Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-6:-Drugs-
Affecting-the-Digestive-System-questions-and-answers
1. A-33-year-old-patient-is-in-the-outpatient-cancer-center-for-his-first-round-of-
chemotherapy.-The-nurse-knows-that-which-schedule-is-the-most-appropriate-timing-for-
the-IV-antiemetic-drug?---CORRECT-ANSWER-Thirty-to-sixty-minutes-before-the-
chemotherapy-begins.
2. A-79-year-old-woman-visits-the-clinic-today-and-tells-the-nurse-that-her-"bowels-just-
aren't-right."-She-wants-advice-on-the-best-laxative-to-take-so-that-she-can-have-a-bowl-
movement-every-day.-Which-is-an-appropriate-response-by-the-nurse?---CORRECT-
ANSWER--"A-normal-bowel-pattern-does-not-necessarily-mean-that-you-will-have-a-
bowel-movement-every-day."
-"Let's-talk-about-increasing-fluids-and-fiber-in-your-diet."
3. A-child-born-with-increased-intraocular-pressure-is-likely-to-be-diagnosed-with-which-type-
of-glaucoma?---CORRECT-ANSWER-Congenital.
4. A-child-has-a-case-of-otitis-media.-The-nurse-knows-that-otitis-media-in-children-is-
usually-preceded-by...---CORRECT-ANSWER-Upper-respiratory-tract-infection.
5. A-child-is-in-the-clinic-with-a-severe-case-of-otitis-media.-The-prescriber-has-decided-to-
treat-it-with-an-antibiotic,-and-the-nurse-anticipates-that-which-antibiotic-will-be-
prescribed-as-a-first-line-drug-for-this-condition?---CORRECT-ANSWER-Amoxicillin.
6. A-client-has-been-prescribed-clotrimazole-(Lotrimin,-Mycelex-G)-for-the-treatment-of-jock-
itch.-To-document-this-diagnosis-in-the-client's-medical-record,-the-nurse-should-use-
which-fungal-infection-name?---CORRECT-ANSWER-Tinea-cruris.
7. A-client-is-complaining-of-excessive-earwax,-leading-to-diminished-hearing-ability.-The-
nurse-will-anticipate-to-teach-the-client-about-which-medication-to-treat-this-condition?---
CORRECT-ANSWER-Carbamide-peroxide-(Debrox).
8. A-client-is-diagnosed-with-a-perforated-tympanic-membrane,-OE,-and-otitis-media.-What-
does-the-nurse-anticipate-the-health-care-provider-will-prescribe?---CORRECT-
ANSWER-Otic-and-oral-antibacterials.
9. A-client-receiving-an-anticholinergic-drug-to-treat-nausea-and-vomiting-should-be-taught-
to-expect-which-adverse-effect?---CORRECT-ANSWER-Dry-mouth
10. A-client-receiving-vitamin-K-MOST-likely-has-which-abnormal-clinical-finding?---
CORRECT-ANSWER-Altered-coagulation-studies.
11. A-client-states-to-the-nurse,-"I-must-take-my-iron-supplement-with-a-meal-to-avoid-
stomach-upset."-To-increase-uptake-of-oral-iron,-which-food-group-should-the-nurse-
instruct-the-client-to-avoid?---CORRECT-ANSWER-Dairy.
, Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-6:-Drugs-
Affecting-the-Digestive-System-questions-and-answers
12. A-middle-aged-woman-is-experiencing-severe-vertigo.-The-nurse-expects-this-patient-will-
receive-which-drug---CORRECT-ANSWER-Meclizine-(Antivert)
13. A-mother-discovers-that-her-child-has-eaten-half-a-bottle-of-children's-multivitamins.-
Which-is-the-appropriate-first-action-in-this-situation?---CORRECT-ANSWER-Call-the-
national-poison-control-hotline-for-instructions.
14. A-mother-of-a-young-child-asks-the-nurse-what-over-the-counter-(OTC)-medication-will-
remove-earwax-build-up-in-her-child's-ears.-What-OTC-medication-should-the-nurse-
suggest?---CORRECT-ANSWER-Carbamide-peroxide-(Debrox).
15. A-nurse-is-reviewing-chemotherapy-with-a-newly-hired-nurse-on-the-oncology-unit.-
Which-antinausea-drug-or-drug-class-is-indicated-for-preventing-chemotherapy-induced-
nausea-and-vomiting?---CORRECT-ANSWER--Serotonin-blockers.
-Tetrahydrocannabinoids.
16. A-parent-calls-to-ask-about-giving-a-medication-for-diarrhea-to-his-child,-15-years-of-age,-
who-is-recovering-from-the-flu.-The-nurse-expects-the-prescriber-to-recommended-which-
medication?---CORRECT-ANSWER-Lopermide-(Imodium-A-D).
17. A-patient-believes-that-taking-megadoses-of-vitamin-C-is-healthy.-What-should-the-nurse-
tell-the-patient-about-megadoses-of-vitamin-C?---CORRECT-ANSWER-They-can-
produce-nausea,-vomiting,-headache,-and-abdominal-cramps.
18. A-patient-has-a-need-for-a-nutritional-supplement-that-contains-complex-nutrients-derived-
from-proteins,-carbohydrates,-and-fat.-However,-this-patient-is-lactose-intolerant.-The-
nurse-knows-that-which-product-would-be-most-suitable-for-this-patient?---CORRECT-
ANSWER-Ensure.
19. A-patient-has-a-painful-sunburn-that-covers-a-large-area-of-her-body-and-has-asked-the-
nurse-for-"something-to-make-it-feel-better."-The-nurse-keeps-in-mind-that-which-
formulation-of-topical-medication-will-be-easiest-to-use-to-cover-this-large-area?---
CORRECT-ANSWER-Aerosol-spray.
20. A-patient-has-ingested-an-excessive-amount-of-water-soluble-vitamins.-The-nurse-expects-
what-to-happen?---CORRECT-ANSWER-Excess-amounts-are-excreted-in-the-urine.
21. A-patient-has-undergone-an-eye-procedure-during-which-ophthalmic-mydriatics-and-
anesthetic-drops-were-used.-The-nurse-gives-which-instructions-to-the-patient-prior-to-
discharge?---CORRECT-ANSWER--"Do-not-rub-or-touch-the-numb-eye."
-"Be-sure-to-wear-sunglasses-when-you-go-outside."
-"Report-any-increase-in-pain-or-drainage-to-the-ophthalmologist-immediately."
Affecting-the-Digestive-System-questions-and-answers
1. A-33-year-old-patient-is-in-the-outpatient-cancer-center-for-his-first-round-of-
chemotherapy.-The-nurse-knows-that-which-schedule-is-the-most-appropriate-timing-for-
the-IV-antiemetic-drug?---CORRECT-ANSWER-Thirty-to-sixty-minutes-before-the-
chemotherapy-begins.
2. A-79-year-old-woman-visits-the-clinic-today-and-tells-the-nurse-that-her-"bowels-just-
aren't-right."-She-wants-advice-on-the-best-laxative-to-take-so-that-she-can-have-a-bowl-
movement-every-day.-Which-is-an-appropriate-response-by-the-nurse?---CORRECT-
ANSWER--"A-normal-bowel-pattern-does-not-necessarily-mean-that-you-will-have-a-
bowel-movement-every-day."
-"Let's-talk-about-increasing-fluids-and-fiber-in-your-diet."
3. A-child-born-with-increased-intraocular-pressure-is-likely-to-be-diagnosed-with-which-type-
of-glaucoma?---CORRECT-ANSWER-Congenital.
4. A-child-has-a-case-of-otitis-media.-The-nurse-knows-that-otitis-media-in-children-is-
usually-preceded-by...---CORRECT-ANSWER-Upper-respiratory-tract-infection.
5. A-child-is-in-the-clinic-with-a-severe-case-of-otitis-media.-The-prescriber-has-decided-to-
treat-it-with-an-antibiotic,-and-the-nurse-anticipates-that-which-antibiotic-will-be-
prescribed-as-a-first-line-drug-for-this-condition?---CORRECT-ANSWER-Amoxicillin.
6. A-client-has-been-prescribed-clotrimazole-(Lotrimin,-Mycelex-G)-for-the-treatment-of-jock-
itch.-To-document-this-diagnosis-in-the-client's-medical-record,-the-nurse-should-use-
which-fungal-infection-name?---CORRECT-ANSWER-Tinea-cruris.
7. A-client-is-complaining-of-excessive-earwax,-leading-to-diminished-hearing-ability.-The-
nurse-will-anticipate-to-teach-the-client-about-which-medication-to-treat-this-condition?---
CORRECT-ANSWER-Carbamide-peroxide-(Debrox).
8. A-client-is-diagnosed-with-a-perforated-tympanic-membrane,-OE,-and-otitis-media.-What-
does-the-nurse-anticipate-the-health-care-provider-will-prescribe?---CORRECT-
ANSWER-Otic-and-oral-antibacterials.
9. A-client-receiving-an-anticholinergic-drug-to-treat-nausea-and-vomiting-should-be-taught-
to-expect-which-adverse-effect?---CORRECT-ANSWER-Dry-mouth
10. A-client-receiving-vitamin-K-MOST-likely-has-which-abnormal-clinical-finding?---
CORRECT-ANSWER-Altered-coagulation-studies.
11. A-client-states-to-the-nurse,-"I-must-take-my-iron-supplement-with-a-meal-to-avoid-
stomach-upset."-To-increase-uptake-of-oral-iron,-which-food-group-should-the-nurse-
instruct-the-client-to-avoid?---CORRECT-ANSWER-Dairy.
, Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-Unit-6:-Drugs-
Affecting-the-Digestive-System-questions-and-answers
12. A-middle-aged-woman-is-experiencing-severe-vertigo.-The-nurse-expects-this-patient-will-
receive-which-drug---CORRECT-ANSWER-Meclizine-(Antivert)
13. A-mother-discovers-that-her-child-has-eaten-half-a-bottle-of-children's-multivitamins.-
Which-is-the-appropriate-first-action-in-this-situation?---CORRECT-ANSWER-Call-the-
national-poison-control-hotline-for-instructions.
14. A-mother-of-a-young-child-asks-the-nurse-what-over-the-counter-(OTC)-medication-will-
remove-earwax-build-up-in-her-child's-ears.-What-OTC-medication-should-the-nurse-
suggest?---CORRECT-ANSWER-Carbamide-peroxide-(Debrox).
15. A-nurse-is-reviewing-chemotherapy-with-a-newly-hired-nurse-on-the-oncology-unit.-
Which-antinausea-drug-or-drug-class-is-indicated-for-preventing-chemotherapy-induced-
nausea-and-vomiting?---CORRECT-ANSWER--Serotonin-blockers.
-Tetrahydrocannabinoids.
16. A-parent-calls-to-ask-about-giving-a-medication-for-diarrhea-to-his-child,-15-years-of-age,-
who-is-recovering-from-the-flu.-The-nurse-expects-the-prescriber-to-recommended-which-
medication?---CORRECT-ANSWER-Lopermide-(Imodium-A-D).
17. A-patient-believes-that-taking-megadoses-of-vitamin-C-is-healthy.-What-should-the-nurse-
tell-the-patient-about-megadoses-of-vitamin-C?---CORRECT-ANSWER-They-can-
produce-nausea,-vomiting,-headache,-and-abdominal-cramps.
18. A-patient-has-a-need-for-a-nutritional-supplement-that-contains-complex-nutrients-derived-
from-proteins,-carbohydrates,-and-fat.-However,-this-patient-is-lactose-intolerant.-The-
nurse-knows-that-which-product-would-be-most-suitable-for-this-patient?---CORRECT-
ANSWER-Ensure.
19. A-patient-has-a-painful-sunburn-that-covers-a-large-area-of-her-body-and-has-asked-the-
nurse-for-"something-to-make-it-feel-better."-The-nurse-keeps-in-mind-that-which-
formulation-of-topical-medication-will-be-easiest-to-use-to-cover-this-large-area?---
CORRECT-ANSWER-Aerosol-spray.
20. A-patient-has-ingested-an-excessive-amount-of-water-soluble-vitamins.-The-nurse-expects-
what-to-happen?---CORRECT-ANSWER-Excess-amounts-are-excreted-in-the-urine.
21. A-patient-has-undergone-an-eye-procedure-during-which-ophthalmic-mydriatics-and-
anesthetic-drops-were-used.-The-nurse-gives-which-instructions-to-the-patient-prior-to-
discharge?---CORRECT-ANSWER--"Do-not-rub-or-touch-the-numb-eye."
-"Be-sure-to-wear-sunglasses-when-you-go-outside."
-"Report-any-increase-in-pain-or-drainage-to-the-ophthalmologist-immediately."
