The Gastrointestinal System Test

Question 1

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take? (Select all that apply.)

Answer 1

Infuse the drug 30 min prior to chemotherapy/ Infuse the drug slowly over 15 min/
Repeat the dose 4 hr after chemotherapy

Question 2

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug?

Answer 2

Abdominal pain

Question 3

A nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations?

Answer 3

Lethargy

Question 4

Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug?

Answer 4

Alosetron

Question 5

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 of the following conditions?

Answer 5

Gout

Question 6

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make?

Answer 6

“Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn.”

Question 7

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects?

Answer 7

Prevents straining

Question 8

A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking famotidine and which of the following over-the-counter drugs?

Answer 8

Antacids

Question 9

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?

Answer 9

Aluminum hydroxide

Question 10

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include?

Answer 10

Avoid activities that require alertness.

Question 11

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include?

Answer 11

Swallow the capsules whole.

Question 12

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?

Answer 12

One formed stool per day

Question 13

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?

Answer 13

A positive pregnancy test

Question 14

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (Select all that apply.)

Answer 14

Expect results in 6 to 12 hr/ Take the drug with at least 8 oz (237 mL) of fluid/
Increase fluid and fiber intake

Question 15

A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron?

Answer 15

The drug is prescribed to female clients who have IBS-D lasting more than 6 months.

Question 16

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.)

Answer 16

Skin integrity/ Temperature/ CBC

Question 17

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include?

Answer 17

“Avoid driving or activities requiring alertness.”

Question 18

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions?

Answer 18

Nausea

Question 19

A nurse is reviewing the medical record of a client who has a new prescription for famotidine. The nurse should recognize that which of the following drugs interacts with famotidine?

Answer 19

Ketoconazole

Question 20

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?

Answer 20

Aspirin sensitivity

Question 21

A nurse is caring for a 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 should the nurse clarify these prescriptions with the provider?

Answer 21

Allopurinol delays the conversion of azathioprine and can lead to toxicity.

Question 22

A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following !ndings should the nurse recognize as an adverse effect of this drug?

Answer 22

Dizziness

Question 23

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons?

Answer 23

Sucralfate interferes with the absorption of phenytoin.

Question 24

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (Select all that apply.)

Answer 24

Take the drug 30 to 60 min before activities that trigger nausea/ Avoid activities that require alertness/
Increase fluid and fiber intake

Question 25

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

Answer 25

Inflammatory bowel disease