ATI GI System Pharm Made Easy 4.0
Pharm Final
A nurse is planning teaching for a client who has been prescribed loperamide to treat
diarrhea. Which of the following statements should the nurse include?
a. Avoid driving or activities requiring alertness
b. If you miss a dose, double the next dose
c. Rinsing the mouth with alcohol-based mouthwash can reduce dryness
d. Having one glass of wine each night can improve medication effectiveness. ✔✔a.
A nurse should recognize that misoprostol is contraindicated for a client who has
which of the following conditions?
a. a seizure disorder
b. rheumatoid arthritis
c. a positive pregnancy test
d. heart failure ✔✔c.
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?
a. omeprazole
b. aluminum hydroxide
c. sucralfate
d. ranitidine ✔✔b.
A nurse is teaching a client who has a new rx for sulfasalazine. Which of the
following statements should the nurse make?
a. Use sunscreen & protective clothing while taking sulfasalazine to prevent sunburn.
b. The med can stain your contact lenses green
c. The med can color your urine dark brown
d. Take an iron supplement when you take sulfa to prevent anemia.a. ✔✔a.
pg. 231
A nurse is teaching a client who recently had an MI and has a new prescription for
docusate sodium. The nurse should inform the client that docusate sodium has
which of the following therapeutic effects?
a. reduces inflammation
b. reduces gastric acid
c. prevents diarrhea
d. prevents straining ✔✔d.
A nurse should recognize that diphenoxylate/atropine should be used with caution
for a client who has which of the following conditions?
, a. Irritable bowel disease
b. thrombophlebitis
c. agranulocytosis
d. immunizations with a live virus vaccine w/ion the last 6 weeks ✔✔a.
pg. 229
antidiarrheal
A nurse is providing teaching to a client who has a new prescription for loperamide.
Which of the following instructions should the nurse include?
a. dissolve the powder thoroughly in 8 oz of water
b. take w/ diphenhydramine to prevent extrapyramidal effects
c. avoid activities that require alertness
d. take 30 min before activities that trigger nausea ✔✔c.
A nurse is caring for a client who has a new prescription for ranitidine to treat GERD.
The nurse should instruct the clien tto wait at least 1 hr between taking ranitidine &
which of the following OTC drug?
a. ginko biloba
b. antidiarrheals
c. St. John's wart
d. Antacids ✔✔d.
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...)
a. level of consciousness
b. skin integrity
c. temperature
d. urine output
e. CBC ✔✔b, c, e
Sulfasalazine treats IBD by decreasing inflammation by inhibiting prostaglandin
synthesis
A nurse is caring for a client who is taking allopurinol to treat gout & has anew rx for
sulfasalazine / mesalamine to treat ulcerative colitis. For which of the following
reasons should the nurse clarify these prescriptions w/ the provider?
a. allopurinol delays the conversion & can lead to toxicity
b. sulfa increases the effectiveness of allopurinol
c. alluprinol increases the metabolism of sulfa and can require an increased dosage
d. sulfa decreases the effectiveness of allopurinol ✔✔a.
Pharm Final
A nurse is planning teaching for a client who has been prescribed loperamide to treat
diarrhea. Which of the following statements should the nurse include?
a. Avoid driving or activities requiring alertness
b. If you miss a dose, double the next dose
c. Rinsing the mouth with alcohol-based mouthwash can reduce dryness
d. Having one glass of wine each night can improve medication effectiveness. ✔✔a.
A nurse should recognize that misoprostol is contraindicated for a client who has
which of the following conditions?
a. a seizure disorder
b. rheumatoid arthritis
c. a positive pregnancy test
d. heart failure ✔✔c.
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?
a. omeprazole
b. aluminum hydroxide
c. sucralfate
d. ranitidine ✔✔b.
A nurse is teaching a client who has a new rx for sulfasalazine. Which of the
following statements should the nurse make?
a. Use sunscreen & protective clothing while taking sulfasalazine to prevent sunburn.
b. The med can stain your contact lenses green
c. The med can color your urine dark brown
d. Take an iron supplement when you take sulfa to prevent anemia.a. ✔✔a.
pg. 231
A nurse is teaching a client who recently had an MI and has a new prescription for
docusate sodium. The nurse should inform the client that docusate sodium has
which of the following therapeutic effects?
a. reduces inflammation
b. reduces gastric acid
c. prevents diarrhea
d. prevents straining ✔✔d.
A nurse should recognize that diphenoxylate/atropine should be used with caution
for a client who has which of the following conditions?
, a. Irritable bowel disease
b. thrombophlebitis
c. agranulocytosis
d. immunizations with a live virus vaccine w/ion the last 6 weeks ✔✔a.
pg. 229
antidiarrheal
A nurse is providing teaching to a client who has a new prescription for loperamide.
Which of the following instructions should the nurse include?
a. dissolve the powder thoroughly in 8 oz of water
b. take w/ diphenhydramine to prevent extrapyramidal effects
c. avoid activities that require alertness
d. take 30 min before activities that trigger nausea ✔✔c.
A nurse is caring for a client who has a new prescription for ranitidine to treat GERD.
The nurse should instruct the clien tto wait at least 1 hr between taking ranitidine &
which of the following OTC drug?
a. ginko biloba
b. antidiarrheals
c. St. John's wart
d. Antacids ✔✔d.
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...)
a. level of consciousness
b. skin integrity
c. temperature
d. urine output
e. CBC ✔✔b, c, e
Sulfasalazine treats IBD by decreasing inflammation by inhibiting prostaglandin
synthesis
A nurse is caring for a client who is taking allopurinol to treat gout & has anew rx for
sulfasalazine / mesalamine to treat ulcerative colitis. For which of the following
reasons should the nurse clarify these prescriptions w/ the provider?
a. allopurinol delays the conversion & can lead to toxicity
b. sulfa increases the effectiveness of allopurinol
c. alluprinol increases the metabolism of sulfa and can require an increased dosage
d. sulfa decreases the effectiveness of allopurinol ✔✔a.
