GI Medication Saunders
The nurse is preparing to reinforce instructions to the client who has been given a prescription for diphenoxylate with atropine (Lomotil). Which instructions should the nurse include?
Do not exceed the recommended dose because it can be habit forming.
The client has a PRN prescription for loperamide hydrochloride (Imodium). The nurse understands that this medication is used for which condition?
An episode of diarrhea
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen?
"The medications will kill the bacteria and stop the acid production."
The nurse reinforces medication instructions to a client with peptic ulcer disease. Which statement by the client indicates the best understanding of the medication therapy?
"The nizatidine (Axid) will cause me to produce less stomach acid."
The nurse has reinforced instructions to a client who has been prescribed cholestyramine (Questran). Which statement by the client indicates a need for further teaching?
"This medication should only be taken with water."
A client has been given a prescription for metoclopramide (Reglan) four times a day. Which is the optimal time to take this medication?
30 minutes before meals and at bedtime
An adult client with hepatic encephalopathy has a serum ammonia level of 120 mcg/dL and receives treatment with lactulose (Chronulac) syrup. The nurse determines that the client has the best response if the level changes to which after medication administration?
70 mcg/dL
A client asks the nurse about which product should be taken for a headache. The client is taking lansoprazole (Prevacid) for long-term management of Zollinger-Ellison syndrome. The nurse determines that which medication would be the appropriate choice for this client?
Acetaminophen (Tylenol)
A client is taking lansoprazole (Prevacid) for the chronic management of Zollinger-Ellison syndrome. If prescribed, which medication would be appropriate for the client if needed for a headache?
Acetaminophen (Tylenol)
A client with hepatic encephalopathy is receiving lactulose (Cephulac). The nurse determines that the medication is effective if which finding is observed?
The client who was previously oriented to person only can now state name, year, and present location.
A health care provider has written a prescription for ranitidine (Zantac) 300 mg once daily on the client's discharge medication list. The nurse plans to instruct the client to take the medication at which time?
At bedtime
The health care provider has written a prescription for ranitidine (Zantac), once daily. The nurse should schedule the medication for which time?
Bedtime
A long-term care nurse is caring for an older client taking cimetidine (Tagamet). The nurse observes this client frequently for which most common central nervous system (CNS) side effect of this medication?
Confusion
The client has been taking omeprazole (Prilosec) for 4 weeks. The nurse evaluates that the client is receiving an optimal intended effect of the medication if the client reports the absence of which symptom?
Heartburn
The nurse is collecting data from a client who is taking pantoprazole (Protonix). The nurse determines that the medication is effective if the client states relief of which symptom?
Heartburn
A client uses the alternative therapy of cascara sagrada, known as Californian buckthorn, for ongoing management of chronic constipation. The nurse monitors the client's laboratory results for which electrolyte imbalance specifically related to long-term use of this medication?
Hypokalemia
The nurse is assigned to care for a client with a diagnosis of hepatic encephalopathy. Which prescribed medication does the nurse anticipate administering?
Lactulose syrup (Chronulac)
Atropine sulfate is prescribed for a client with gastrointestinal hypermotility, and the nurse reviews the client's record before administering the medication. Which finding, if noted on the client's record, indicates the need to contact the health care provider before administering the medication?
Narrow-angle glaucoma
The client has a PRN prescription for ondansetron (Zofran). For which condition should this medication be administered to the postoperative client?
Nausea and vomiting
A client with peptic ulcer disease has a new prescription for propantheline (Pro-Banthine). Which client teaching instructions should the nurse reinforce?
Take the medication 30 minutes before meals.
A client with peptic ulcer disease has been prescribed to take cimetidine (Tagamet). How does this medication primarily work?
The medication inhibits histamine action.
A client with peptic ulcer disease has been prescribed misoprostol (Cytotec) and sucralfate (Carafate). The nurse reinforces teaching the client that these two medications will work primarily for which reason?
The medications protect the gastric mucosa.
The client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition?
Vomiting following cancer chemotherapy
The nurse notes that a client is taking lansoprazole (Prevacid). On data collection the nurse asks which question to determine medication effectiveness?
"Are you experiencing any heartburn?"
Metoclopramide (Reglan) four times daily has been prescribed for a client with reflux esophagitis, and the nurse reinforces instructions to the client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication?
"I need to take the medication 30 minutes before meals and at bedtime."
Psyllium (Metamucil) is prescribed for a client with a cardiac disorder to facilitate defecation and prevent straining with bowel movements. The nurse reinforces instructions to a client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication?
"I should mix the medication with a full glass of water."
A client is scheduled for an intravenous pyelogram and has been instructed to take liquid magnesium citrate on the day before the scheduled procedure. The client asks the nurse about the administration procedure for this medication. Which instruction should the nurse provide to the client?
"Take the medication on ice."
The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
Reduction of steatorrhea
A postoperative client requests medication for flatulence (gas pains). Which medication from the following PRN list should the nurse administer to this client?
Simethicone (Mylicon)
Sucralfate (Carafate) 1 g four times daily has been prescribed for a client with a diagnosis of gastric ulcer, and the nurse reinforces instructions to the client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication?
"I need to take the medication 1 hour before my meals and at bedtime."
A client with portosystemic encephalopathy is receiving oral lactulose daily. The nurse should check which to determine medication effectiveness?
Blood ammonia level
The nurse is administering a dose of prochlorperazine to a client for nausea and vomiting. The nurse tells the client to report which frequent side effect of this medication?
Blurred vision
A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). The nurse assisting in caring for the client should take which action to monitor the effectiveness of treatment?
Checking the frequency and consistency of bowel movements
A client has arrived in the clinic complaining of dyspepsia and pain that occurs about 90 minutes after eating. The client also reports that the pain got worse this afternoon about 3 hours after eating a large bowl of spaghetti with tomato sauce. Laboratory tests reveal the presence of Helicobacter pylori (H. pylori). The nurse anticipates that the health care provider will prescribe which medications? Select all that apply.
Esomeprazole (Nexium) Metronidazole (Flagyl) Clarithromycin (Biaxin) Calcium carbonate (Tums)
A client has just taken a dose of trimethobenzamide (Tigan). The nurse determines that the medication has been effective if the client reports which outcome?
Nausea and vomiting has been relieved.
A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select all that apply.
Nizatidine (Axid) Ranitidine (Zantac) Famotidine (Pepcid) Cimetidine (Tagamet)
A client has a prescription for sucralfate (Carafate) 1 g by mouth 4 times daily. The nurse writes in the medication record to administer the medication at which time?
One hour before meals and at bedtime
A client with a diagnosis of gastric ulcer has a prescription for oral sucralfate (Carafate) four times daily. At which time should the nurse plan to administer the medication?
One hour before meals and at bedtime
The client with a gastric ulcer has a prescription for sucralfate (Carafate) 1 g by mouth four times daily. The nurse should schedule the medication for which times?
One hour before meals and at bedtime
A client is taking docusate sodium (Colace). The nurse monitors which result to determine whether the client is having a therapeutic effect from this medication?
Regular bowel movements
The client who frequently uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol (Cytotec). The nurse determines that the medication is having the intended therapeutic effect if which is noted?
Relief of epigastric pain
A client has begun taking lansoprazole (Prevacid). The nurse monitors for which intended effect of this medication?
Relief of nighttime heartburn
A client with recurrent constipation has begun using psyllium (Metamucil). The nurse tells this client that this medication should be taken in which manner?
With a full glass of liquid, followed by a second glass of liquid
An older client recently has been taking cimetidine (Tagamet). The nurse should monitor the client for which most frequent central nervous system side effect of this medication?
Confusion
