Laxatives Pharm Exam 1 RNSG 2432 and Pharmacology
Success questions with complete solutions
21. The nurse is administering 0800 medications. Which
medication would the nurse question?
1. Misoprostol (Cytotec), a prostaglandin analog, to a 29-year-
old female with an NSAID-produced ulcer.
2. Omeprazole (Prilosec), a proton-pump inhibitor, to a 68-year-
old male with a duodenal ulcer.
3. Furosemide (Lasix), a loop diuretic, to a 56-year-old male
with a potassium level of 4.2 mEq/L.
4. Acetaminophen (Tylenol), a nonnarcotic analgesic, to an 84-
year-old female with a frontal headache. Correct Answer . 1. A
29-year-old female is of childbearing age. The nurse should
determine that the client is not pregnant before administering
this medication. Misoprostol can be used in a combination with
mifepristone to produce an abortion.
22. The client diagnosed with severe congestive heart failure is
complaining of indigestion. Which antacid medication should
the nurse administer?
1. Sodium bicarbonate.
2. Amphogel.
3. Riopan.
4. Mylanta DS. Correct Answer 3. Riopan is the antacid of
choice for clients who need to limit their sodium intake.
23. The female client diagnosed with low back pain has been
self-medicating with ibuprofen (Motrin), a nonsteroidal anti-
inflammatory drug (NSAID), around the clock. The client calls
,the clinic and tells the nurse that she has been getting dizzy and
lightheaded. Which action would be the nurse's best response?
1. Tell the client to get up from a sitting or lying position slowly.
2. Have the client come to the clinic for lab work immediately.
3. Suggest the client take the ibuprofen with food or an antacid.
4. Discuss changing to a different nonsteroidal anti-
inflammatory medication. Correct Answer 2. A life-threatening
complication of NSAID use is the development of gastric ulcers
that can hemorrhage; dizziness and lightheadedness could
indicate a bleeding problem. The client has been taking the
medications "around the clock," indicating use during the night
when it would be unusual for the client to consume food along
with the medication.
24. The client is diagnosed with a Helicobacter pylori infection
and peptic ulcer disease (PUD). Which discharge instructions
should the nurse teach?
1. Discuss placing the head of the bed on blocks to prevent
reflux.
2. Teach to never use nonsteroidal anti-inflammatory drugs
again.
3. Encourage the client to limit smoking to half a pack per day.
4. Take the combination of medications for 14 days as directed
Correct Answer 4. H. pylori is a bacterial infection that is
treated with a combination of medications. At least two
antibiotics and an antisecretory medication will be ordered. As
with all antibiotic prescriptions, the client should be taught to
take all the medications as ordered. Resistant strains of H. pylori
are being documented in clients who have not been compliant
with the treatment program.
, 25. The intensive care nurse is preparing to administer the H 2
receptor blocker ranitidine (Zantac) IVPB to a client with severe
burns. Which statement is the scientific rationale for
administering this medication?
1. Zantac will prevent an H. pylori infection.
2. The client has a history of ulcer disease.
3. It is for prophylaxis to prevent Curling's ulcer.
4. There is no rationale; the nurse should question the order.
Correct Answer 3. Because of the fluid shifts that occur as a
result of severe burn injuries, the blood supply to the
gastrointestinal tract is diminished while the stress placed on the
body increases the gastric acid secretion, leading to gastric
ulcers, a condition called Curling's ulcer. Zantac would be
administered to decrease the production of gastric acid.
26. The male client diagnosed with peptic ulcer disease (PUD)
has been taking magnesium hydroxide (Milk of Magnesia) for
indigestion. The client complains that he has been having
diarrhea. Which action would be the nurse's best response?
1. Suggest that the client use magnesium hydroxide with
aluminum hydroxide (Mylanta).
2. Encourage the client to discuss the problem with the health-
care provider.
3. Tell the client to take loperamide (Imodium), over the
counter.
4. Discuss why the client is concerned about experiencing
diarrhea. Correct Answer 26. 1. Milk of Magnesia is the most
potent antacid, but it is usually used as a laxative because of the
actions of magnesium hydroxide on the bowel. A combination
antacid—magnesium hydroxide (produces diarrhea) and
Success questions with complete solutions
21. The nurse is administering 0800 medications. Which
medication would the nurse question?
1. Misoprostol (Cytotec), a prostaglandin analog, to a 29-year-
old female with an NSAID-produced ulcer.
2. Omeprazole (Prilosec), a proton-pump inhibitor, to a 68-year-
old male with a duodenal ulcer.
3. Furosemide (Lasix), a loop diuretic, to a 56-year-old male
with a potassium level of 4.2 mEq/L.
4. Acetaminophen (Tylenol), a nonnarcotic analgesic, to an 84-
year-old female with a frontal headache. Correct Answer . 1. A
29-year-old female is of childbearing age. The nurse should
determine that the client is not pregnant before administering
this medication. Misoprostol can be used in a combination with
mifepristone to produce an abortion.
22. The client diagnosed with severe congestive heart failure is
complaining of indigestion. Which antacid medication should
the nurse administer?
1. Sodium bicarbonate.
2. Amphogel.
3. Riopan.
4. Mylanta DS. Correct Answer 3. Riopan is the antacid of
choice for clients who need to limit their sodium intake.
23. The female client diagnosed with low back pain has been
self-medicating with ibuprofen (Motrin), a nonsteroidal anti-
inflammatory drug (NSAID), around the clock. The client calls
,the clinic and tells the nurse that she has been getting dizzy and
lightheaded. Which action would be the nurse's best response?
1. Tell the client to get up from a sitting or lying position slowly.
2. Have the client come to the clinic for lab work immediately.
3. Suggest the client take the ibuprofen with food or an antacid.
4. Discuss changing to a different nonsteroidal anti-
inflammatory medication. Correct Answer 2. A life-threatening
complication of NSAID use is the development of gastric ulcers
that can hemorrhage; dizziness and lightheadedness could
indicate a bleeding problem. The client has been taking the
medications "around the clock," indicating use during the night
when it would be unusual for the client to consume food along
with the medication.
24. The client is diagnosed with a Helicobacter pylori infection
and peptic ulcer disease (PUD). Which discharge instructions
should the nurse teach?
1. Discuss placing the head of the bed on blocks to prevent
reflux.
2. Teach to never use nonsteroidal anti-inflammatory drugs
again.
3. Encourage the client to limit smoking to half a pack per day.
4. Take the combination of medications for 14 days as directed
Correct Answer 4. H. pylori is a bacterial infection that is
treated with a combination of medications. At least two
antibiotics and an antisecretory medication will be ordered. As
with all antibiotic prescriptions, the client should be taught to
take all the medications as ordered. Resistant strains of H. pylori
are being documented in clients who have not been compliant
with the treatment program.
, 25. The intensive care nurse is preparing to administer the H 2
receptor blocker ranitidine (Zantac) IVPB to a client with severe
burns. Which statement is the scientific rationale for
administering this medication?
1. Zantac will prevent an H. pylori infection.
2. The client has a history of ulcer disease.
3. It is for prophylaxis to prevent Curling's ulcer.
4. There is no rationale; the nurse should question the order.
Correct Answer 3. Because of the fluid shifts that occur as a
result of severe burn injuries, the blood supply to the
gastrointestinal tract is diminished while the stress placed on the
body increases the gastric acid secretion, leading to gastric
ulcers, a condition called Curling's ulcer. Zantac would be
administered to decrease the production of gastric acid.
26. The male client diagnosed with peptic ulcer disease (PUD)
has been taking magnesium hydroxide (Milk of Magnesia) for
indigestion. The client complains that he has been having
diarrhea. Which action would be the nurse's best response?
1. Suggest that the client use magnesium hydroxide with
aluminum hydroxide (Mylanta).
2. Encourage the client to discuss the problem with the health-
care provider.
3. Tell the client to take loperamide (Imodium), over the
counter.
4. Discuss why the client is concerned about experiencing
diarrhea. Correct Answer 26. 1. Milk of Magnesia is the most
potent antacid, but it is usually used as a laxative because of the
actions of magnesium hydroxide on the bowel. A combination
antacid—magnesium hydroxide (produces diarrhea) and
