NCLEX Gastrointestinal Medications

The nurse notes that a client is taking lansoprazole. On data collection the nurse would ask the client which question to determine medication effectiveness?

"Are you experiencing any heartburn?"

Sucralfate 1 g four times daily has been prescribed for a client with a diagnosis of gastric ulcer. 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."

Metoclopramide four times daily has been prescribed for a client with a diagnosis of reflux esophagitis. 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."

The client has an as-needed prescription for loperamide hydrochloride. For which condition would the nurse administer this medication?

An episode of diarrhea

The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL (9.95 mmol/L). The client is taking cholestyramine. Which statement made by the client indicates the need for further teaching?

"I'll continue my nicotinic acid from the health food store."

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, esomeprazole, and amoxicillin. 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 has reinforced instructions to the client who has been prescribed cholestyramine. Which statement by the client indicates a need for further teaching?

"This medication should only be taken with water."

A primary health care provider has prescribed prochlorperazine 4 mg intramuscularly for a client who is vomiting. The label on the medication vial indicates prochlorperazine 5 mg per 1 mL. The nurse administers how many milliliters (mL) to the client? Fill in the blank. Record the answer to one decimal place.

0.8 mL

An adult client with hepatic encephalopathy has a serum ammonia level of 120 mcg/dL (72 mcmol/L) and receives treatment with lactulose syrup. The nurse determines that the client has the best response if the level changes to which after medication administration?

70 mcg/dL (42 mcmol/L)

An older client has recently been taking cimetidine. The nurse would monitor the client for which most frequent central nervous system side effect of this medication?

Confusion

A client is taking lansoprazole for the chronic management of Zollinger-Ellison syndrome. If prescribed, which medication would be appropriate for the client if needed for a headache?

Acetaminophen

In reviewing the admission assessment data and primary health care provider's prescriptions for a client with peptic ulcer disease, the nurse notes that the client has a history of renal disease. Based on this data, the nurse determines that which antacid would be prescribed for this client?

Aluminum hydroxide

The nurse prepares to administer a pancreatic enzyme powder to a child with cystic fibrosis (CF). Which food item would the nurse mix with the medication?

Applesauce

Provider has written a prescription for ranitidine 300 MG daily on his clients discharge medication list. The nurse determines to instruct the client to take the medication at which time?

At bedtime

The primary health care provider (PHCP) has prescribed a proton pump inhibitor (PPI) for a client with gastroesophageal reflux disease (GERD). The nurse is teaching the client about the medication and states that the medication should be taken at which time?

Before the first meal of the day

A client diagnosed with portosystemic encephalopathy is receiving oral lactulose daily. The nurse would check which to determine medication effectiveness?

Blood ammonia level

The nurse is administering a dose of prochlorperazine to the client for nausea and vomiting. The nurse would instruct the client to report which frequent side effect of this medication?

Blurred vision

The client with a diagnosis of gastric ulcer has a prescription for oral sucralfate four times daily. The nurse reinforces instructions to the client about which adverse or side effect that can occur while taking this medication?

Constipation

The nurse is preparing to reinforce instructions to the client who has been given a prescription for diphenoxylate with atropine. Which instructions would the nurse include?

Do not exceed the recommended dose because it can be habit forming.

The nurse in the preoperative holding unit administers a dose of scopolamine to a client. The nurse monitors the client for which common side effect of the medication?

Dry mouth

The client has been taking omeprazole for 4 weeks. The nurse evaluates that the client is receiving the 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. The nurse determines that the medication is most effective if the client states relief of which symptom?

Heartburn

The client has an as-needed prescription for ondansetron. For which condition would the nurse administer this medication?

Nausea and vomiting

A client has just taken a dose of trimethobenzamide. 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, Ranitidine, Famotidine, Cimetidine

The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse would schedule the medication to be administered at which times?

One hour before meals and at bedtime

The client with peptic ulcer disease has been prescribed to take cimetidine. The nurse determines that which is the primary action of this medication?

Protects the gastric mucosa

The client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

Reduction of steatorrhea

The client who frequently uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that this medication is having the intended therapeutic effect if which is noted?

Relief of epigastric pain

The client has begun prescribed lansoprazole. The nurse would primarily monitor for which intended effect of this medication?

Relief of nighttime heartburn

A postoperative client requests medication for flatulence (gas pains). Which medication from the PRN list would the nurse administer to this client?

Simethicone

A client diagnosed with peptic ulcer disease has a new prescription for propantheline. Which client teaching instructions would the nurse most reinforce?

Take the medication 30 minutes before meals.

The client taking fexofenadine is scheduled for allergy skin testing and tells the nurse in the primary health care provider's office that a dose was taken that morning. Which would the nurse anticipate happening as a result?

The client will need to reschedule the appointment.

The primary health care provider has written a prescription for ranitidine for a client with gastrointestinal reflux disease. The nurse is explaining how this medication works to treat this disease. Which explanation would the nurse give?

The medication suppresses acid secretion by blocking H2 receptors.

The client with diagnosed peptic ulcer disease has been prescribed misoprostol and sucralfate. 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 prescription for metoclopramide four times a day. The nurse determines that which is the most appropriate time to schedule this medication?

Thirty minutes before meals and at bedtime

The client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition?

Vomiting following cancer chemotherapy

The client with recurrent constipation has begun using psyllium. The nurse would instruct the client that this medication would be taken in which manner?

With a full glass of liquid, followed by a second glass of liquid

A long-term care nurse is caring for an older client taking cimetidine. The nurse would observe this client frequently for which most common central nervous system (CNS) side effect of this medication?

Confusion