Chapter 51: Bowel Disorder Drugs Flashcards
A patient is being prepared for a colonoscopy. The nurse expects which laxative to be used as preparation for this procedure?
a. Methylcellulose
b. Docusate sodium
c. PEG-3350
d. Glycerin
c. PEG-3350
The nurse is administering oral methylcellulose, keeping in mind that a major potential concern with this drug is which of these?
a. Dehydration
b. Tarry stools
c. Renal calculi
d. Esophageal obstruction
c. Renal calculi
A 45-year-old woman has been diagnosed with irritable bowel syndrome (IBS) and will be taking linaclotide. Which of these conditions that may be a contraindication to this drug will the nurse look for during the assessment?
a. Constipation
b. Bowel obstruction
c. Renal calculi
d. Anemia
b. Bowel obstruction
When the nurse teaches a patient about taking bisacodyl tablets, which instruction is correct?
a. “Take this medication on an empty stomach.”
b. “Chew the tablet for quicker onset of action.”
c. “Take this medication with juice or milk.”
d. “If it upsets your stomach, take this medication with an antacid.”
a. “Take this medication on an empty stomach.”
A patient has been receiving long-term antibiotic therapy as part of treatment for an infected leg wound. He tells the nurse that he has had “spells of diarrhea” for the last week. Which medication is most appropriate for him at this time?
a. bismuth subsalicylate
b. L. acidophilus
c. diphenoxylate with atropine
d. codeine
b. L. acidophilus
A patient is taking bismuth subsalicylate for diarrhea. The nurse will inform the patient of which potential adverse effects? (Select all that apply.)
a. Blue gums
b. Drowsiness
c. Darkened stools
d. Metallic taste
e. Urinary retention
a. Blue gums
c. Darkened stools
d. Metallic taste
A patient has been instructed to use an over-the-counter form of the bulk-forming laxative methylcellulose to prevent constipation. The nurse will advise the patient of potential adverse effects, including which of these? (Select all that apply.)
a. Electrolyte imbalances
b. Decreased absorption of vitamins
c. Gas formation
d. Darkened stools
e. Discolored urine
a. Electrolyte imbalances
c. Gas formation
A patient has been given a new prescription for alosetron, and the nurse is providing education about this medication. Which statement by the patient indicates a need for further education?
a. “I will not take a double dose in the afternoon if I forget my morning dose.”
b. “I should be seeing improvement within a few days.”
c. “I will call my doctor if I experience severe constipation or bloody diarrhea.”
d. “This drug will improve symptoms but won’t cure my IBS.”
b. “I should be seeing improvement within a few days.”
The nurse is reviewing the use of bismuth subsali-cylate. This medication would be the most appro-priate choice for which patient?
a. A 7-year-old child who has chickenpox
b. A 23-year-old woman who has severe abdominal pain
c. A 45-year-old man who is complaining of constipation
d. A 58-year-old man who developed diarrhea after traveling out of the country
d. A 58-year-old man who developed diarrhea after traveling out of the country
The nurse will teach a patient who is self-treating with bismuth subsalicylate (Pepto-Bismol) to avoid which drug because of the possibility of toxicity?
a. Aspirin
b. Acetaminophen
c. Calcium supplements
d. Vitamin tablets
a. Aspirin
A patient asks for an over-the-counter medication that will provide rapid relief of constipation. After ruling out possible contraindications, which drug would be most appropriate?
a. Psyllium
b. Methylcellulose
c. Docusate sodium
d. Magnesium hydroxide
d. Magnesium hydroxide
