?

Insomnia

The nurse is about to administer bisacodyl to a client for the first time. Which of the following should be included in client education?

Laxatives may cause diarrhea, abdominal cramping, nausea, vomiting, perianal irritation, and flatulence

Which of the following characteristics applies to type 2 DM?

Major risk factors are heredity and obesity

A client is exhibiting a stiff neck turned to the side and is very restless and unable to sit still. Which of the following medications has been linked to these extrapyramidal effects?

Metoclopramide

A client has an order for sucralfate 1gm by mouth. The nurse schedules the medication for which times?

One hour before meals and at bedtime

When teaching a client to use a dry powder inhaler (DPI), which of the following would be a useful education point?

Place mouthpiece to lips, inhale quickly and hold breath for 10 seconds

Which of the following elicit their pharmacological effect by reducing swelling in the nasal passages through vasoconstriction?

Pseudoephedrine

A client has GERD and is taking magnesium salts (Milk of Magnesia). The nurse explains that the action of this drug is what?

Raises gastric pH above 4

A post-operative client will be taking non-steroidal anti-inflammatory (NSAID) drugs. The surgeon has prescribed misoprostol. The nurse explains to the client that misoprostol was prescribed to:

Reduce the risk of NSAID-induced gastropathy, or ulcer

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

Reduction of steatorrhea

A client is receiving acetylcysteine 20% solution diluted in 0.9NS by nebulizer. The nurse should have which item available at the bedside for possible use following administration of this drug

Suction equipment

The nurse is caring for a patient who is beginning treatment with albuterol. Which of the following should the nurse identify as a potential adverse effect of the drug?

Tachycardia

A child with cystic fibrosis has recurrent episodes of bronchitis and the parents ask the nurse why this happens. What reason should the nurse include in the reply?

Tenacious secretions that obstruct the respiratory tract provide a favorable medium for growth of bacteria

Loperamide is prescribed for a client with irritable bowel syndrome. Which of the following nursing observations indicates that the drug is having a therapeutic effect?

The number of diarrhea stools decreases.

A client is prescribed dextromethorphan. Patient education will include:

This medication may cause drowsiness and dizziness. Do not drive until you know how it affects you

A client calls the clinic and reports that they have had a persistent cough for 3 weeks and they ask the nurse for a recommendation for a cough medicine. What is the nurses best response?

You should come to the clinic to be evaluated. A cough that lasts that long might be an indication of an underlying medical problem

When educating a patient about constipation which statement indicated a need for further teaching?

I will maintain a sedentary lifestyle

A client has been prescribed an inhaled corticosteroid and the nurse has provided teaching. What statement by the client indicated an accurate understanding?

I won't use this drug during an asthma attack

A client with numerous chronic health problems has been diagnosed with a gastric ulcer and has begun treatment with omeprazole. Which of the following teaching points about diet and lifestyle should the nurse provide to this client?

Quitting smoking will significantly increase the chance that this drug will heal your ulcer

Your patient is admitted to the hospital for cough, fever, chills, malaise, and headache and is diagnosed with influenza. Examination reveals SOB at rest, course crackles throughout the lung fields, and cough productive of thick yellow sputum. Guaifenesin (Robitussin) has been prescribed. What would be an important nursing intervention to enhance the guaifenesin drug therapy?

Suggest drinking one glass of water with every dose

The client receives an H2 - receptor antagonist for treatment of peptic ulcer disease (PUD). Which assessment finding should be reported immediately to the prescriber?

The client reports episodes of melena

The nurse designs a teaching plan for the client receiving pancrealipase. What will the best plan by the nurse include as it related to the rationale for the client to receive this drug?

These enzymes replace what your ineffective pancreas cannot make

A client with chronic bronchitis is to start receiving nebulizer treatments with acetylcysteine. Which information should the nurse include in teaching about this medication?

This drug is designed to break down and thin the mucus in your lungs

Which of the following medications should be used with caution in a person with suspected or known sulfa allergy?

glyburide