A health Care professional is reviewing the medical record of a patient who is to begin taking ranitidine
( Zantac) Which of the following medications interacts with ranitidine? - correct answer
✔✔Ketoconazole
(Ranitidine reduces the absorption of ketoconazole)
A health care professional should question the use of metoclopramide (Raglan) for a patient who is
taking which of the following drugs? - correct answer ✔✔Digoxin (Lanolin)
A health care professional is assessing a client who was administered ondansetron (Zoran) IV 1 hr ago.
Which of the following findings is an adverse effect of this drug? - correct answer ✔✔Dizziness
When administering sulfasalazine (Azulfindine) to a patient, the health care professional should check
which of the following to help identify an adverse effect of the drug? - correct answer ✔✔-Skin integrity
(Sulfasalazine, a 5-aminosalicylate, is unlikely to affect level of consciousness. Metoclopramide, a
dopamine antagonist, is a GI-system drug that can cause sedation.)
-Temperature
(Sulfasalazine can cause a fever, so the nurse should check the client's temperature and treat fever with
an antipyretic.)
-CBC
(Sulfasalazine can cause hematologic disorders, such as agranulocytosis and hemolytic and macrocytic
anemia. The nurse should check the client's CBC periodically during therapy and tell the client to report
sore throat or fatigue.)
A health care professional is caring for a patient who is about to begin taking ranitidine (Zanatac) to treat
GERD. The health care professional should tell the patient to take certain precautions like to wait 1 hour
, between taking ranitidine and which of the following over the counter drugs? - correct answer
✔✔Antacids
(Antacids can decrease the absorption of ranitidine, a histamine2-receptor antagonist. The nurse should
instruct the client to wait at least 1 hr between taking ranitidine and taking an antacid.)
A health care professional should question the use of dimenhydrinate for a patient who has which of the
following disorders? - correct answer ✔✔Angle-closure glaucoma
A primary care provider who is considering the various pharmacologic options for a patient who has
peptic ulcer disease should understand that which of the following drugs require monitoring of the
patients phosphorus levels? - correct answer ✔✔Aluminum hydroxide (Amphoral)
(Antacids that contain aluminum, such as aluminum hydroxide, can cause hypophosphatemia because of
aluminum's ability to bind with phosphate and decrease its absorption. The nurse should monitor the
client's phosphorus levels while administering this drug.)
A health care professional should question the use of diphenoxylate/atropine (Lomotil) for a patient who
has which of the following disorders? - correct answer ✔✔Inflammatory bowel disease
(Diphenoxylate is an opioid, which can cause the severe complication of toxic megacolon in clients who
have inflammatory bowel disease. The nurse should have the client monitor the consistency and
frequency of stools throughout therapy.)
Which talking with a patient about taking metoclopramide (Raglan) to treat GERD, the health care
professional should include which of the following instructions? - correct answer ✔✔Chew gum or suck
on hard candy
When talking with a patient about taking lubiprostone (Amitiza) the health care professional should tell
the patient not to take the drug if he has which of the following? - correct answer ✔✔Diarrhea
A primary care provider should use caution when prescribing sulfasalazine (Azulfidine) for a patient who
has? - correct answer ✔✔aspirin sensitivity