Gastrointestinal pharm ati

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 ? A. "Avoid driving or activities requiring alertness." B. "If you miss a dose, double the next dose." C. "Rinsing the mouth with alcohol-based mouthwash can reduce dryness." D. "Having one glass of wine each night can improve medication effectiveness."

A. "Avoid driving or activities requiring alertness."

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 reasons should the nurse clarify these prescriptions with the provider? A. Allopurinol delays the conversion of azathioprine and can lead to toxicity. B. Azathioprine increases the effectiveness of allopurinol. C. Allopurinol increases the metabolism of azathioprine and can require an increased dosage. D. Azathioprine decreases the effectiveness of allopurinol.

A. Allopurinol delays the conversion of azathioprine and can lead to toxicity.

A nurse is assessing a client who has administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug ? A. Dizziness B. Bradycardia C. Tardive dyskinesia D. Dyspepsia

A. Dizziness

a nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? A. Inflammatory bowel disease B. Thrombophlebitis C. Agranulocytosis D. Immunization with a live virus vaccine within the last 6 weeks

A. 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 A. Infuse the drug 30 min prior to chemotherapy. B. Administer the drug when the client reports nausea. C. Infuse the drug slowly over 15 min. D. Administer the drug immediately following chemotherapy. E. Repeat the dose 4 hr after chemotherapy.

A. Infuse the drug 30 min prior to chemotherapy. C. Infuse the drug slowly over 15 min. E. Repeat the dose 4 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? A."Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn." B. "The medication can stain your contact lenses green." C. "The medication can color your urine dark brown." D. "Take an iron supplement when you take sulfasalazine to prevent anemia."

A."Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."

A Nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs? A. Omeprazole B. Aluminum hydroxide C. Sucralfate D. Famotidine

B. Aluminum hydroxide

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? A. Pancreatitis B. Aspirin sensitivity C. Bronchitis D. GERD

B. Aspirin sensitivity

A nurse is reviewing the medical record of a client who has a new prescription for famotidine. The nurse should recognize that which of the following drugs interacts with famotidine? A. Phenobarbital sodium B. Ketoconazole C. Lisinopril D. Hydrochlorothiazide

B. Ketoconazole

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 A. Level of consciousness B. Skin integrity C. Temperature D. Urine output E. CBC

B. Skin integrity C. Temperature E. CBC

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? A. A seizure disorder B. Rheumatoid arthritis C. A positive pregnancy test D. Heart failure

C. 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? A. Headache B. Drowsiness C. Abdominal pain D. Sore throat

C. Abdominal pain

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (Select all that apply) A. Sit upright for 30 min after taking the drug. B. Avoid antacids. C. Take the drug 30 to 60 min before activities that trigger nausea. D. Avoid activities that require alertness. E. Increase fluid and fiber intake.

C. Take the drug 30 to 60 min before activities that trigger nausea. D. Avoid activities that require alertness. E. Increase fluid and fiber intake.

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? A. Lubiprostone B. Azathioprine C. Sulfasalazine D. Alosetron

D. Alosetron

A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking famotidine and which of the following over the counter drugs? A. Ginkgo biloba B. Antidiarrheals C. St. John's Wort D. Antacids

D. Antacids

A nurse is caring for a client who is taking 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 apart for which of the following reasons? A. Phenytoin increases the metabolism of sucralfate. B. Phenytoin reduces the effectiveness of sucralfate. C. Sucralfate increases the risk for phenytoin toxicity. D. Sucralfate interferes with the absorption of phenytoin.

D. Sucralfate interferes with the absorption of phenytoin.