THE GI SYSTEM PHARM
OMPERAZOLE(PRILOSEC) DIMENHYDRINATE SULFASALAZINE (AZULFIDINE) METOCLOPRAMIDE (REGLAN)
-->duodenal ulcer --> motion sickness -->IBS --> nausea & vomiting
#18 A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which the following adverse drug reactions? A. Nausea B. Constipation C. Urinary retention D. Sore throat
A
#3 THE HEALTHCARE PROFESSIONAL INSTRUCTS A CLIENT ABOUT THE THERAPEUTIC ACTIONS OF sucralfate. SHE EXPLAINS THAT THIS DRUG PROMOTES ULCER HEALING BY WHICH ACTION? A. CREATES A PROTECTIVE BARRIER B. INCREASES GASTRIC pH C. INHIBITS THE PROTON PUMP D. NEUTRALIZES GASTRIC ACID
A
#4 The nurse is assessing a client who was administered ondansetron IV 1 hour 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
#6 The 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? A. Gout B. Constipation C. Insomnia D. Hirsutism
A
#9 The client is about to start taking alosetron to treat diarrhea. You should instruct the client to watch for in report which of the following adverse drug reactions of this drug? A. CONSTIPATION B. DIFFICULTY SWALLOWING C. BLURRED VISION D. CONFUSION
A
15 A nurse is caring for a male client who asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea lasting 3 months. Which of the following information should the nurse provide the client about alostron? A. The drug is prescribed to female clients who have IBS-D lasting more than 6 months. B. The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months. C. The drug is most beneficial for male clients who have inflammatory bowel disease. D. The drug is most beneficial in treating clients who have constipation-predominant IBS (IBS-C).
A
#10 A client is about to start taking sulfasalazine to treat inflammatory bowel disease. You should instruct the client to watch FOR AND report which of the following adverse drug reactions of this drug? Select all that apply. A. Sore throat B. Fever C. Joint pain D. Constipation e. Dry mouth
A & B
#6 The client is starting therapy with PSYLLIUM. You explain to the client that PSYLLIUM will have which of the following therapeutic effects? Select all that apply. A. relieve constipation B. increase gastric pH C. reduce diarrhea D. decrease gastric acid secretion E. alleviate nausea
A & C
#13 The 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, C, & E
#3 The female client of childbearing potential is starting therapy with misoprostol to prevent a gastric ulcer. Which of the following instructions should you include when teaching this client? Select all that apply. a. mid-cycle spotting can occur b. take a pregnancy test prior to therapy c. report excessive menstral pain d. use effective contraception e. avoid taking the drug at bedtime
A,B,C,D
#5 THE HCP IS PROVIDING INSTRUCTIONS TO THE CLIENT ON TAKING aluminum hydroxide. WHICH INFO SHOULD BE INCLUDED? SATA A. CHECK LABELS FOR Na+ & PHOSPHATE CONTENT B. DECREASE ACTIVITY AND EXERCISE C. INCREASE FLUID AND FIBER INTAKE D. REPORT WHITISH COLORED STOOLS E. MONITOR FOR SIGNS OF CONSTIPATION
A,C, & E
#1 KNOWING THE A/V DRUG REACTIONS OF ranitidine, THE PCP's ASSISTANT SHOULD INSTRUCT THE CLIONET TO WATCH FOR AND REPORT WHICH OF THE FOLLOWING? A HYPERACTIVITY B. CNS DEPRESSION C. HYPERTENSION D. BONE PAIN
B
#2 The 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 drug interacts with ranitidine? A. Phenobarbital sodium. B. Ketoconazole C. Lisinopril D. Hydrochlorothiazide
B
#20 A nurse is providing teaching to a client who has a new prescription for OMEPRAZOLE to treat a duodenal ulcer. Which of he following instructions should the nurse include? A. Take the drug with food. B. Swallow the capsules whole. C. Dissolve the tablets in water. D. Take the drug at bedtime.
B
#5 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
#8 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. Ranitidine
B
#19 The 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 C E
#2 The client is about to start taking aluminum hydroxide tablets to reduce gastric acid. Which instruction should you include when when talking with the client about taking this medication? Select all that apply. a. take the drug w/ a large meal b. chew the tablets thoroughly c. drink a glass of water after taking it d. increase fluid and fiber intake e. take it once a day
B,C, & D
#1 A client is about to start taking omeprazole how to treat a duodenal ulcer. Which of the following instruction should you include when talking with this client about taking this drug? A. Take with food B. avoid using aluminum-based anatacids C. consume adequate amounts of fluids D. do not drink grapefruit juice
C
#1 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 this drug? A. Headache B. Drowsiness. C. Abdominal pain D. Sore throat
C
#9 The 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,D, & E
#10 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 between taking RANITIDINE and which of the following OTC drugs? A. Ginkgo biloba B. Antidiarrheals C. St. John's wort. D. Antacids
D
#11 Which of the following drugs has protocols that require clients to meet specific risk management criteria & a treatment agreement before the nurse can administer the drug? A. Lubiprostone B. Azathioprine C. Sulfasalazine. D. Alosetron
D
#14 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 has which of the following therapeutic effects? A. Reduces inflammation B. Reduces gastric acid C. Prevents diarrhea. D. Prevents straining
D
#4 WHICH OF THE FOLLOWING INSTRUCTIONS SHOULD THE HCP GIVE A CLIENT ABOUT TAKING sucralfate TO TX AN ACUTE DUODENAL ULCER? A. TAKE IT WITH PRESCRIBED ANTACID B. REDUCE K+ INTAKE C. TAKE W/ FOOD D. INCREASE FLUIDS AND FIBER
D
RANITIDINE
GERD
AZATHIPPRINE
IBS
BISACODYL
constipation
DOCUATE SODIUM
stool softner
#12 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
#17 A nurse is caring for a client who has a new prescription for ALOSETRON. The nurse should recognize that ALOSETRON therapy is effective when the client reports which of the following? A. One formed stool per day B. Urination without burning C. Cessation of nausea or vomiting D. Reduced GI reflux effects
A
#22 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? A. Lethargy B. Cellulitis C. Dry mouth D. Myalgia
A
#24 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
#3 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
#5 You are about to administer ondansetron to a client to prevent anesthesia induced nausea and vomiting. You prepare to monitor the client for which adverse effects of this drug? a. bronchospasm b. dizziness c. hypertension d.anxiety
B
#2 A CLIENT IS GOING TO TAKE RANITIDINE IN THE FORM OF EFFERVESCENT TABLETS. WHICH ADMINISTRATION INSTRUCTIONS FOR THIS DRUG FORMULATION SHOULD BE INCLUDED? A. SWALLOW THE TABS WHOLE B. CHEW THE TABS B4 SWALLOWING C. DISSOLVE THE TABS IN WATER B4 DRINKING D. PLACE THE TABS UNDER THE TONGUE
C
#25 The 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
#7 Nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? A. Dissolve the powder thoroughly in 8 oz (237 mL) of water. B. Take with diphenhydramine to prevent extrapyramidal effects. C. Avoid activities that require alertness. D. Take 30 min before activities that trigger nausea.
C
7 You are about to administer diphenoxylate plus atropine to a client to reduce diarrhea. Which drug should you have available to treat an overdose of this drug combination? a. acetycysteine b. flumazenil c. naloxone d. diphenhydramine
C
#21 A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? Select all that apply. A. Expect results in 6 to 12 hr B. Urinate every 4 hr C. Take the drug with at least 8 oz (237 mL) of fluid D. Avoid activities that require alertness E. Increase fluid and fiber intake is correct.
C E
#23 The nurse is caring for a client who is taking PHENYTOIN for a seizure disorder in it has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hours 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
#16 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