Exam 3- ATI Gastrointestinal

A nurse is planning care for a client who is receiving chemotherapy and has a new rx for ondansetron. Which of the following actions should the nurse plan to take? (select all that apply)

-Infuse the drug 30 min prior to chemotherapy is correct. The nurse should administer IV ondansetron, a serotonin antagonist, 30 min prior to chemotherapy to prevent chemotherapy-induced nausea and vomiting. When treating radiation-induced nausea and vomiting, the nurse should give the drug orally 1 to 2 hr prior to radiation therapy and again every 8 hr. -Infuse the drug slowly over 15 min is correct. The nurse should infuse ondansetron slowly over 15 min to prevent chemotherapy-induced nausea. -Repeat the dose 4 hr after chemotherapy is correct. For maximum effectiveness, the nurse should administer ondansetron 4 hr after chemotherapy, and again 8 hr after chemotherapy. When treating anesthesia-induced nausea and vomiting, the nurse can give the drug 1 hr before anesthesia induction.

A nurse is caring for a client who has a new rx for famotidine/cimetidine to treat GERD. The nurse should instruct the client to wait at least 1 hour between taking famotidine/cimetidine and which of the following OTC drug

Antacids famotidine/cimetidine and taking an antacid

A 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

Dizziness and lightheadedness are the most common adverse effects of ondansetron.

A nurse is reviewing the medical record of a client who has a new rx for famotdine/cimetidine. The nurse should recognize that which of the following drugs interacts with famotidine/cimetidine. The nurse should recognize that which of the following drugs interacts with famotidine/cimetidine?

Ketoconazole famotidine reduces the absorption of ketoconazole

A nurse is caring for an older adult client who has kidney disease and a new rx for cimetidine. The nurse should instruct the client to report which of the following manifestations?

Lathargy rationale: Cimetidine is a histamine2 receptor antagonist, which can potentially cross the blood-brain barrier. Older adult clients who have kidney impairments are at risk for central nervous system (CNS) effects such as lethargy, depression, confusion, and seizures. The nurse should instruct the client to report these manifestations to their provider.

A nurse is providing teaching to a client who has a new rx for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include?

Omeprazole, a proton pump inhibitor, is unstable in stomach acid. The nurse should instruct the client to swallow the capsules or tablets whole and not to crush or chew the capsules or tablets.

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 tx effects?

Prevents straining rationale: Docusate sodium, a stool softener, prevents straining during defecation and prevents the elevation in blood pressure that can result from straining. It also helps relieve constipation and reduces the painful elimination of hard stools.

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instruction should the nurse include? (select all that apply)

Psyllium, a fiber supplement, typically results in soft, formed bowel movements 1 to 3 days after beginning therapy. Urinate every 4 hr is incorrect. Psyllium is unlikely to cause urinary retention. Atropine can cause anticholinergic effects, such as urinary retention, and can require scheduled urination to help prevent this effect. Take the drug with at least 8 oz (237 mL) of fluid is correct. To prevent esophageal obstruction, clients should take psyllium with at least 8 oz of fluid; and after mixing the powdered form, clients should drink it immediately. Avoid activities that require alertness is incorrect. Psyllium is unlikely to cause sedation or dizziness. Prochlorperazine is a GI-system drug that can cause sedation and requires avoiding activities that require alertness. Increase fluid and fiber intake is correct. The nurse should tell the client to increase activity, fluid intake, and fiber intake, and to keep track of bowel function.

A nurse is teaching a client who has a new rx for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions?

gout rationale: An adverse effect of methotrexate is hyperuricemia, which causes gout. The nurse should instruct the client to drink plenty of fluids to minimize this effect, and to report edema or pain in the joints.