ATI gastrointestinal system (EXAM 2)

Match the drug with its therapeutic use 1. Metoclopramide (Reglan) 2. Sulfasalazine 3. Omeprazole 4. Dimenhydrinate A.) Nausea/ vomiting B.) Motion sickness C.) Duodenal ulcer D.) Inflammatory bowel disease

1. Metoclopramide- A.) Nausea/ vomiting 2. Sulfasalazine- D.) Inflammatory bowel disease 3.Omepraole- C.) Duodenal ulcer 4. Dimenhydrinate- B.) Motion sickness

Match the drug with its therapeutic use: 1. Cimetidine 2. Bisacodyl 3. Docusate sodium 4. Azathioprine A.) Inflammatory bowel disease B.) Stool softener C.) Constipation D.) GERD (Gastrointestinal reflux disease)

1. Cimetidine- D.) GERD 2. Bisacodyl- C.) constipation 3. Docusate sodium- B.) stool softener 4. Azathioprine- A.) Inflammatory bowel disease

A female client of childbearing potential is starting therapy with misoprostol to prevent gastric ulcer. Which of the following instructions should you include when teaching this client? Select all that apply 1. midcycle spotting can occur 2. take a pregnancy test prior to therapy 3. report excessive menstrual pain 4. use effective contraception 5. Avoid taking the drug at bedtime

1. midcycle spotting can occur 2. take a pregnancy test prior to therapy 3. report excessive menstrual pain 4. use effective contraception

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 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

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription 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 increases 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 has administered ondansetron IV one hour 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 Dizziness and lightheadedness are the most common adverse effects of ondansetron.

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 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.

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? A. Lethargy B. Cellulitis C. Dry mouth D. Myalgia

A. Lethargy 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 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 Lubiprostone, a chloride channel activator, can cause nausea. Clients who develop this effect do not need to discontinue the drug but should take it with food and water to minimize GI upset.

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 B. Urination without burning C. Cessation of nausea or vomiting D. Reduced GI reflux effects

A. One formed stool per day Alosetron, a serotonin 5-HT3 receptor antagonist, treats the diarrhea and pain of severe irritable bowel syndrome. One formed stool per day indicates effective therapy

A client is starting therapy with psyllium. You explain to the client that psyllium will have which of the following therapeutic effects? Select all that apply A. Relieve constipation B. Increase gastric pH C. Reduce diarrhea D. Decrease gastric acid secretion E. Alleviate nausea

A. Relieve constipation C. Reduce diarrhea

The health care professional is providing instructions to the client on taking aluminum hydroxide. Which information should be included? Select all that apply A.) Check labels for sodium ad phosphate content B.) Decrease activity and exercise C.) Increase fluid and fiber intake D.) Report whitish colored stools E.) Monitor for signs of constipation

A.) Check labels for sodium and phosphate content C.)Increase fluid and fiber intake E.) Monitor for signs of constipation

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron which of the following actions should the nurse plan to take? select all that apply A.) Infuse the drug 30 min 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 min prior to chemotherapy. C.) Infuse the drug slowly over 15 min. E.) Repeat the dose 4 hr after chemotherapy.

A nurse is caring for a male client asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting three months. Which of the following information should the nurse provide the clients 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. Alosetron is approved only to be prescribed to females who have IBS-D lasting 6 months or longer that has not been controlled by conventional treatment.

The health care professional instructs a client about the therapeutic actions of sucralfate. She explains that this drug promotes ulcer healing by which action? A.) Creates a productive barrier B.) Increases gastric pH C.) Inhibits the proton pump D.) Neutralizes gastric acid

A.)Creates a protective barrier

The 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 E. vaccine within the last 6 weeks

A.Inflammatory bowel disease

The 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 Any sensitivity to salicylates, sulfonamides, or trimethoprim is a contraindication for the use of sulfasalazine, a 5-aminosalicylate. This is because intestinal bacteria metabolize the drug into 5-aminosalicylic acid, a salicylate. Aspirin is also a salicylate.

A Pt is about to start taking aluminum hydroxide (Amphojel) to reduce gastric acid. Which of the following instructions should you include when talking with the Pt about taking this drug? (Select all that apply.) A. Take it with a large meal B. Chew the tablets thoroughly C. Take it once daily D. Drink a glass of water after taking it E. Increase fluid and fiber intake

B. Chew the tablets thoroughly D. Drink a glass of water after taking it E. Increase fluid and fiber intake

A client is about to start taking alosteron to treat diarrhea. You should instruct the client to watch for and report which of the following adverse drug reactions of this drug? A. Difficulty swallowing B. Constipation C. Blurred vision D. Confusion

B. Constipation

A patient is about to start taking omeprazole (Prilosec) to treat a duodenal ulcer. Which of the following instructions should you include when talking with the Pt about taking this drug? A. Take it with food. B. Consume adequate amounts of fluids C. Avoid using aluminum-based antacids D. Do not drink with grapefruit juice.

B. Consume adequate amounts if fluids

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (Select all that apply) 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 a duodenal ulcer. Which of the following instruction should the nurse include? A. Take the medication with food. B. Swallow the capsules whole. C. Dissolve the tablets in water. D. Take the medication at bedtime.

B. Swallow the capsules whole.

A client is about to start taking sulfasalazine to treat IBD. You should instruct the client to watch for and report which of the following adverse drug reactions? Select all that apply A. Dry mouth B. fever C. Joint pain D. Constipation E. Sore throat

B. fever E. Sore throat

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs? A.) Omeprazole B.) Aluminum hydroxide C.) Sucralfate D.) Famotidine

B.) Aluminum hydroxide Antacids that contain aluminum, such as aluminum hydroxide, can cause hypophosphatemia because of aluminum's ability to bind with phosphate and decrease its absorption. The nurse should monitor the client's phosphorus levels while administering this drug.

Knowing the adverse drug reaction of cimetidine, the primary care provider's assistant should instruct a client to watch for and report which of the following. A.) Hyperactivity B.) Confusion C.) Hypertension D.) Bone pain

B.) Confusion

You are about to administer ondansetron to a client to prevent anesthesia-induced nausea and vomiting. You prepare to monitor the client for which adverse effects of this drug? A.) Bronchospasm B.) Dizziness C.) Hypertension D.) Anxiety

B.) Dizziness

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 interact with famotidine? A.) Phenobarbital sodium B.) Ketoconazole C.) Lisinopril D.) Hydrochlorothiazide

B.) Ketoconazole

The 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 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. 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. Loperamide, an opioid agonist, can cause sedation and dizziness. The nurse should instruct the client to avoid taking it before activities that require alertness.

You are about to administer diphenoxylate plus atropine to a client to reduce diarrhea. Which drugs should you have available to treat an overdose of this drug combination? A. Mucomyst (Acetadote) B. Flumazenil (Mazicon) C. Naxolone D. Diphehydramine

C. Naxolone

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? (Select all that apply) 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 client is prescribed cimetidine 400mg PO twice daily. It is available as an oral liquid of 200mg per teaspoon. How many teaspoons should the nurse instruct the client to take per dose. A.) 1 teaspoon B.) 3 teaspoon C.) 2 teaspoon D.) 4 teaspoon

C.) 2 teaspoons

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 affects 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 dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (select all that apply) A.) Sit upright for 30 min after taking the drug. B.) Avoid antacids. C.) Take the drug 30 to 60 min before activities that trigger nausea. D.) Avoid activities that require alertness. E.) Increase fluid and fiber intake.

C.) Take the drug 30 to 60 min before activities that trigger nausea. D.) Avoid activities that require alertness. E.) Increase fluid and fiber intake.

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 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 therapeutic effects? A. Reduces inflammation B. Reduces gastric acid C. Prevents diarrhea D. Prevents straining

D. Prevents straining 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 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 two hours 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.

A nurse is caring for a client who has a new prescription for ranitidine to treat Gerd. The nurse should instruct the client to wait at least one hour between taking ranitidine and which of the following over the counter drugs? A.) Ginkgo biloba B.) Antidiarrheals C.) St. John's wort D.) Antacids

D.) Antacids

Which of the following instructions should health care professional give a client about taking sucralfate to treat an acute duodenal ulcer? A.) Take it with a prescribed antacid B.) Reduce potassium intake C.) Take it with food D.) Increase fluid and fiber intake

D.) Increase fluid and fiber intake