Pharm - Gastrointestinal System Test

A HCP should question the use of misoprostol for a patient who has which of the following? A seizure disorder Rheumatoid arthritis Positive preg test heart failure

Positive preg test

A HCP is caring for a pt who has recently had a myocardial infarction and is about to begin taking docusate sodium (colace). The HCP should explain that docusate sodium will have which of the following therapeutic effects? Reduces inflammation Reduces gastric acid Prevents diarrhea Prevents straining

Prevents straining

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." -"the medication can stain your contact lenses green" -"the medication can color your urine dark brown." -"take an iron supplement when you take sulfasalazine to prevent anemia."

-"use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."

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? -Omeprazole -Aluminum hydroxide -Sucralfate -Ranitidine

-Aluminum hydroxide

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 -Bradycardia -Tardive dyskinesia -Dyspepsia

-Dizziness

a nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. which o the following actions should the nurse plan to take? -Infuse the drug 30 min prior to chemo -Administer the drug when the client reports nausea -infuse the drug slowly over 15 min -administer the drug immediately following chemo -repeat the dose 4 hr after chemo

-Infuse the drug 30 min prior to chemo -infuse the drug slowly over 15 min -repeat the dose 4 hr after chemo

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. -Urination without burning. -Cessation of nausea or vomiting. -Reduced G.I. reflux affects.

-One formed stool per day.

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). -Level of Consciousness -Skin integrity -Temperature -Urine Output -CBC

-Skin Integrity -Temperature -CBC

A nurse is providing teaching to a client who has a new prescription of dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (select all that apply. ) -Set up rate for 30 minutes after taking the drug. -Avoid answer acids. -Take the drug 30 to 60 minutes before activities that trigger nausea -Avoid activities that require alertness. -Increase fluid and fiber intake.

-Take the drug 30 to 60 minutes before activities that trigger nausea -Avoid activities that require alertness. -Increase fluid and fiber intake.

A nurse is caring for a client who has a new prescription for alosetron irritable bowel syndrome. The nurse should instruct the patient to report which of the following address effects of this drug? -headache -drowsiness -abdominal pain -sore throat

-abdominal pain

A nurse isThe 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 said the nurse clarify these prescriptions with the provider? -allopurinol delays the conversion of azathioprine and can lead to toxicity. -azathiprine increases the effectiveness of allopurinol -allopurinol increases the metabolism of azathioprine and can require an increased dosage. -azathiprine decreases the effectiveness of allopurinol.

-allopurinol delays the conversion of azathioprine and can lead to toxicity.

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 fo the following conditions? -gout -constipation -insomnia -hirsutism

-gout

Nice a nurse is caring for a mail client who 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 client about alosetron? -the drug is prescribed two female clients who have IBS- D lasting more than six months -the drug is prescribed two clients who have chronic diarrhea lasting more than 12 months. -the drug is most beneficial for a mail clients who have inflammatory bowel disease. -the drug is most beneficial in training clients who have constipation- predominant IBS (IBS-C).

-the drug is prescribed two female clients who have IBS- D lasting more than six months

Which of the following drugs has protocols that require pt to meet specific risk management criteria and sign a treatment agreement before the HCP can administer the drug? Lubiprostone Azathioprine sulfasalazine Alosetron

Alosetron

A HCP is caring for a pt who is about to begin taking ranitidine (Zantac) to treat GERD. The HCP should tell the pt to take certain precautions when taking which of the following OTC drugs? Ginkgo biloba Antidiarrheals St. Johns wort Antacids

Antacids

When talking with a pt about taking loperamide (imodium) the HCP should include which of the following instructions? Dissolve the powder thoroughly in 8oz of water Have diphenhydramine available Avoid activities that require alertness Take 30 min before activities that trigger nausea

Avoid activities that require alertness

A HCP should question the use of diphenoxylate/atropine for a pt who has which of the following disorders? IBD Thrombophlebitis Agranulocytosis Immunization with a live virus

IBD

A HCP is caring for a patient who takes phenytoin (Dilantin) for a seizure disorder and is about to begin sucralfate (Carafate) therapy to treat a duodenal ulcer. The HCP professional should tell teh pt to take the drugs at least 2 hr apart because Phenytoin increases the metabolism of sucralfate Phenytoin reduces the effectiveness of sucralfate Sucralfate increases the risk for phenytoin toxicity Sucralfate interferes with the absorption of phenytoin

Sucralfate interferes with the absorption of phenytoin

When talking with a pt about taking omeprazole (prilosec) to treat duodenal ulcer, the HCP should include which of the following instructions? Take the drug with food Swallow the capsule whole Dissolve the tablet in water Take the drug at bedtime

Swallow the capsule whole

A primary care provider should use caution when prescribing sulfasalazine for a pt who has pancreatitis aspirin sensitivity bronchitis GERD

aspirin sensitivity

A HCP is reviewing the medical record of a pt who is to begin taking ranitidine (Zantac). Which of the following medications interacts with ranitidine? Phenobarbital sodium Ketoconazole Lisinopril Hydrochlorothiazide

ketoconazole

A HCP is caring for an older adult patient who is about to begin taking cimetidine (tagamet) to treat a duodenal ulcer. The HCP should tell the pt to report which of the following adverse reactions? lethargy cellulitis dry mouth myalgia

lethargy

When talking with a pt about taking lubiprostone (amitiza), the HCP should tell the pt not to take the drug if he has which of the following? Nausea constipation Urinary retention Sore throat

nausea

When talking with a patient about taking psyllium (metamucil) to treat constipation, the HCP should include which of the following instructions? sata expect results in 6 to 12 hr urinate every 4 hr take teh drug with atleast 8oz of fluid avoid activities that require alertness increase fluid and fiber intake

take teh drug with atleast 8oz of fluid increase fluid and fiber intake