EAQ: GI/Biliary Quiz

An adolescent with leukemia is to be given a chemotherapeutic agent. Which time is best for the nurse to administer the prescribed antiemetic?

Before each dose of chemotherapy

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?

Bisacodyl suppository

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 ammonia

The postoperative prescriptions for a client who had repair of an inguinal hernia include docusate sodium daily. Before discharge, the nurse instructs the client about which potential side effect?

Mild abdominal cramping

Which information would the nurse include when teaching a client about the administration of ranitidine?

Ranitidine reduces gastric acidity in the stomach.

A health care provider prescribes bisacodyl for a client with constipation. The nurse explains to the client that this medication acts by which mechanism?

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?

Stool softener

Which information would be included in the teaching plan for the older adult client with peptic ulcer disease who is taking an antacid and sucralfate?

Sucralfate should be taken on an empty stomach one hour before meals.

A client prescribed omeprazole for GERD reports a new occurrence of significant diarrhea. Which response by the nurse is most appropriate?

"We are going to collect a stool sample for testing." Omeprazole has been linked to an increased risk of diarrhea because of Clostridium difficile, so the stool should be tested. The nurse would not instruct the client to stop any medications without consulting the prescribing health care provider. Significant diarrhea in the setting of omeprazole is not a normal finding and should be investigated for Clostridium difficile. Antidiarrheal medication should not be recommended until Clostridium difficile infection is investigated and ruled out.

Which suggestion would the nurse provide to the mother whose child has been constipated for 3 days? Select all that apply. One, some, or all responses may be correct.

- Give laxatives to the child. - Increase the child's physical activity. - Include food with a high fiber content in the child's diet.