T2 U6 GI Drug Exam
A client with constipation is prescribed psyllium. The client asks the nurse how the client should take the medication. What is the nurse's best response?
"Take this medication with 8 ounces of water."
A 73-year-old woman is experiencing recurrent constipation. The woman reports to the nurse that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this client's statements?
"Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation."
The nurse is about to administer diphenoxylate (Lomotil) to a client for the first time. Which of the following side effects should be included in the teaching about this medication?
"This medication may make you feel lightheaded or drowsy."
A client has been prescribed 200 micrograms of misoprostol to be taken 4 times a day orally for the prevention of gastric ulcers. The drug is available in 100 microgram tablets. How many tablets should the nurse administer to the client each time?
2 tabs
The nurse is caring for a client who is receiving antacids to relieve GI discomfort. What nursing action is most appropriate?
Administer the antacid 1 hour before or 2 hours after other oral medications.
The nurse is caring for a client who is prescribed mesalamine and warfarin. Which potential assessment finding should the nurse prioritize in this client?
Bleeding
A client asks the nurse about herbal remedies to treat GI upset. Which herbal product would the nurse tell the client about?
Chamomile
A client's history reveals that the client is experiencing intestinal gas. Which medication would the nurse expect the primary health care provider to prescribe? Select all that apply.
Charcoal Simethicone
An older adult 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 effect?
Constipation
A client reports using ginger for motion sickness. The nurse will urge the client to use caution if the client has which medical condition?
Gallstones
Which herbal products have been used as a homeopathic remedy for GI problems, including motion sickness, nausea, vomiting, and digestion?
Ginger
A client arrives at the walk-in clinic reporting vomiting and a burning sensation in the mid-epigastric region. The nurse suspects that the client has peptic ulcer disease. Which is a potential cause of peptic ulcer disease?
Infection with H. pylori
Clients with a sulfonamide allergy should avoid the use of which to treat an ulcerative colitis?
Mesalamine
The nurse teaches the client to best promote optimal GI function by including what in the daily routine?
Nutritious diet, adequate fluid intake, and exercise
A group of nursing students are analyzing the various categories of upper gastrointestinal system drugs. The instructor determines the session is successful when the students correctly choose which drug(s) as an example of a proton pump inhibitor?
Omeprazole Esomeprazole
The nurse is preparing to administer an antidiarrheal to a client. The nurse will question this order if which organism is documented on the stool sample report? Select all that apply.
Shigella salmonella Escherichia Coli
A 30-year-old female client is prescribed misoprostol. Which instruction should the nurse prioritize in the teaching session for this client?
Use a reliable contraceptive method.
Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in clients who:
are pregnant.
A client needing to evacuate the colon for endoscopy would likely be prescribed which medication solution?
polyethylene glycol electrolyte
A client is prescribed cimetidine for the treatment of a peptic ulcer disease and gastric reflux. The dosage of this drug should be reduced if the client has:
renal disease
