Pharm Final GI

A client with cirrhosis of the liver asks the nurse about the purpose of taking lactulose. How should the nurse respond? "It is used to control portal hypertension. "It adds dietary fiber to your diet.". "It helps to regenerate your liver." "It helps to reduce ammonia levels in your blood."

"It helps to reduce ammonia levels in your blood."

A client calls the clinic and states to the triage nurse: "I had an upset stomach and took Pepto-Bismol and now my tongue looks black. What's happening to me?" What would be the nurse's best response? "This is a common and temporary side effect of this medication." "How long have you had an upset stomach?" "Come to the clinic so you can be seen by the health care provider." "Are your stools also black?"

"This is a common and temporary side effect of this medication."

Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? Loperamide (Imodium). Probanthine (Propantheline). Bismuth subsalicylate (Pepto Bismol). Diphenoxylate hydrochloride with atropine (Lomotil).

Bismuth subsalicylate (Pepto Bismol).

The nurse administers lactulose to a client with cirrhosis of the liver. Which laboratory test change leads the nurse to determine that the lactulose is effective? Decreased amylase Decreased ammonia Increased potassium Increased hemoglobin

Decreased ammonia

A health care provider prescribes famotidine for a client with dyspepsia. Which statement is important to include in a teaching session about famotidine? Lowers the stress level Neutralizes gastric acidity Reduces gastrointestinal peristalsis Decreases secretions in the stomach

Decreases secretions in the stomach

A client who has returned from surgery reports feeling nauseated and later has an emesis. The nurse administers promethazine per standing orders. In addition to relief from nausea, what other effects of this medication does the nurse expect? Select all that apply. Dry mouth Sedation Pinpoint pupils Heart palpitations Rhinorrhea

Dry mouth Sedation Heart palpitations

) Famotidine is prescribed for a client with peptic ulcer disease. Which mechanism of action is a characteristic of this medication? Increases gastric motility Neutralizes gastric acidity Facilitates histamine release Inhibits gastric acid secretion

Inhibits gastric acid secretion

The nurse is providing teaching to the client taking metoclopramide. Serious side effects that should be reported to the provider are included in the teaching plan. Which of the following side effects is the priority? Involuntary muscle movements Report of increased fatigue Onset of headaches Difficulty with sleep

Involuntary muscle movements

A nurse administers cimetidine to a 79-year-old male with a gastric ulcer. Which parameter may be affected by this drug and should be closely monitored by the nurse? Blood pressure Liver enzymes Mental status Hemoglobin

Mental status

The nurse administers cimetidine to a 75-year-old client diagnosed with a gastric ulcer. The nurse should monitor the client for which adverse reaction? Mental status change Increased liver enzymes Constipation Hearing loss

Mental status change

Which potential side effect of docusate sodium would a nurse include in discharge teaching of a client who had repair of an inguinal hernia? Rectal bleeding Fecal impaction Nausea and vomiting Mild abdominal cramping

Mild abdominal cramping

Which medication for treatment of gastroesophageal reflux disease would be contraindicated in the pregnant client? Ranitidine Misoprostol Esomeprazole Calcium carbonate

Misoprostol

Which medication is classified as an H 2 receptor antagonist? Select all that apply. One, some, or all responses may be . Nizatidine Ranitidine Famotidine Lansoprazole Metoclopramide

Nizatidine Ranitidine Famotidine

160) Which action is responsible for the therapeutic effect of docusate sodium? Lubricates the feces Creates an osmotic effect Stimulates motor activity Softens the feces

Softens the feces

A health care provider prescribes bisacodyl for a client with constipation. The nurse explains to the client that this medication acts by which mechanism? Producing bulk Softening feces Lubricating feces Stimulating peristalsis

Stimulating peristalsis

A client has had a recent brain attack (cerebrovascular accident/stroke). Which preventative would the nurse anticipate will be prescribed daily to avoid straining due to constipation? Stimulant laxatives such as bisacodyl Tap-water enemas Stool softener Saline laxatives such as magnesium citrate

Stool softener

In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? An increase in urine output. Two or three soft stools per day. Watery, diarrhea stools. Increased serum bilirubin.

Two or three soft stools per day.

A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? Use contraception during intercourse. Ensure the Cytotec is taken on an empty stomach. Encourage oral fluid intake to prevent constipation. Take Cytotec 30 minutes prior to Motrin.

Use contraception during intercourse.

A client prescribed omeprazole for gastroesophageal reflux disease reports a new occurrence of significant diarrhea. Which response by the nurse is most appropriate? 'Stop taking your omeprazole.'' This is a normal side effect of omeprazole.'' We are going to collect a stool sample for testing.' ' Antidiarrheal medication can be used to decrease this.'

We are going to collect a stool sample for testing.'

) A client is scheduled for discharge after surgery. The medical record indicates that the client has not had a bowel movement since before surgery, which was 4 days ago. Which prescribed medication will the nurse administer to ensure a bowel movement before discharge? Lactulose Docusate sodium Bisacodyl suppository Psyllium

Bisacodyl suppository

Why would lactulose be prescribed for a client with a history of cirrhosis of the liver? The desire to drink alcohol is decreased. Diarrhea is controlled and prevented. Elevated ammonia levels are lowered. Abdominal distension secondary to ascites is decreased.

Elevated ammonia levels are lowered.

Which mechanism is specifically responsible for the action of the medication ranitidine? Inhibiting proton pumps Promoting the release of gastrin Regenerating the gastric mucosa Inhibiting the histamine at H 2 receptors

Inhibiting the histamine at H 2 receptors