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
