QMA MEDICATIONS EXAM REVIEW QUESTIONS WITH ALL CORRECT ANSWERS

QMA MEDICATIONS EXAM REVIEW QUESTIONS WITH ALL CORRECT ANSWERS Nursing Considerations for Saline Laxatives - Answer-Acts within 8 hours Monitor for good fluid intake Saline Laxatives Uses - Answer-Treats constipation Increases pressure and peristalsis Mineral Oil- works within 2-6 hours. Given on an empty stomach. - Answer-Lubricant Laxative Glycerin suppository - Answer-lubricant laxative Haley's MO - Answer-Lubricant Laxative Lubricant laxative uses - Answer-Treat constipation Given for colon prep Lubricant laxatives side effects - Answer-Dehydration Abdominal cramping Nausea Anal itching Lubricant laxatives Nursing Considerations - Answer-Interfere with vitamins Not taken at meal time Taken on an empty stomach Surfak (docusate calcium) - Answer-stool softener Colace (docusate sodium) - Answer-stool softener Fibercon (calcium polycarbophil) - Answer-Stool softener Stool softener side effects - Answer-Abdominal cramping Diarrhea Nursing considerations for stool softeners - Answer-Takes 1-3 days to work Ask nurse to give if resident has diarrhea Stool softener uses - Answer-Promote regular bowel evacuation Metamucil (psyllium) - Answer-bulk laxative Citrucel (methylcellulose) - Answer-bulk laxative Side effects of bulk laxatives - Answer-Nausea Vomiting Diarrhea Esophageal, gastric, small intestine and rectal obstruction if the medication is taken dry Nursing considerations for Bulk Laxatives - Answer-Given with 8oz of pleasant tasting fluid, encourage more liquids, acts within 12 hours to 3 days. Chronulac, Enulose (lactulose) - Answer-Colonic Acidifiers Colonic Acidifiers side effects - Answer-Abdominal cramping Diarrhea Flatulence Colonic Acidifiers uses - Answer-Flush out high levels of ammonia in the blood from liver disease Stool softener Colonic Acidifiers nursing considerations - Answer-May dilute with water or give with food Store at room temperature Miralax (polyethylene glycol) - Answer-osmotic laxative Osmotic laxatives side effects - Answer-Abdominal cramping Urgency Osmotic laxatives nursing considerations - Answer-Take in the morning Effects within 4 hours Osmotic laxatives uses - Answer-Increases number of bowel movements Used to treat sever constipation Fleets Enema (sodium phosphates) - Answer-Enema Enemas side effects - Answer-abdominal cramping Enemas use - Answer-Colon prep Severe constipation Enemas Nursing Considerations - Answer-If resident has hemorrhoids notify nurse to assess before enema Mesalamine - Answer-Crohn's disease and ulcerative colitis Viberzi (eluxadoline) - Answer-Crohn's or Ulcerative Colitis Linzess (linaclotide) - Answer-Crohn's or ulcerative colitis Amitiza (Lubiprostone) - Answer-Crohn's or ulcerative colitis Relistor (methylnaltrexone) - Answer-Crohn's or ulcerative colitis Movantik (Naloxegol) - Answer-Crohn's or ulcerative colitis Side effects of Crohn's Medications - Answer-Diarrhea Constipation Fever Headache Flu-like symptoms Abnormal liver tests Nausea Crohn's Medications nursing considerations - Answer-Notify nurse of severe abdominal cramping, swollen face, or lips Tablet or enema form Crohn's Medications use - Answer-Reduces tissue inflammation, opioid-induced constipation Decadron (Dexamethasone) - Answer-Anti-inflammatory steroid Meticorten, orasone (Prednisone) - Answer-anti-inflammatory steroid Medrol (methylprednisolone) - Answer-anti-inflammatory steriod Cortef (hydrocortisone) - Answer-Anti-inflammatory steroid Kenalog (Triamcinolone) - Answer-Anti-inflammatory steroid anti-inflammatory steroid side effects - Answer-Weight gain Mood swings Night sweats Increases blood sugar Slows healing Muscle weakness Hair loss Prolonged bleeding Insomnia Increased bruising anti-inflammatory steroid nursing considerations - Answer-Look for signs of infection, change in urine or glucose sugar. Can cause withdraw symptoms if stopped immediately. Elderly may be susceptible to osteoporosis. Indocin (indomethacin) - Answer-NSAID Motrin, advil, nuprin (Ibuprofen) - Answer-NSAID Naprosyn, Aleve (Naproxen) - Answer-NSAID Voltaren (diclofenac) - Answer-NSAID Relafen (nabumetone) - Answer-NSAID Clinoril (sulindac) - Answer-NSAID Mobic (meloxicam) - Answer-NSAID Celebrex (celecoxib) - Answer-NSAID NSAID side effects - Answer-Nausea Headache GI bleeding Heartburn Decreased appetite Dizziness Increased bruising Tinnitus Abdominal pain Change in renal function Fatigue