Pharm: Gastrointestinal
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?
"Avoid driving or activities requiring alertness."
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?
Dizziness Dizziness and lightheadedness are the most common adverse effects of ondansetron.
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 with famotidine?
Ketoconazole Famotidine reduces the absorption of ketoconazole.
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?
One formed stool per day
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?
Prevents straining
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?
nausea
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make?
"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?
A positive pregnancy test
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?
Abdominal pain it can cause ischemic colitis. The nurse should tell the client to report abdominal pain, bloody diarrhea, or rectal bleeding and to stop taking the drug if these manifestations occur.
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?
Allopurinol delays the conversion of azathioprine and can lead to toxicity
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?
Alosetron
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?
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.
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?
Antacids Antacids can decrease the absorption of famotidine, a histamine2-receptor antagonist. The nurse should instruct the client to wait at least 1 hr between taking famotidine and taking an antacid.
A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?
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 nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include?
Avoid activities that require alertness
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?
Gout
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.)
Infuse the drug 30 min prior to chemotherapy Infuse the drug slowly over 15 min Repeat the dose four 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 manifestations?
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 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.)
Skin integrity Temperature CBC
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?
Sucralfate interferes with the absorption of phenytoin
A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include?
Swallow the capsules whole.
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.)
Take a drug 30 to 60 minutes before activities not trigger nausea. Avoid activities that require alertness. Increase fluid and fiber intake.
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.)
Take the drug with at least 8 ounces of fluid. Increase fluid and fiber intake.
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?
The drug is prescribed to female clients who have IBS-D lasting more than 6 months.
A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?
inflammatory bowel disease
