GI PME
cimetidine
GERD
sulfasalazine
IBD
A client is about to start taking alosetron to treat diarrhea. You should instruct the client to watch for and report which of the following adverse drug reactions of this drug? a. constipation b. difficulty swallowing c. blurred vision d. confusion
a
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
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
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 IBD d. the drug is most beneficial in treating clients who have constipation-predominant IBS (IBS-C)
a
A nurse is caring for an older adult client who has renal impairment 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
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
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
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 of this drug? (select all that apply) a. sore throat b. fever c. joint pain d. constipation e. dry mouth
a, b
A female client of childbearing potential is starting therapy with misoprostol to prevent a gastric ulcer. Which of the following instructions should you include when teaching this client? (select all that apply) a. mid-cycle spotting can occur b. take a pregnancy test prior to therapy c. report excessive menstrual pain d. use effective contraception e. avoid taking this drug at bedtime
a, b, c, d
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, c
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, c, e
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
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
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
Knowing the adverse drug reactions of cimetidine, the primary care provider's assistance should instruct a client to watch for and report which of the following? a. hyperactivity b. confusion c. hypertension d. bone pain
b
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
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
A client is about to start taking aluminum hydroxide tablets to reduce gastric acid. Which instructions should you include when talking with the client about taking this drug? (select all that apply) a. take the drug with a large meal b. chew the tablets thoroughly c. drink a glass of water after taking it d. increase fluid and fiber intake e. take it once daily
b, c, d
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. LOC b. skin integrity c. temperature d. urine output e. CBC
b, c, e
A client is about to start taking omeprazole to treat a duodenal ulcer. Which of the following instructions should you include when talking with the client about taking this drug? a. take it with food b. avoid using aluminum-based antacids c. consume adequate amounts of fluids d. do not drink grapefruit juice
c
A client is prescribed cimetidine 400 mg PO twice daily. It is available as an oral liquid of 200 mg per teaspoon. How many teaspoons should the nurse instruct the client to take per dose? a. 1 tsp b. 3 tsp c. 2 tsp d. 4 tsp
c
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
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instruction 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
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. HF
c
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. acetylcysteine b. flumazenil c. naloxone d. diphenhydramine
c
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 30-60 min before activities that trigger nausea d. avoid activities that require alerness e. increase fluid and fiber intake
c, d, e
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 6-12 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, e
bisacodyl
constipation
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 one hour 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
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
omeprazole
duodenal ulcer
azathioprine
inflammatory bowel disease
dimenhydrinate
motion sickness
metoclopramide
nausea, vomiting
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 N/V d. reduced GI reflux effects
a
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
The healthcare professional instructs a client about the therapeutic actions of sucralfate. She explains that this drug promotes ulcer healing by which action? a. creates a protective barrier b. increases gastric pH c. inhibits the proton pump d. neutralizes gastric acid
a
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 vaccine within the last 6 weeks
a
Which of the following instructions should the health care professional give a client about taking sucralfate to treat an acute duodenal ulcer? a. take it with a prescribed antacid b. reduce K+ intake c. take it with food d. increase fluid and fiber intake
d
docusate sodium
stool softener
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
The healthcare 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 and 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, c, e
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
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
