Week 8: ATI The Gastrointestinal System Flashcards
Knowing the adverse drug reactions of cimetidine, the primary care provider’s assistant should instruct a client to watch for and report which of the following?
Confusion
A client is prescribed cimetidine 400 mg PO twice daily. It was available as an oral liquid of 200 mg per tsp. How many tsp should the nurse instruct the client to take per dose?
2 tsp
The health care professional instructs a client about the therapeutic actions of sucfalfate. She explains that this drug promotes ulcer healing by which action?
Creates a protective barrier
Which of the following instructions should the health care professional give a client about taking sucralfate to treat an acute duodenal ulcer?
Increase fluid and fiber intake
The health care professional is providing instructions to the client on taking aluminum hydroxide. Which information should be included?
- Check labels for sodium and phosphate content
- Increase fluid and fiber intake
- Monitor for signs of constipation
A client is about to start taking omeprazole to treat a duodenal ulcer. Which of the following instructions should you include when talking with the client about taking this drug?
Consume adequate amounts of fluids
A client is abut to start taking aluminum hydroxide tablets to reduce gastric acid. Which instructions should you include when talking with the client about taking this drug?
- Chew tablets thoroughly
- Drink a glass of water after taking it
- Increase fluid and fiber intake
A female client of childbearing potential is starting therapy with misoprostol to prevent a gastric ulcer. Which of the following should you include when teaching this client?
- Mid-cycle spotting can occur
- Take a pregnancy test prior to therapy
- Report excessive menstrual pain
- Use effective contraception
A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an A/E of this drug?
Dizziness
A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help I.D. and A/E drug reaction?
- Skin integrity
- Temperature
- CBC
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?
Ketoconazole
A nurse is caring for a client who has a new prescription for alosetron to treat IBS. The nurse should instruct the client to report which of the following A/E of the drug?
Abdominal pain
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?
Gout
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include?
Avoid activities that require alertness
A nurse should recognize that diphenoxylate/ atropine should be used with caution for a client who has which of the following conditions?
Inflammatory bowl disease
Therapeutic use of: Azathioprine
Irritable Bowl Disease
Therapeutic use of: Bisacodyl
Constipation
Therapeutic use of: Cimetidine
GERD
Therapeutic use of: Docusate sodium
Stool softener
You are about to administer ondansetron to a client to prevent anesthesia induced nausea and vomiting. You prepare to monitor the client for which A/E of this drug?
Dizziness
A client is staring therapy with psyllium. You explain to the client that psyllium will have which of the following therapeutic effects?
- Relieve constipation
2. Reduce diarrhea
You are about to administer diphenoxylate plus atropine to a client to reduce diarrhea. Which drugs should you have available to treat an overdose of this drug combination?
Naloxone
Therapeutic use of: metoclopramide (Reglan)
Nausea, vomiting
Therapeutic use of: Sulfasalazine (Azulfidine)
Inflammatory Bowl Disease
Therapeutic use of: Dimenhydrinate
Motion sickness
Therapeutic use of: Omeprazole (Prilosec)
Duodenal ulcer
A client is about to start taking alosetron to treat diarrhea. You should instruct the client to watch for a report which of the following A/E?
Constipation
A client is about to start taking sulfasalazine to treat inflammatory bowl disease. You should instruct the client to watch for and report which of the following A/E of this drug?
- Sore throat
2. Fever
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?
Swallow the capsules whole
A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following should the nurse include?
- Take the drug with at least 8 oz (237 mL) of fluid
2. Increase fluid and fiber intake
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?
Allopurinol delays the conversion of azathioprine and can lead to toxicity
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?
Alosetron
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?
Prevents straining
A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?
Aspirin sensitivity
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 OTC?
Antacids
A nurse is caring for a client who is taking phenytoin for a seizure d/o 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 hrs a part for which of the following reasons?
Sucralfate interferes with the absorption of phenytoin
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?
Avoid driving or activities requiring alertness
A nurse is proving teaching to a client who have a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include?
1, Take the drug 30 - 60 min before activities that trigger nausea
- Avoid activities that require alertness
- Increase fluid and fiber intake
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 A/E?
Nausea
A nurse is teaching a client who has a new prescription for sulfasalazine, Which of the following statements should the nurse make?
Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn
A nurse is caring for a client who has a peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs?
Aluminum hydroxide
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?
Lethargy
A nurse is caring for a male client who asks the nurse about taking alosetron for IBS with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron?
The drug is prescribed to female clients who have IBS-D lasing more than 6 months
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?
A POS pregnancy test
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?
One formed stool per day
A nurse is planning care for a client who is rx chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take?```
- Infuse the drug 30 min prior to chemotherapy
- Infuse the drug slowly over 15 min
- Repeat the dose 4 hr after chemotherapy
