PME GI SYSTEM

office ambience

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?

aluminum hydroxide

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 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 alerness

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?

sucralfate interferes with the absorption of phenytoin.

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

dizziness

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.

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 activities requiring alertness”

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 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.)

1:avoid antacids

2:increase fluid and fiber intake

3:avoid activities that require mental alertness

4:take the drug 30 to 60 min before activities that trigger nausea

5:sit upright for 30 min after taking the drug

2, 3, 4

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 instructions should the nurse include? (Select all that apply.)

1:expect results in 6 to 12 hours

2:take the drug with at least 8oz (237mL) of fluid

3:avoid activities that require alertness

4:urinate every 4 hours

5:increase fluid and fiber intake

2 & 5

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

1:administer the drug when the client report nausea

2:administer the drug immediately following chemotherapy

3:infuse the drug slowly over 15 min

4:infuse the drug 30 min prior to chemotherapy

5:repeat the dose 4 hours after chemotherapy

3, 4, 5

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

IBD

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

a positive pregnancy test

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?

abdominal pain

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.)

1:urine output

2:temperature

3:skin integrity

4:level of consciousness

5:CBC

2, 3, 5

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?

nausea

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?

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

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."