ATI Pharmacology Made Easy 4.0: The
Gastrointestinal System
A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of
the following statements should the nurse plan to include? - correct answer ✔✔"Avoid driving or
activities requiring alertness."
Loperamide can cause drowsiness and dizziness. The client should avoid driving or activities requiring
alertness while taking the drug.
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following
conditions? - correct answer ✔✔A positive pregnancy test
Misoprostol, a prostaglandin E1 analog, is a teratogenic drug. It can cause uterine contractions and
induce spontaneous abortion; therefore, providers must confirm that clients are not pregnant before
prescribing the drug; and clients who take misoprostol must use contraception
A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel
syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse
provide the client about alosetron? - correct answer ✔✔The drug is prescribed to female clients who
have IBD-S lasting more than 6 months.
Alosetron is approved only to be prescribed to females who have IBS-D lasting 6 months or longer that
has not been controlled by conventional treatment
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? - correct answer ✔✔Aluminum
hydroxide
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 nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following
statements should the nurse make? - correct answer ✔✔"Use sunscreen and protective clothing while
taking sulfasalazine to prevent sunburn."
Photosensitivity is a possible adverse effect of sulfasalazine that makes the skin sensitive to light. The
nurse should instruct the client to wear sunscreen and protective clothing when outdoors to prevent
burning.
A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for
docusate sodium. The nurse should inform the client that docusate sodium has which of the following
therapeutic effects? - correct answer ✔✔Prevents straining
Docusate sodium, a stool softener, prevents straining during defecation and prevents the elevation in
blood pressure that can result from straining. It also helps relieve constipation and reduces the painful
elimination of hard stools.
A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has
which of the following conditions? - 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.
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the
following instructions should the nurse include? - correct answer ✔✔Avoid activities that require
alertness.
Loperamide, an opioid agonist, can cause sedation and dizziness.
A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should
instruct the client to wait at least 1 hour between taking famotidine and which of the following over-the-
counter drugs? - correct answer ✔✔Antacids
Gastrointestinal System
A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of
the following statements should the nurse plan to include? - correct answer ✔✔"Avoid driving or
activities requiring alertness."
Loperamide can cause drowsiness and dizziness. The client should avoid driving or activities requiring
alertness while taking the drug.
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following
conditions? - correct answer ✔✔A positive pregnancy test
Misoprostol, a prostaglandin E1 analog, is a teratogenic drug. It can cause uterine contractions and
induce spontaneous abortion; therefore, providers must confirm that clients are not pregnant before
prescribing the drug; and clients who take misoprostol must use contraception
A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel
syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse
provide the client about alosetron? - correct answer ✔✔The drug is prescribed to female clients who
have IBD-S lasting more than 6 months.
Alosetron is approved only to be prescribed to females who have IBS-D lasting 6 months or longer that
has not been controlled by conventional treatment
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? - correct answer ✔✔Aluminum
hydroxide
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 nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following
statements should the nurse make? - correct answer ✔✔"Use sunscreen and protective clothing while
taking sulfasalazine to prevent sunburn."
Photosensitivity is a possible adverse effect of sulfasalazine that makes the skin sensitive to light. The
nurse should instruct the client to wear sunscreen and protective clothing when outdoors to prevent
burning.
A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for
docusate sodium. The nurse should inform the client that docusate sodium has which of the following
therapeutic effects? - correct answer ✔✔Prevents straining
Docusate sodium, a stool softener, prevents straining during defecation and prevents the elevation in
blood pressure that can result from straining. It also helps relieve constipation and reduces the painful
elimination of hard stools.
A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has
which of the following conditions? - 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.
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the
following instructions should the nurse include? - correct answer ✔✔Avoid activities that require
alertness.
Loperamide, an opioid agonist, can cause sedation and dizziness.
A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should
instruct the client to wait at least 1 hour between taking famotidine and which of the following over-the-
counter drugs? - correct answer ✔✔Antacids
