Chapter 40

Which conditions would contraindicate the use of metoclopramide (GI stimulant)? A. GI obstruction B. clients displaying EPS effects C. perforation the GI system D. GI bleed E. pheochromocytoma

A, B, C, D, E

Which drug classes are part of the upper GI system drugs? SATA A. acid neutralizers: anatacids B. acid-reducing agents: histamine H2 antagonists C. acid-reducing agents: proton pump inhibitors D. GI stimulants E. antiemetics F. emetics

A, B, C, D, E, F

A patient who is prescribed an aluminum based antacid would use it cautiously if they had which conditions? SATA A. gastric outlet obstruction B. upper GI bleeding C. liver impairment D. poor kidney function E. renal calculi

A, B, D

What are GI stimulants used for? SATA short term use only A. delayed gastric emptying/emesis B. GERD C. heartburn D. gastric stasis E. peptic ulcers

A, B, D

Esomeprazole, lansoprazole, omeprazole, and pantroprazole all have which adverse reactions in common? SATA A. headache B. nausea C. vomiting D. diarrhea E. abdominal pain

A, B, D, E

Which adverse reactions does misoprostol have? SATA A. headhache B. nausea C. vomiting D. diarrhea E. abdominal pain

A, B, D, E

A patient taking sodium based antacids should stop if patient has which conditions? SATA A. heartburn B. cardiovascular problems C. hypertension D. congestive heart failure E. sodium restricted diets

B, C, D, E

What are histamine H2 receptors and anticholinergics used for? SATA A. flatulence B. heartburn C. GERD D. gastric/duodenal ulcers E. gastric hypersecretory conditions

B, C, D, E

What are proton pump inhibitors used for? SATA A. heartburn B. gastric duodenal ulcers caused by H. pylori C. GERD D. hypersecretory conditions E. prevention of GI bleeding

B, C, D, E

Which drug class inhibits the production of gastric acid and has mucosal protective properties? A. pepsin inhibitors B. antiemetics C. prostaglandins D. GI stimulants

C

A patient taking granisetron or ondansetron would experience which adverse reactions? SATA A. dry mouth B. headache C. drowsiness D. diarrhea E. constipation

B, C, D, E

A patient taking a anticholinergic and an opioid is prescribed a GI stimulant. Which interaction is suspected? A. decrease GI effect B. increase risk of CNS depression C. increase GI effect D. decrease anticholinergic effect

A

A patient taking a histamine H2 antagonists would be contraindicated in which conditions? A. patients allergic to cimetidine, famotidine, or ranitidine

A

A patient taking a magnesium or aluminum based antacid would use it cautiously if they had which condition? A. decreased kidney function B. hepatic impairment C. poor circulation D. upper GI bleeding

A

A patient taking an opioid and a histamine H2 antagonist could experience which interaction? A. increase risk for respiratory depression B. decrease effectiveness of the opioid C. increase effect of the histamine H2 antagonist D. decrease absorption of the histamine H2 antagonist

A

A patient taking proton pump inhibitors would be contraindicated in which conditions? A. patients who are allergic to esomeprazole, lansoprazole, omeprazole, or pantroprazole

A

A patient taking sucralfate with a PPI would most likely experience which interaction? A. decrease absorption of PPI B. decrease absorption of sucralfate C. increase absorption of PPI D. increase absorption of sucralfate

A

A patient with diabetes and cardiovascular disease would cautiously take which medication? A. metoclopramide B. ranitidine C. esomeprazole D. pantoprazole

A

Administering an antacid to a client taking which medications will decrease the absorption of the medication and result in a decreased drug effect? A. digoxin B. dexotroamphetamine C. simvastatin D. quinidine

A

Antiemetics would be used cautiously in which condition? A. severe vomiting and nausea B. severe abdominal pain C. severe diarrhea D. severe CNS depression

A

The nurse should warn a client taking aluminum and calcium containing antacids about which adverse effects? A. constipation B. diarrhea C. dehydration D. flatulence

A

Which drug class binds with protein molecules to form a viscous substance to buffer the acid and protect the mucosal lining? A. pepsin inhibitors B. anticholinergics C. GI stimulant D. antiemetics

A

Which drug class neutralizes or reduces the acidity of the stomach and duodenal contents by combining with HCl and increasing the pH of the stomach acid? A. antacids B. histamine H2 antagonists C. proton pump inhibitors D. gastrointestinal stimulants

A

Which patient education is important for patient taking aluminum carbonate? A. Can be administered hourly for first two weeks for treatment of PUD, then administer 1-2 hour after meal and at bedtime B. Take only at bedtime when you feel nauseous C. Take 1 hour before every meal D. Take whenever you feel heartburn

A

Patients taking histamine H2 antagonists would be used cautiously in which patients? SATA A. hepatic impairment B. renal impairment C. elderly D. debilitated E. heart disease

A, B, C, D

Which adverse reactions would be expected when patient is taking trimethobenzapine? SATA A. Hypotension B. Parkinson's-like symptoms C. Blurred vision D. Drowsiness/dizziness E. Diarrhea

A, B, C, D

Which drugs belong to the drug class antiemetics? SATA A. chlorpromazine B. perphenazine C. prochlorperazine D. promethazine E. metoclopramide

A, B, C, D

Which medications belong to the drug class proton pump inhibitors? SATA A. esomeprazole B. lansoprazole C. omeprazole D. pantroprazole E. ranitidine

A, B, C, D

A patient taking calcium carbonate could experience which adverse reactions? SATA A. rebound hyperacidity B. metabolic alkalosis C. hypercalcemia D. confusion&headache E. constipation

A, B, C, D, E

A patient taking cimetidine, famotidine, or ranitidine could experience which adverse reactions? SATA A. dizziness B. drowsiness C. headache D. diarrhea E. confusion

A, B, C, D, E

A patient comes in with constipation, anorexia, weakness, tremors and bone pain. Which drug would be giving these adverse reactions? SATA A. aluminum carbonate B. calcium carbonate C. aluminum hydroxide D. sodium bicarbonate E. magnesium oxide

A, C

When would syrup ipecac be not be used? sATA A. Gasoline, kerosene, acetone or paint thinner was ingested B. Paint thinner was inhaled C. Let, strong alkalosis/acidotic agent was ingested D. Comatose or having active seizures E. Patient drank too much alcohol

A, C, D

What are antacids commonly used for? SATA A. heartburn B. hypersecretory C. acid digestion D. GERD E. peptic ulcers

A, C, D, E

Which drugs fall into the drug class antacids? SATA A. aluminum carbonate and aluminum hydroxide B. ranitidine and famotidine C. calcium carbonate and sodium bicarbonate D. cimetidine and ondansetron E. magnesia and magnesium oxide

A, C, E

A CNS depressant is administered with an antiemetic? What interactions is likely to occur? A. increase risk of toxicity of the antiemetic B. increase risk of sedation C. decrease effect of the antiemetic D. decrease effect of the CNS depressant

B

A nurse is teaching a client about his prescribed lansoprazole. The nurse instructs the client to take the drug at which time? A. at bedtime B. 1 hour before eating C. first thing on arising D. 2 hours after a meal

B

A patient comes in with nonstop hiccoughs. Which medication does the nurse expect the doctor to prescribe? A. promethazine B. chlorpromazine C. syrup ipecac D. metoclopramide

B

A patient taking ampicillin with a PPI would most likely experience which interaction? A. decrease absorption of PPI B. decrease absorption of ampicillin C. increase absorption of PPI D. increase absorption of ampicillin

B

A patient taking an oral anticoagulant with a ranitidine could experience which interaction? A. increase effect of the histamine H2 antagonist B. increase risk for GI bleed C. decrease effect of oral anticoagulant D. decrease absorption of histamine H2 antagonist

B

A patient taking antacids with digoxin, isoniazid, or phenytoin could experience which interaction? A. increased effect of antacids B. decreased absorption of these meds C. increased effect of these meds D. decrease effect of antacids

B

A patient taking levadopa with a GI stimulant would most likely experience which interaction? A. increase absorption of both meds B. decrease levels of both meds C. increase of levadopa D. increase of GI stimulant

B

The nurse would administer cimetidine cautiously to a client with a history of which condition? A. asthma B. diabetes C. hyperlipidemia D. hypertension

B

What is the adverse reaction of sucralfate? A. diarrhea B. constipation C. dry mouth D. nausea

B

What would be important for the nurse to assess during the ongoing assessment? A. Baseline vitals B. GI bleeding C. Initial level of pain D. Labs

B

Which drug class does misoprostol belong to? A. pepsin inhibitor B. prostaglandin C. proton pump inhibitor D. histamine H2 antagonist

B

Which drug class increases motility of sensitizing tissue to acetycholine to increase emptying and inhibit the stimulation of the vomiting center? A. prostaglandin B. GI stimulant C. emetics D. antiemetics

B

Which drug class inhibits the action of histamine H2 to reduce the secretion of gastric acid? A. antacids B. hitamine H2 antagonists C. proton pump inhibitors D. GI stimulants

B

Which drug class inhibits the chemoreceptor trigger zone and inhibits dopamine and acetycholine to disrupt the signals to the vomiting center to the brain? A. GI stimulants B. antiemetics C. emetics D. antacids

B

Which drug class reduces gastric motility to decrease acid production? A. pepsin inhibitors B. anticholinergics C. GI stimulants D. antiemetics

B

Which drugs treat heartburn by neutralizing the acidity of the stomach by combining with HCl and increasing the pH of the stomach acid? A. metoclopramide B. aluminum hydroxide C. famotidine D. omeprazole

B

Calcium based antacids would be used cautiously in which conditions? SATA A. upper GI bleeding B. respiratory insufficiency C. renal impairment D. cardiac disease E. poor circulation

B, C, D

The anticholinergic drugs used as antiemetics would be used cautiously in which conditions? SATA A. cardiac disease B. glaucoma C. GI/GU obstruction D. renal/hepatic impairment E. severe CNS depression

B, C, D

A patient comes in with drowsiness, hypotension, and drymouth. Which of the following drugs does the nurse suspect to have been administered? SATA A. metoclopromamide B. chlorpromazine C. perphenazine D. prochlorperazine E. promethazine

B, C, D, E

Which conditions would be contraindicated in the use of prochlorperazine? SATA A. severe CNS depression B. bone marrow depression C. Parkinson's disease D. severe liver disease E. severe cardiac disease

B, C, D, E

A patient taking magnesium or magnesia oxide could experience which adverse reactions? SATA A. dry mouth B. diarrhea C. dehydration D. constipation E. hypermagnesemia

B, C, E

Which drugs are in the histamine H2 antagonists class? SATA A. esomeprazole B. cimetidine C. famotidine D. sodium bicarbonate E. ranitidine

B, C, E

What are antiemetics used for? SATA A. induce vomiting B. hyperemesis during pregnancy C. GERD D. nausea and vomiting E. prophylactic treatment of nausea and vomiting related to chemo and radiation

B, D, E

A nurse assesses a client for signs and symptoms of tardive dyskinesia when the client is receiving which drug? A. lansoprazole B. ondansetron C. metoclopramide D. famotidine

C

A nurse is caring for a client experiencing stomach hyperacidity. The health care provider has prescribed aluminum carbonate gel. The nurse would administer this drug cautiously to the client with which condition? A. GI obstruction B. pheochromocytoma C. upper GI bleeding D. renal impairment

C

A nurse is preparing to administer a prostaglandin drug used to reduce the risk of NSAID-induced gastric ulcers in high-risk clients, such as the elderly or the critically ill. Which medication will the client administer? A. sucralfate B. ranitidine C. misoprostol D. pantoprazole

C

A patient comes in displaying tardive dyskinesia, restlessness, dizziness and fatigue. Which medication would the nurse suspect to have been given? A. chlorpromazine B. ondansetron C. metoclopramide D. cimetidine

C

A patient having rebound acidity and metabolic alkalosis most likely was taking which medication? A. aluminum carbonate B. aluminum hydroxide C. sodium bicarbonate D. calcium carbonate

C

A patient is taking antacids. Which condition would cause the HCP to discontinue the medication? A. flatulence B. hypertension C. severe abdominal pain w/o known cause D. renal impairment

C

A patient taking an MAOI with a GI stimulant would experience which interaction? A. risk for GI stimulant toxicity B. risk for MAOI toxicity C. risk for HTN crisis D. risk for falls

C

A patient taking digoxin with a PPI would most likely experience which interaction? A. decrease effect of digoxin B. decrease effect of PPI C. increase risk of digoxin toxicity D. increase risk of PPI toxicity

C

A patient taking digoxin with cimetidine would experience which interaction? A. increase risk for digoxin toxicity B. increase absorption of histamine H2 antagonist C. decrease digoxin levels D. decrease effect of histamine H2 antagonist

C

A patient taking phenytoin with a PPI would most likely experience which interaction? A. decrease effect of PPI B. decrease effect of phenytoin C. increase risk for phenytoin toxicity D. increase effect of PPI

C

An antacid given with an antiemetic would most likely cause which interaction? A. increase absorption of the antiemetic B. increase absorption of the antacid C. decrease absorption of the antiemetic D. decrease absorption of the antacid

C

If a patient comes in with an NSAID induced gastric ulcer or a GI bleed, which medication will most likely be administered? A. ranitdine (histamine H2 antagonist) B. omeprazole (PPI) C. misoprostol (prostaglandin) D. sucralfate (pepsin inhibitor)

C

If a patient is taking rifampin with an 5-HT3 antagonist, which interaction is likely to occur? A. increase effectiveness of the 5-HT3 antagonist B. increase effectiveness of rifampin C. decrease effectiveness of 5-HT3 antagonist D. decrease effectiveness of rifampin

C

The nurse is caring for a client who is prescribed esomeprazole. The client informs the nurse that he is also taking sucralfate. The nurse would anticipate which effect as a possibility when these two drugs are administered? A. increased risk of sedation B. decreased effectiveness of sucralfate C. decreased absorption of the esomeprazole D. increased risk of HTN episode

C

The nurse should warn a client taking magnesium and sodium containing antacids about which adverse effects? A. flatulence B. dehydration C. diarrhea D. constipation

C

What are emetics used for? A. GERD B. nausea and vomiting C. induce vomiting r/t accidental poisoning or overdose D. hyperemesis during pregnancy

C

What drug class suppresses the secretion of gastric acid by inhibiting ATPase enzyme system of the gastric parietal cells? A. antacids B. histamine H2 antagonists C. proton pump inhibitors D. GI stimulants

C

What is sucralfate (pepsin inhibitor) used for? A. GERD B. heartburn C. short term treatment of duodenal ulcers D. long term treatment of duodenal ulcers

C

What is the primary use of 5-HT3 antiemetics? A. abdominal pain B. diarrhea C. nausea and vomiting related to chemo D. induction of vomiting

C

When taking an antiemetic,which condition would the HCP contraindicate the use of? A. liver impairment B. renal impairment C. severe CNS depression D. severe cardiac disease

C

Which drug class causes local irritation of the stomach and stimulates the vomiting center in the medulla? A. antiemetics B. GI stimulants C. emetics D. 5-HT3 antagonists

C

Which drug class targets serotonin receptors and the chemoreceptor trigger zone to disrupt the signals? It is considered an antiemetic. A. emetic B. GI stimulant C. 5-HT3 receptor antagonist D. histamine H2 antagonist

C

Which drug is in the emetic drug class? A. ondansetron B. chlorpromazine C. syrup ipecac D. metoclopramide

C

A nurse is preparing to administer a drug that reduces the secretion of gastric acid by inhibiting the action of histamine H2 receptors in the stomach. Which medications might the nurse be preparing? SATA A. calcium carbonate B. esomeprazole C. ranitidine D. famotidine E. lansoprzaole

C, D

Which medication reduces the secretion of gastric acid by inhibition of the ATPase enzyme system of the gastric parietal cells? SATA A. calcium carbonate B. famotidine C. esomeprazole D. landoprazole E. ranitidine

C, D

Calcium based antacids would contraindicated in who? SATA A. patient with heart disease B. patient with liver disease C. patient with renal calculi D. patient with hepatic impairment E. patient with hypercalcemia

C, E

5-HT3 receptor antagonists are contraindicated in which conditions? A. liver impairment B. renal impairment C. perforation D. prolonged QT intervals

D

A client is receiving a liquid antacid. Which would the nurse instruct the client to do? A. take sips of fluid at frequent intervals B. drink a full glass of water after taking the drug C. take 1 hour before meals D. shake the antacid thoroughly before using

D

A patient taking a biophosphonate with a PPI would most likely experience which interaction? A. increase risk for fall B. increase risk for biophosphonate toxicity C. increase risk for PPI toxicity D. increase risk for fracture

D

A patient taking antacids and metoclopramide is prescribed a histamine H2 antagonist (famotidine). Which interaction would the nurse expect? A. increase of the antacids B. increase of famotidine C. increase of metoclopramide D. decrease absorption of famotidine

D

A patient taking antacids with corticosteroids would most likely notice which interaction? A. increase effect of antacids B. decrease effect of antacids C. increase effect of corticosteroids D. decrease effect of cortiosteroids

D

A patient taking antacids with tetracycline will most likely experience which interaction? A. increase effect of antacids B. decrease effect of antacids C. increase effect of tetracycline D. decrease effect of tetracycline

D

A patient taking digoxin and metroclopramide would experience which interaction? A. increase absorption of metroclopramide B. decrease absorption of metroclopramide C. increase absorption of digoxin D. decrease absorption of digoxin

D

If a patient is taking lithium with prochlorperazine, which interaction is likely to occur? A. increase risk for sedation B. increase risk for fracture C. increase risk for falls D. increase risk for EPS effects

D

Which antacids would the nurse identify as being contraindicated in clients with heart failure? A. aluminum hydroxide B. magnesium hydroxide C. calcium carbonate D. sodium bicarbonate

D

Which drug is an anticholinergic drug that is used for nausea and vomiting? A. Granisetron B. Omeprazole C. Famotidine D. Trimethobenzapine

D

Which herbal products has been used as a homeopathic remedy for GI problems, including motion sickness, nausea, vomiting, and digestion? A. ginko biloba B. ma huang C. ginseng D. ginger

D

Which medication belongs to the GI stimulant drug class? A. famotidine B. sodium bicarbonate C. omeprazole D. metoclopramide

D