Saunders-Pharm (GI)

A client diagnosed with peptic ulcer disease is prescribed an over-the-counter antacid suspension containing aluminum hydroxide, magnesium hydroxide, and simethicone. What should the nurse include in the client instructions for time of administration of this medication?

1 and 3 hours after meals

The adult client with hepatic encephalopathy has a serum ammonia level of 200 mcg/dL (120 mcmol/L) and receives treatment with lactulose. The nurse determines that the client had the best and most realistic response if the serum ammonia level changed to which value after medication administration?

90 mcg/dL

The nurse is preparing to give a client directions for proper use of aluminum hydroxide tablets. Which instruction should the nurse provide to the client?

Chew the tablet thoroughly and then drink 8 ounces of water.

Dicyclomine hydrochloride has been prescribed for a client with irritable bowel syndrome, and the nurse provides instructions to the client about how to take this medication. Which statement, if made by the client, indicates an understanding of how to take this medication?

I should take the pill 30 minutes before each meal.

Mineral oil has been prescribed for constipation, and the nurse teaches about administration of the mineral oil. Which statement by the mother indicates that teaching was effective?

I will mix the mineral oil with a chilled drink before administration.

A client with constipation has been directed to take oral bisacodyl. The nurse instructs the client on how to receive the most rapid effect from the medication. The client demonstrates understanding of use of this medication by stating that which method will produce the most rapid effect?

I will take it on an empty stomach

A client who has had a myocardial infarction has a prescription to take a powdered form of psyllium after discharge. The nurse should plan to include which information when teaching the client about this medication?

Mix the medication with a full glass of water or juice.

A client has an "as needed" (PRN) prescription for trimethobenzamide. The nurse should assess the client for which sign or symptom to determine whether the client needs a dose of this medication?

N&V

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

Relief of epigastric pain

A client has a prescription for magnesium citrate to prevent constipation after undergoing barium studies of the gastrointestinal tract. How should the nurse administer the magnesium citrate?

after it's chilled in the fridge

A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

an episode of diarrhea

A primary health care provider has written a prescription for ranitidine 300 mg once daily. The client indicates understanding of use of this medication by stating that the prescribed dose is best taken at what time?

at bedtime

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

confusion

A client is told by the primary health care provider to take aluminum hydroxide as needed for heartburn. The nurse advises the client to watch for which common side effect of this medication?

constipation

The nurse instructs a client taking aluminum hydroxide that a common side or adverse effect associated with administration of this medication is which effect?

constipation

The client with peptic ulcer disease is prescribed medication therapy. The nurse explains the medications to the client and explains that sucralfate will help to heal the ulcer by doing what?

enhance mucosal defenses

An older client takes a stimulant laxative for ongoing management of chronic constipation. Which findings should the nurse expect to note when reviewing the client's laboratory results?

hypokalemia

The nurse is administering senna to an older client. What is the expected result of this medication?

it increases peristalsis

The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the primary health care provider's prescriptions will include which medication?

lactulose

a client in the postanesthesia care unit (PACU) has a prescription for droperidol. The nurse determines that this medication has been prescribed to treat which condition?

nausea

A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse should schedule the medication for which times?

one hour before meals and at bedtime

Aluminum hydroxide is prescribed for a client with chronic kidney disease (CKD). The nurse should instruct the client to take this medication at what time?

with meals

Oral rifaximin has been prescribed for a client with portosystemic encephalopathy. The nurse reviews the primary health care provider's prescription and determines that this medication has been prescribed for which purpose?

Destroy normal bacteria found in the bowel

A hospitalized client asks the nurse for sodium bicarbonate to relieve heartburn after a meal. The nurse reviews the client's medical record, knowing that the medication is contraindicated in which condition?

Serum pH 7.52 (7.52), bicarbonate 30 mEq/L (30 mmol/L)

A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching 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 decrease the acid production.

a client has just been given a prescription for diphenoxylate with atropine. The nurse determines that the client understands important information about this medication if the client makes what statement?

This medication contains a habit-forming ingredient.

The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply. a) "I will take the cimetidine with my meals." b) "I'll know the medication is working if my diarrhea stops." c) "My episodes of heartburn will decrease if the medication is effective." d) "Taking the cimetidine with an antacid will increase its effectiveness." e) "I will notify my primary health care provider if I become depressed or anxious." f) "Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation."

a, b, d

A client with peptic ulcer disease asks the nurse what medications they might be prescribed for this problem. The nurse tells the client that which medications will be prescribed? Select all that apply. a) Antacids b) Antibiotics c) Proton pump inhibitors d) Cytoprotective therapy e) Histamine H2-receptor blockers f) Nonsteroidal anti-inflammatory drugs (NSAIDs)

a-d

A client has been given lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse instructs the client to take which product for pain while taking this medication?

acetaminophen

The nurse has administered prochlorperazine to a client for relief of nausea and vomiting. The nurse should then assess the client for which frequent side or adverse effect of this medication?

blurred vision

The nurse is providing instructions to the client who is taking antacid tablets. How should the nurse instruct the client to take this medication?

chew the tablet thoroughly

The nurse is reviewing a client's medication reconciliation form in the medical record and notes that the client is taking tamsulosin at home. Which medication, if started in the hospital, should the nurse question?

cimetidine

A client who is in the postanesthesia care unit (PACU) has received a dose of ondansetron. The nurse evaluates that an adverse effect is occurring if which problem arises?

headache

The nurse notes in the medication record that a client is taking calcium carbonate chewable tablets. Based on the data, the nurse should ask the client about a history of which symptom?

heartburn

A client with a history of duodenal ulcer is taking calcium carbonate chewable tablets. Which finding indicates that the client is experiencing optimal effects of the medication?

heartburn is relieved

A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse should monitor the client for which condition that the client is at risk for with long-term frequent use of this medication?

metabolic alkalosis

A client with recurrent constipation has been prescribed psyllium. Teaching provided by the nurse should include which instruction?

mix the powder with a full glass of water or juice followed by drinking an additional glass of liquid.

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process?

narrow angle glaucoma

The nurse is caring for a client who has been prescribed intravenous metoclopramide. The nurse determines that the client likely is being treated for which condition?

postop n/v

A 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

A client rings the call bell and asks for medication to relieve postoperative gas pains. The nurse selects which medication to be given as prescribed on the medication sheet?

simethicone

A 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

A calcium carbonate antacid has been prescribed for a client, and the nurse provides instructions to the client about the medication. The nurse should tell the client that it is best to take the antacid with which item?

water

The nurse is giving the client directions for proper use of aluminum hydroxide tablets. What should the nurse tell the client?

Chew the tablets thoroughly and follow with 4 oz of water.