OLYMPICS 4 Flashcards
what.decks will the nurse include in the discharge of teaching a patient
administer with a glass full of water
what instruction will the nurse assign in the patenting understanding of lactulose an , ostmoic laxative
this medication draws water towards the intestine and stimulates defection
a patient Is receiving a palliative care with opioid induced constiaption laxative therapy has been unsuccessful in treating this patient , which PRN should be provided
Methylnaltrexone
what is the role of chemoreceptor trigger zone ( CTZ) in the vomitting SATA
activates the vomit center to induce vomitting , samples blood and spinal fluid for potential toxicity
signs and symptoms of dehydration (SATA)
increased hemoglobin and hematocrit , mental confusion and excessive thirst , nonelastic skin turgor and delayed capillary refilling
what information about proton pump inhibitors is correct SATA
these drugs can cause dizziness . these drugs can increase the risk of osteoporosis persists . these drugs heal ulcers by reducing acod in the stomach
instructions for giving a patient antacid for gastric issues SATA
antacids must be taken between n meals , antacids should be taken at bedtime . antacids sere as a gastricc buffer , antacids cause diarrhea
a patient has been scheduled for a routine colonoscopy . which of the following lenitives is the most appropriate
an osmotic laxative
apatient has myocardial infarction and is advised to avoid staring with defection what med should administered
stool softeners
what laxatives may be used safely in infants SATA
Docusate sodium ( colace ), glycerin suppositories , lactlose
which antiseptic drug class is reserved for the patients with severe nausea’s and vomtting
cannabinoids
a patient reports taking an oral bisacodyl laxative [ dulcolax ] for several years . the provider has suggested discontinuing the laxative , but the patient is unsure how to do this . the nurse will tell the patient ro
stop taking the laxative immediately and expect no stool for several days
a patient provider has recommended a bulk forming laxative for occasional constipation . which statement by the patient indicates an understanding of the teaching about this agent
I should take each dose with a glass full of water
the recovery room. nurse is preparing to assist with the care of several post operative patients which patient would the nurse prioritize for regarding the potential for post operative nausea and vomiting
a 50 year old woman undergoing a totally hysterectomy with general anesthesia
what are classified as one of the five major categories of laxatives SATA
bulk forming . lubricant laxatives , stimulant laxatives ,stool softeners
which Is a common adverse effect of magnesium based antacid preparations
diarrhea
the nurse is performing a premedication assessment for which patient would laxative use be contradicted
patient with appendicitis
when the nurse assesses the bowel habits in a patient . which is the best example of normal bowel elimination
regular bowel elimination patter of soft stool
the nurses preparing to admisnter medication and notes that a patient has sucralfate ordered aid . when is the best time to administer this medication
1 hour before meals
what specific problem can develop in a patient who has been prescribed both a 5-ht3
reception antagonist and phenothiazine
cardiac dysrhythmias
you are providing a instruction to a patient about the use of a bulk forming laxative for the treatment of constipation . which statement should be included in the reaching plan for this patient
take this drug with a full glass of water
the nurse is assessing a patient with nausea and vomiting . which additional autonomic symptoms that often accompany vomiting will the nurse observe
pallor , sweating and achy cardia ,
a patient admitted to the hospital has a history of peptic ulcer disease , the patient takes ranitidine[zantac] and sucralfate [ carafate ] . the patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up what will the nurses do
console the patient to avoid beverages contains caffeine
what are important nursing considerations when administering pro kinetic agents ( SATA)
These agents are used to treat esophagitis associated with gastric reflux., They are used to treat GED when lifestyle changes and diet are ineffective., They may be useful in treating nausea associated with chemotherapy treatment., They may be administered intravenously.
You are caring for a patient who is taking a substance P/neurokinin (NK) receptor antagonist.
Which laboratory finding would suggest the patient is experiencing an adverse reaction to this class of drugs?
decreased whit blood cell count
An older adult is admitted through the emergency department with complaints of nausea, abdominal tenderness, and continual stooling. On assessment, the nurse notes abdominal distention, smearing of stool on undergarments, and hypoactive bowel sounds LUQ and LLQ. The patient is unable to determine when the last bowel movement was. What is the nurse’s priority assessment?
an impaction
a patient with miroporstol [cyotec] to treat gastric ulcer reports recurrent diarrhea . the nurse should;d encourage he patient to
take medication with meal
what organism or disorder is responsible for many cases of PUD
H.pylori
a patient with gastroinsteinal upset has been prescribed an antacid what information regarding this drug class would be appropriate to provide patient
other drugs should betaking 1 hour before or 2. hours after
when metronidazole [ f;agul ] is a compatenmtn of H. pylori treatment regimen the patient must be instructed to do what
avoid Alc
A patient is beginning the second round of high dose cisplatin. Severe, chemotherapy induced nausea and vomiting (CINV) occurred following the first treatment, requiring 72 hours of continuous IV hydration. In addition to her chemotherapy regimen, which medication would be best to administer?
parental ondansetron 1 hour chemotherapy, with oral ondansetron to continue for the next 4 days
which drug would be there most effective for an obstetric patient who is complaining of constapation as a result enlarging her uterus and use of prenatal vitamins
;lubricant laxative
which herb has been used in many cultures to provide relief of nausea associated with pregnancy
ginger
a pained wit a peptic ulcer who has been prescribes sucralfate ask you to explain how this drug works to heal an ulcer
this drug works by providing a protective later over the ulcer
A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel cleanser before the procedure. The nurse reviews the patient’s chart and notes that the patient’s creatinine clearance and blood urea nitrogen are both elevated. What will the nurse do?
Request an order to give polyethylene glycol and electrolytes (PEG-ELS0 INSTEAD
A patient is admitted with lower abdominal pain and nausea. The nurse performing the initial assessment notes that the patient’s abdomen is distended and firm, and hypoactive bowel sounds are present. The patient has not had a stool for 3 days. The nurse will contact the provider, who will:
* a. order extra fluids and fiber.
perform diagnostic test
which non pharmaceutical intervention can be used to reduce the symptoms of gastroesophageeal reflux disease SATA
avoid using light night meals
An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief using a histamine,-receptor antagonist (H/RA). The patient is to begin taking omeprazole [Prilosec]. What will the nurse teach this patient?
long term therapy
a patient is diagnosed with Zollinger Ellison syndrome which medication does the nurse expect the provider to order for this patient
ranitidine [zantac]
patient has been prescribed dronabinol . for severe nausea what information should be included in the patient teaching plan
avoid drinking All when taking this
a 6 year old child has frequent constiaption the nurse proved teaching aglet the parent ask the nurse why the provide recommend using laxative when needed
frequent use of laxatives can cause diverticulitis
nurse I a long term care facility is preparing to pass medication to the resident . which of the following resident should then nurse administer an antidiarrheal
An 80-year-old woman with diarrhea of sudden onset that has lasted 3 days, A 92-year-old man with diarrhea secondary to inflammatory bowel disease, A 70-year-old woman with a history chronic diarrhea from Gl surgery
which statement made by taking a h2 receptor blocker for peptic ulcer disease leads you to suspect the patient needs more teaching regarding taking this class of drug
I will take my daily dose of this drug first thing in the morning
the nurse is instructing a patient recently diagnosed with Gerd which statement by the patient indicated more teaching
I will eat small frequent meals and have a snack time
a patient is receiving morphine for pain control what will the nurse emphasize about preventing constipation
stood softness ate taken on a regular basis during opioid use
a patient stops taking a proton pump inhibitor after 6 weeks of therapy for treatment of peptic ulcer disease the patient reports symptoms of dyspepsia to the nurse the nurse will tell the patient to
try an antacid to see whether it relied these symptoms
a patient express concerns about motion sickness which medication is most effective in preventing motion sickness
anticholinergics
which explanation by the nurse is accurate to include when teaching. a patient who is begging therapy for gastroesphageal reflux disease ( Gerd) with metoclopramide
peristalsis is increased so food is digested more quickly
wha type of drugs prevent or control nausea and vomiting
antiemetic drugs
A postoperative appendectomy patient has a nasogastric tube and wonders why the previous nurse told him that he was receiving an IV “ulcer preventing” medication called ranitidine. The patient states that he has never had any stomach problems in his life. Which is the best response by the nurse?
because you are not eating after surgery this medication will help reduce the hydochloric acid in your stomach is still secreting
a patient with gastritis ask why the health care privedr prescribed an atcid when she had already been eating well .
antacids are used to netrulzie the acidity in the stomach between the meals , antacids will help neutralize stomach acid and reduce your discomfort
what is the laxative of choice for an older patient t the end stage of Alzheimers
bulk forming
a patient prescribed metoclopramide (reglan) reports having difficulty sleeping , difficulty concentrating , tiredness and feeling hopeless ,
hold the drug and notify the provider
which are potentially worrisome adverse effects associated with proton pump inhibit use in older patients SATA
,edition interaction , osteoporosis , vitamin and mineral deficiencies
a patient going on a vacation was the nurse what she can give to her 3 year old child who became car sick
“Positioning techniques such as placing the child facing forward and blocking out scenery through the side windows can be helpful.” “I would check with the pharmacist regarding over the counter products available for young children.”
the nurse is caring for an older adult patient after a right hip open reduction internal fixation ( ORIF ) . the , the patient is taking an opioid every 6 hour as needed for pain the nurse discusses obataingin an order from prescriber for which medication
docusarte sodium [ colace ]
the nurse is caring for a 27 year old patient taking a cannabuind during chemo therapy which consideration will the nurse take into account
antihistamines may potentiate the effects
why does the nurse motto daily weights prior to adminstrion antiemetic meds to chemotherapy patients
weight loss is a common adverse effect associated with chemotherapy , and dosages may need to readjusted
why is drug therapy ignorant for selected causes of nausea and vomiting (SATA)
Relieves the distress associated with nausea and vomiting, Prevents aspiration of gastric contents into the lung, Prevents dehydration, Prevents electrolvte imbalances
which common drug for nausea and vomitting is a 5 - ht receptor antagonist
ondansetron
which drug of nausea and vomtiting can cause decreased sweating and increased risk for overheating
prochlorperazine ( compazine)
the nurse is assessing a patient taking lactulose to treat chronic constipation . which adverse effect should the nurse immedaitly report to the health care provider
abdominal tenderness
You suspect an older adult patient of using excessive amounts of laxatives. Which would be an appropriate intervention for this patient to help reduce chronic laxative use and dependency?
Instruct the patient to drink six to eight glasses of water each
day.
a nurse receives an order to admister
a patient reports constipation which high fiber foods help the patientt ( SATA)
oranges , bran cereals , figs ,
which symptom is the patient with a lactase deficiency most likely to exhibit
diarrhea
a patient with renal disease is scheduled for a colonoscopy before the procedure the nurse will anticipate administering
polyethylene glycol and electrolytes
which info will the nurse include when reaching a patientt with renal failure about anti acid therapy for treatment of heartburn
aluminum hydroxide antacids exacerbate constipation , antacids neutralize gastric acid
which factors prevent breakdown of the body normal defense Barries that protect agains ulcer formation [sata]
prostaglandin , mucous cells
the nurse is providing education to a patient who has been prescribed both an ant acid and cimetidine [tagamet] . which instruction should the nurse give the patient about taking med
take the antacid 1 hour after ranitidine
which drug classification would you expect a patent who was just diagnosed with a duodenal ulcer to be prescribed
a proton pump inhibitor
the nurse would expect to administer which drug when treating hypermesis gravidum
Metoclopramide (reglan)
a patent with GERD receives a prescription for PPI what will he nurse include in the teaching
you should report any fever and cough to your provider
the nurse is administering meds to various patients during morning med pass . the patient with the lowest risk of having an adverse reaction is the patient receiving
dexamethasone
what is the purpose for the nurse administering metoclopramide (reglan) IV postoperatively
prevent postoperative nausea and vomtiing
a patient taking NSAID to treat arthritis ask the nurse why MIsoprosrtol has also been prescribed
NSAID often cause GI irruption that can result in peptic ulcers
A nursing student is caring for a patient who is taking sucralfate [Carafate] and ciprofloxacin [Cipro to treat peptic ulcer disease. The student asks the nurse about the pharmacokinetics of sucralfate. Which statement by the student indicates a need for further teaching?
“Sucralfate has a moderate acid-neutralizing capacity.”
which drug therapy is aimed at reducing gastric acid secretions ( SATA )
H2 Antagonisrs , PPI
a patient who developed womitting has been given 10 mg of prochlorperazine IM, what instruction should the nurse give
call for assistance when getting out of bed
what is an advantage of using benzodiazepines as an adjunctive treatment for nausea and vomitting associated with chemo therapy
the anti anxiety effect helps in addition to reducing frequency of nausea and vomitting
a patient PUD asked the nurses about the action of pro kinetic medications which explanation by the nurse is accurate
it increases the lower esophageal sphincter muscle pressure and peristalsis
A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA) for prevention of cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day and has a glass of wine with dinner 3 or 4 nights per week.
The patient eats three meals a day. The nurse will counsel this patient to:
change the meal pattern to five or six smaller meals per dav.
a patient has been taking psyllium ‘ Metamucil two to there times daily for several days . the patient complains of stomach pain but has not has a stool what will the nurse do
palpate the patient abdomen and osculate for bowel sounds
which condition would cause the nurse to withhold a PRN order for magnesium hydroxide
chronic renal failure
the parent of a child with cerebral pals reports that the child has pebble like stools most of the time and seems incomfrotble if several days have passed between stools. the nurse will suggest that the paint discuss which medication with the Childs provider
polyethylene glycol ( Miralax )
the nurse is discussing dietary and life style changes with a patient diagnosed with GERD . when reviewing nessacry modifications , the use will include information regarding SATA
smoking cessation , avoiding NSAID. using nonfat milk
A 30-year-old male patient will begin a three-drug regimen to treat peptic ulcer disease. The regimen will consist of bismuth subsalicylate, tetracycline, and cimetidine [Tagamet]. The nurse will include which information when teaching this patient about this drug regimen?
Decreased libido, impotence, and gynecomastia are reversible side effects.
a patient with a history of chronic alcohol abuse has been admitted to the unit wit a cirrhosis . upon review of the patient laboratory rest result the nurse notes that the patient ammonia leveled is elevated at 218 MCG/DL what meds should the nurse give first
lactulose
an elderly patient taking a loop diuretic combines in for a routine visit during your interview with the patient , she informs you that she uses a stimulant laxative . which of the following problems may arise from frqeuent laxative
electrolyte imbalance
a patient has been taking senna [senokot] for several days and the nurse notes that the urine is yellowish brown what does the nurse know about this symptom
it is an expected , harmless effect of Senna
A prepared childbirth nurse educator is discussing potential discomforts during pregnancy with a group of women. When relaying information about nausea and vomiting, the nurse will include which statements)? (Select all that apply.)
vomiting during pregnancy is more common among primigravides , nausea and vomtting during pregnancy can occur at anytime of the day
what effect will the nurse expect when a patient is taking psyllium while on the digoxin
decreased absorption of the digoxin
a patient is diagnosed with peptic ulcer disease . the patient is otherwise deathly the nurse learns that the patient does not smoke and that he drinks 1 or 2 glasses of the wine with meals each week . the nurse anticipates that the provider will prescribe which drug
amoxicillin [ amoxil ] , clarithormycin and omeprazole [ Prilosec]
which factor contributed to the development of PUD
cigarette smoking , genetics , h pylori
a patient who takes NSAID for arthritis asks a nurse what can be done to prevent ulcers . the nurse will recommend asking the provider abut using medication
PPI ( proton pump inhibitors
what medication is used in the treatment of gastric reflex and esophagitis and diabetic gastroparesis
Metoclopramide
a patient taking metoclopramide ( reglan) for the last 6 months develops uncontrolled rhythmic movement of the face , lip smacking , and rapid , or worm like movements of the tongue
document the findings and contact the prescriber
a friend report using loperamide ( Imodium of rcontuincal diarrhea for a week since returning home from a. vacation outside the country . which is the nurses best response
id stop taking the Imodium and go in to see a health care provider immediately . you may have an infection in your intestinal tract
cimetidine ( Tagamet) is an example of which class of drug
Histamine ( H2) receptor antagonists
what problems may a patient with nausea and vomiting be at risk for
weight loss , dehydration , electrolyte imbalance
the nurse is planning to administer an antacid to a patient diagnosed with PUD who will receive to proivide H2 antagonist at 0800 . when Is the most apporpatie time for the nurse to provide the antacid to this patient
2 hours after the H@ antagonist
which considered an acceptable time frame for a patient with gastric distress to self medicate with over the counter antacids
weeks
which treatment would be consider safe for an infant
bulk forming laxative , malt soup extract
what is the mechanics of action of a stimulant laxative
irritates the intestine directly , promoting peristalsis and evacution
A nurse is taking a history on a clinic patient who reports being constipated. Upon further questioning, the nurse learns that the patient’s last stool was 4 days ago, that it was of normal, soft consistency, and that the patient defecated without straining. The patient’s abdomen is not distended, and bowel sounds are present.
The patient reports usually having a stool every 1 to 2 days. What will the nurse do?
ask about recent food and fluid intake
the nurses is assessing a patient with constipation . which situation would cause constiaption SATA
diet low in fiber and / or residue , iron supplements use of morphine
what condition is occurring when a patient experiences nauseas immediately on entering the clinic to receive another course of chemotherapy
anticipatory nausea and vomitting
