ATI Pharmacology Gastrointestinal System
A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium cause which of the following therapeutic effects?
Prevents straining
A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?
Inflammatory bowel disease
A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take?(select all that apply)
Infuse the drug 30 min prior to chemotherapy Infuse the drug slowly over 15 min Repeat the dose four hr after chemotherapy
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make?
" you sunscreen and protective clothing while taking sulfasalazine to prevent sunburn"
A nurse should recognize that misoprostol is contra indicated for a client who has which of the following conditions?
A positive pregnancy test
A nurse is caring for a client who has a new prescription for alosetron To treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug?
Abdominal pain
A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reason should the nurse clarify these prescriptions with the provider?
Allopurinol delays the conversion of azathioprine and can lead to toxicity
A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the client to wait at least one hour before taking ranitidine and which of the following over the counter drugs?
Antacids
A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?
Aspirin sensitivity
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instruction should the nurse include?
Avoid activities that require alertness
A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to Monitor for manifestations of which of the following conditions?
Gout
A nurse is reviewing the medical record of a client who has a new prescription for ranitidine. The nurse should recognize that which of the following drugs interact with ranitidine?
Ketoconazole
A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations?
Lethargy
A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions?
Nausea
A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (select all that apply)
Skin integrity Temperature CBC
A nurse is caring for a client who takes phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hrs part for which of the following reasons?
Sucralfate interferes with the absorption of phenytoin
A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include?
Swallow the capsule whole
A nurse is providing teaching to a client who is about to start psyllium to treat Constipation. Which of the following instruction should the nurse include? (select all that apply)
Take the truck with at least 8 oz (237 mL) of fluid. increase fluid and fiber intake
A nurse is caring for a male client who asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting three months. Which of the following information should the nurse provide the client about alosetron?
The drug is prescribed to female clients who have IBS-D lasting more than six months
A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include?
"avoid driving or activities requiring alertness"
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client phosphorus level when administering which of the following drugs?
Aluminum hydroxide
A nurse is assessing a client who has administered ondansetron IV one hour ago. Which of the following findings should the nurse recognize as an adverse effect of the drug?
Dizziness
A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effected when the client reports which of the following?
One formed stool per day
Which of the following drugs has protocols that require clients to meet specific risk management criteria and sign a treatment agreement before the nurse can administer the drug?
Alosetron
A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instruction should the nurse include? (Select all that apply)
Take the drug 30 to 60 men before activities that trigger nausea Avoid activities that require alertness Increase fluid in fiber intake
