Gastrointestinal Medications

2. Checking the frequency and consistency of bowel movements

554. A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment?

3. An episode of diarrhea

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

4. Nausea and vomiting

556. A client has an as-needed prescription for ondansetron. For which condition(s) should the nurse administer this medication?

3. Reduction of steatorrhea

557. 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?

3. Confusion

558. 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?

4. One hour before meals and at bedtime

559. 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?

2. Relief of epigastric pain

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

2. Heartburn

561. A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?

3. "The medications will kill the bacteria and stop the acid production."

562. 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?

4. Vomiting following cancer chemotherapy

563. 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?

1. "I will take the cimetidine with my meals." 2. "I'll know the medication is working if my diarrhea stops." 4. "Taking the cimetidine with an antacid will increase its effectiveness."

564. The nurse determines the client needs further instruction on cimetidine if which statements were made?

3. "This medication should only be taken with water."

565. The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction?