pharm test 5 test bank questions with correct answers

pharm test 5 test bank questions with correct answers A patient is receiving an aluminum-containing antacid. The nurse will inform the patient to watch for which possible adverse effect? - Answer-constipation When reviewing the health history of a patient who will be receiving antacids, the nurse recalls that antacids containing magnesium need to be used cautiously in patients with which condition? - Answer-renal failure The nurse is reviewing the medication orders for a patient who will be taking an H2 antagonist. Which drug may have an interaction if taken along with the H2 antagonist? - Answer-Ketoconazole A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug? - Answer-He smokes two packs of cigarettes a day. A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease (GERD). The nurse will include which statement in the teaching plan about this medication? - Answer-"The entire capsule must be taken whole, not crushed, chewed, or opened." A patient has excessive and painful gas. The nurse checks the patient's medication orders and prepares to administer which drug for this problem? - Answer-Simethicone (Mylicon) A 75-year-old woman comes into the clinic and states she has had muscle twitching, nausea, and headache. She tells the nurse that she has been taking sodium bicarbonate five or six times EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 2/20 a day for the past 3 weeks. The nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate? - Answer-Metabolic alkalosis A patient will be taking a 2-week course of combination therapy with omeprazole (Prilosec) and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse expects a drug from which class to be ordered with the omeprazole? - Answer-antibiotic A patient is asking advice about which over-the-counter antacid is considered the most safe to use for heartburn. The nurse explains that the reason that calcium antacids are not used as frequently as other antacids is for which of these reasons? - Answer-Their use may result in kidney stones. At 0900, the nurse is about to give morning medications, and the patient has asked for a dose of antacid for severe heartburn. Which schedule for the antacid and medications is correct? - Answer-Give the medications at 0900, and then the antacid at 1000. During an admission assessment, the patient tells the nurse that he has been self-treating his heartburn for 1 year with over-the-counter Prilosec OTC (omeprazole, a proton pump inhibitor). The nurse is aware that this self-treatment may have which result? - Answer-Masked symptoms of serious underlying diseases An older adult patient had gastric surgery due to a gastrointestinal bleed 3 days ago, and he has been stable since the surgery. This evening, his daughter tells the nurse, "He seems to be more confused this afternoon. He's never been like this. What could be the problem?" The nurse reviews the patient's medication record and suspects that which drug could be the cause of the patient's confusion? - Answer-Cimetidine (Tagamet) EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 3/20 The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential adverse effects. Which statement is correct? - Answer-Long-term use of these drugs may contribute to osteoporosis. A patient in the intensive care unit has a nasogastric tube and is also receiving a proton pump inhibitor (PPI). The nurse recognizes that the purpose of the PPI is which effect? - Answer-Prevent stress ulcers The nurse is providing patient teaching about antacids. Which statements about antacids are accurate? (Select all that apply.) - Answer-Antacids neutralize acid in the stomach. Rebound hyperacidity may occur with calcium-based antacids. Magnesium-based antacids cause diarrhea. The nurse is giving oral mineral oil as an ordered laxative dose. The nurse will take measures to prevent which potential problem that may occur with mineral oil? - Answer-Lipid pneumonia When administering a bulk-forming laxative, the nurse instructs the patient to drink the medication mixed in a full 8-ounce glass of water. Which statement best explains the rationale for this instruction? - Answer-These laxatives may cause esophageal obstruction if taken with insufficient water. A patient will be taking bismuth subsalicylate (Pepto-Bismol) to control diarrhea. When reviewing the patient's other ordered medications, the nurse recognizes that which medication or medication class will interact significantly with the Pepto-Bismol? - Answer-Hypoglycemic drugs A patient is about to undergo a diagnostic bowel procedure. The nurse expects which drug to be used to induce total cleansing of the bowel? - Answer-Polyethylene glycol 3350 (GoLYTELY) EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 4/20 While recovering from surgery, an elderly woman started taking a stimulant laxative, senna (Senokot), to relieve constipation caused by the pain medications. Two weeks later, at her follow-up appointment, she tells the nurse that she likes how "regular" her bowel movements are now that she is taking the laxative. Which teaching principle is appropriate for this patient? - Answer-Long-term use of laxatives often results in decreased bowel tone and may lead to dependency. A patient asks the nurse about the difference between diphenoxylate with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium). Which response by the nurse is correct? - Answer- "Imodium does not cause physical dependence." A patient wants to prevent problems with constipation and asks the nurse for advice about which type of laxative is safe to use for this purpose. Which class of laxative is considered safe to use on a long-term basis? - Answer-Bulk-forming laxatives When administering mineral oil, the nurse recogni