QUIZ 4

A nurse is teaching a 47-year-old client about omeprazole, which the physician has prescribed as part of a regimen to treat an H. pylori infection. What statement, made by the client, suggests that the client understands proper use of the drug?

"I need to swallow the drug whole."

After teaching a client who is receiving an antitussive about the drug, which statement indicates the need for additional teaching?

"I'll keep the room warm and toasty."

A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements?

"Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation."

A patient is being sent home with orders for a laxative PRN. The nurse is conducting patient teaching on the use of a laxative. What will the nurse inform the patient is one of the most common adverse effects of a laxative?

Abdominal cramping

A patient's GI discomfort is prescribed antacids. Nursing interventions associated with this prescription should include:

Administer the antacid 1 hour before or 2 hours after other oral medications.

The client asks, "What is the difference between antitussive medications and expectorants?" The best response is:

Antitussives suppress coughing, and expectorants loosen bronchial secretions.

A nurse is caring for an elderly patient who has been administered cimetidine. Which intervention should the nurse perform?

Closely monitor the patient for confusion and dizziness.

A patient comes to the clinic with what appears to be a cold. What group of upper respiratory drugs cause local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow?

Decongestants

Systemic antidiarrheals, such as loperamide (Imodium), decrease the number and liquidity of stools by which of the following mechanisms?

Decreasing intestinal motility

The nurse is caring for an 89-year-old client with frequent liquid stools. When preparing a plan of care for this patient, what nursing diagnosis is a priority?

Deficient fluid volume

A female client is prescribed a first-generation antihistamine for her allergies. The nurse would expect her to experience what adverse effect?

Dry mouth

A patient with allergic rhinitis is prescribed an antihistamine. The nurse instructs the patient to suck on a sugarless hard candy to prevent which condition?

Dryness of the oral mucosa and the throat

f a patient is receiving sucralfate and omeprazole, the doses can be taken together.

False

Which drug is classified as an expectorant?

Guaifenesin (Robitussin)

Which of the following is the correct rationale for why the nurse would administer a laxative at a separate time from the client's other medications?

Laxatives may reduce absorption of other drugs present in the GI tract.

Parents who treat their children's cold and flu symptoms at home should be educated about reading and understanding OTC labels. Why is this statement true?

Many of these preparations contain the same active ingredients, and inadvertent overdose is a common problem.

A patient is taking nonsteroidal anti-inflammatory agents for arthritis of the knees and hips. Which disease is a result of cellular destruction of the gastrointestinal tract from this medication?

Peptic ulcer disease

A female client presents to the physician's office with increasing stomach acidity. She self-administers calcium antacids. She notes that she seems to be having more issues with stomach acid, so she has been taking the calcium antacids more frequently. The nurse suspects that this may have caused what to occur in this client?

Rebound acidity

What is an indication for the use of metoclopramide?

Relief of chronic diabetic gastroparesis

A client who is taking magnesium citrate experiences sweating, palpitations, and flushing. The nurse understands that this is most likely related to which of the following?

Sympathetic stress reaction due to intense GI tract neurostimulation

Mucolytics are often used for patients with cystic fibrosis, COPD, or tuberculosis.

True

A 23-year-old female patient is prescribed misoprostol (Cytotec). Which patient teaching intervention is most important?

Use effective contraceptive measures

A patient calls the clinic and tells the nurse of a need to sleep. In talking with the patient, the nurse notes that the patient has had diarrhea and has taken loperamide (Imodium). The nurse knows that a common side effect of loperamide (Imodium) is:

fatigue.

A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to

pork.

A client reports severe nasal congestion for the last 8 days. The client has been using an OTC nasal decongestant spray. The nurse knows that this is indicative of:

rebound nasal congestion.