ATI: THE GASTROINTESTINAL SYSTEM
WITH 100% ACCURATE ANSWERS AND
RATIONALE
A nurse is providing teaching to a client who is about to start taking psyllium
to treat constipation. Which of the following instructions should the nurse
include? (Select all that apply.)
Expect results in 6 to 12 hr.
Urinate every 4 hr.
Take the drug with at least 8 oz (237 mL) of fluid.
Avoid activities that require alertness.
Increase fluid and fiber intake. - Correct Answer- Take the drug with at least
8 oz (237 mL) of fluid.
Increase fluid and fiber intake.
Rationale: To prevent esophageal obstruction, clients should take psyllium
with at least 8 oz of fluid; and after mixing the powdered form, clients should
drink it immediately.
Rationale: The nurse should tell the client to increase activity, fluid intake,
and fiber intake, and to keep track of bowel function.
A nurse is teaching a client who has a new prescription for sulfasalazine.
Which of the following statements should the nurse make?
"Use sunscreen and protective clothing while taking sulfasalazine to prevent
sunburn."
"The medication can stain your contact lenses green."
"The medication can color your urine dark brown."
"Take an iron supplement when you take sulfasalazine to prevent anemia." -
Correct Answer- "Use sunscreen and protective clothing while taking
sulfasalazine to prevent sunburn."
Rationale: 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 planning care for a client who is receiving chemotherapy and has
a new prescription for ondansetron. Which of the following actions should the
nurse plan to take? (Select all that apply.)
Infuse the drug 30 min prior to chemotherapy.
Administer the drug when the client reports nausea.
Infuse the drug slowly over 15 min.
Administer the drug immediately following chemotherapy.
Repeat the dose 4 hr after chemotherapy. - Correct Answer- Infuse the drug
30 min prior to chemotherapy.
Infuse the drug slowly over 15 min.
Repeat the dose 4 hr after chemotherapy.
Rationale: The nurse should administer IV ondansetron, a serotonin
antagonist, 30 min prior to chemotherapy to prevent chemotherapy-induced
nausea and vomiting. When treating radiation-induced nausea and vomiting,
the nurse should give the drug orally 1 to 2 hr prior to radiation therapy and
again every 8 hr.
Rationale: The nurse should infuse ondansetron slowly over 15 min to
prevent chemotherapy-induced nausea.
Rationale: For maximum effectiveness, the nurse should administer
ondansetron 4 hr after chemotherapy, and again 8 hr after chemotherapy.
When treating anesthesia-induced nausea and vomiting, the nurse can give
the drug 1 hr before anesthesia induction.
A nurse is assessing a client who was administered ondansetron IV 1 hr ago.
Which of the following findings should the nurse recognize as an adverse
effect of this drug?
Dizziness
Bradycardia
Tardive dyskinesia
Dyspepsia - Correct Answer- Dizziness
Rationale: Dizziness and lightheadedness are the most common adverse
effects of ondansetron.
WITH 100% ACCURATE ANSWERS AND
RATIONALE
A nurse is providing teaching to a client who is about to start taking psyllium
to treat constipation. Which of the following instructions should the nurse
include? (Select all that apply.)
Expect results in 6 to 12 hr.
Urinate every 4 hr.
Take the drug with at least 8 oz (237 mL) of fluid.
Avoid activities that require alertness.
Increase fluid and fiber intake. - Correct Answer- Take the drug with at least
8 oz (237 mL) of fluid.
Increase fluid and fiber intake.
Rationale: To prevent esophageal obstruction, clients should take psyllium
with at least 8 oz of fluid; and after mixing the powdered form, clients should
drink it immediately.
Rationale: The nurse should tell the client to increase activity, fluid intake,
and fiber intake, and to keep track of bowel function.
A nurse is teaching a client who has a new prescription for sulfasalazine.
Which of the following statements should the nurse make?
"Use sunscreen and protective clothing while taking sulfasalazine to prevent
sunburn."
"The medication can stain your contact lenses green."
"The medication can color your urine dark brown."
"Take an iron supplement when you take sulfasalazine to prevent anemia." -
Correct Answer- "Use sunscreen and protective clothing while taking
sulfasalazine to prevent sunburn."
Rationale: 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 planning care for a client who is receiving chemotherapy and has
a new prescription for ondansetron. Which of the following actions should the
nurse plan to take? (Select all that apply.)
Infuse the drug 30 min prior to chemotherapy.
Administer the drug when the client reports nausea.
Infuse the drug slowly over 15 min.
Administer the drug immediately following chemotherapy.
Repeat the dose 4 hr after chemotherapy. - Correct Answer- Infuse the drug
30 min prior to chemotherapy.
Infuse the drug slowly over 15 min.
Repeat the dose 4 hr after chemotherapy.
Rationale: The nurse should administer IV ondansetron, a serotonin
antagonist, 30 min prior to chemotherapy to prevent chemotherapy-induced
nausea and vomiting. When treating radiation-induced nausea and vomiting,
the nurse should give the drug orally 1 to 2 hr prior to radiation therapy and
again every 8 hr.
Rationale: The nurse should infuse ondansetron slowly over 15 min to
prevent chemotherapy-induced nausea.
Rationale: For maximum effectiveness, the nurse should administer
ondansetron 4 hr after chemotherapy, and again 8 hr after chemotherapy.
When treating anesthesia-induced nausea and vomiting, the nurse can give
the drug 1 hr before anesthesia induction.
A nurse is assessing a client who was administered ondansetron IV 1 hr ago.
Which of the following findings should the nurse recognize as an adverse
effect of this drug?
Dizziness
Bradycardia
Tardive dyskinesia
Dyspepsia - Correct Answer- Dizziness
Rationale: Dizziness and lightheadedness are the most common adverse
effects of ondansetron.
