ATI Gastrointestinal System
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? A "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn" B "The medication can stain your contact lenses green" C "The medication can color your urine dark brown" D "Take an iron supplement when you take sulfasalazine to prevent anemia"
A "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn"
A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include? A- "Avoid driving or activities requiring alertness." B- "If you miss a dose, double the next dose." C- "Rinsing the mouth with alcohol-based mouthwash can reduce dryness." D- "Having one glass of wine each night can improve medication effectiveness."
A- "Avoid driving or activities requiring alertness."
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs? A- Omeprazole B- Aluminum hydroxide C- Sucralfate D- Ranitidine
B- Aluminum hydroxide
A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? A- Pancreatitis B- Aspirin sensitivity C- Bronchitis D- GERD
B- Aspirin sensitivity
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 docustate sodium has which of the following therapeutic effects? A- Reduces inflammation B- Reduces gastric acid C- Prevents diarrhea D- Prevents straining
D- Prevents straining
A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons? A- Phenytoin increases the metabolism of sucralfate B- Phenytoin reduces the effectiveness of sucralfate C- Sucralfate increases the risk for phenytoin toxicity D- Sucralfate interferes with the absorption of phenytoin
D- Sucralfate interferes with the absorption of phenytoin
Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? A- Lubiprostone B- Azathioprine C- Sulfasalazine D-Alosetron
D-Alosetron
A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following? A- One formed stool per day 2- Urination without burning 3- Cessation of nausea and vomiting 4- Reduced GI reflux effects
A- One formed stool per day
A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron? A- The drug is prescribed to female clients who have IBS-D lasting more than 6 months. B- The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months. C- The drug is most beneficial for male clients who have inflammatory bowel disease. D- The drug is most beneficial in treating clients who have constipation-predominant IBS (IBS-C).
A- The drug is prescribed to female clients who have IBS-D lasting more than 6 months.
A nurse is reviewing the medical record of a client who has a new prescription for famotidine. The nurse should recognize that which of the following drugs interacts wtih famotidine? A- Phenobarbital sodium B- Ketoconazole C- Lisinopril D- Hydrochlorothiazide
B- Ketoconazole
A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? A- Level of consciousness B- Skin integrity C- Temperature D- Urine output E- CBC
B- Skin integrity C- Temperature E- CBC
A nurse is providing teaching to a client who has a new prescription for omeprazole to treat duodenal ulcer. Which of the following instructions should the nurse include? A- Take the drug with food. B- Swallow the capsules whole. C- Dissolve the tablets in water. D- Take the drug at bedtime.
B- Swallow the capsules whole.
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? A- A seizure disorder B- Rheumatoid arthritis C- A positive pregnancy test D- Heart failure
C- A positive pregnancy test
A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? A- Inflammatory bowel disease B- Thrombophlebitis C- Agranulocytosis D- Immunization with a live virus vaccine within the last 6 weeks
A- Inflammatory bowel disease
A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescrition for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? A- Allopurinol delays the conversion of azathioprine and can lead to toxicity B- Azathioprine increase the effectiveness of allopurinol C- Allopurinol increases the metabolism of azathioprine and can require an increased dosage D- Azathioprine decreases the effectiveness of allopurinol
A- Allopurinol delays the conversion of azathioprine and can lead to toxicity
A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? A- Dizziness B- Bradycardia C- Tardive dyskinesia D- Dyspepsia
A- Dizziness
A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions? A- Gout B- Constipation C- Insomnia D- Hirsutism
A- Gout
A nurse is planning care for a client who is recieving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take? A- Infuse the drug 30 minutes prior to chemotherapy B- Administer the drug when the client reports nausea C- Infuse the drug slowly over 15 min. D- Administer the drug immediately following chemotherapy E- Repeat the dose 4 hr after chemotherapy
A- Infuse the drug 30 minutes prior to chemotherapy C- Infuse the drug slowly over 15 min. E- Repeat the dose 4 hr after chemotherapy
A nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manisfestations? A- Lethargy B- Cellulitis C- Dry mouth D- Myalgia
A- Lethargy
A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? A- Nausea B- Constipation C- Urinary retention D- Sore throat
A- Nausea
A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug? A- Headache B- Drowsiness C- Abdominal pain D- Sore throat
C- Abdominal pain
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? A- Dissolve the powder thoroughly in 8 oz (237 mL) of water. B- Take with diphenhydramine to prevent extrapyramidal effects. C- Avoid activities that require alertness. D- Take 30 min before activities that trigger nausea.
C- Avoid activities that require alertness.
A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? A- Expect results in 6 to 12 hr. B- Urinate every 4 hr. C- Take the drug with at least 8 oz (237 mL) of fluid. D- Avoid activities that require alertness. E- Increase fluid and fiber intake.
C- Take the drug with at least 8 oz (237 mL) of fluid. E- Increase fluid and fiber intake.
A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? A- Sit upright for 30 min after taking the drug B- Avoid antacids C- Takes the drug 30 to 60 min before activites that trigger nausea D- Avoid activities that require alertness E- Increase fluid and fiber intake
C- Takes the drug 30 to 60 min before activites that trigger nausea D- Avoid activities that require alertness E- Increase fluid and fiber intake
A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking famotidine and which of the following over-the-counter drugs? A- Ginkgo biloba B- Antidiarrheals C- St. John's wort D- Antacids
D- Antacids