ATI 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?
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." - ANS A.
"Avoid driving or activities requiring alertness."
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 - ANS C. A positive pregnancy test
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?
A. The drug is prescribed to female clients who have IBS-D lasting more than 6 months.
B. The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months.
C. The drug is most beneficial for male clients who have inflammatory bowel disease.
D. The drug is most beneficial in treating clients who have constipation-predominant IBS
(IBS-C). - ANS A. The drug is prescribed to female clients who have IBS-D lasting more
than 6 months.
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 - ANS B. Aluminum hydroxide
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the
following statements should the nurse make?
A. "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."
B. "The medication can stain your contact lenses green."
C. "The medication can color your urine dark brown."
D. "Take an iron supplement when you take sulfasalazine to prevent anemia." - ANS A.
"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."
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?
A. Reduces inflammation
B. Reduces gastric acid
C. Prevents diarrhea
D. Prevents straining - ANS D. Prevents straining
A nurse should recognize that diphenoxylate/atropine should be used with caution for a
client who has which of the following conditions?
A. Inflammatory bowel disease
B. Thrombophlebitis
C. Agranulocytosis
D. Immunization with a live virus vaccine within the last 6 weeks - ANS A. Inflammatory
bowel disease
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 (237 mL) of water
B. Take with diphenhydramine to prevent extrapyramidal effects
C. Avoid activities that require alertness
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?
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." - ANS A.
"Avoid driving or activities requiring alertness."
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 - ANS C. A positive pregnancy test
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?
A. The drug is prescribed to female clients who have IBS-D lasting more than 6 months.
B. The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months.
C. The drug is most beneficial for male clients who have inflammatory bowel disease.
D. The drug is most beneficial in treating clients who have constipation-predominant IBS
(IBS-C). - ANS A. The drug is prescribed to female clients who have IBS-D lasting more
than 6 months.
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 - ANS B. Aluminum hydroxide
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the
following statements should the nurse make?
A. "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."
B. "The medication can stain your contact lenses green."
C. "The medication can color your urine dark brown."
D. "Take an iron supplement when you take sulfasalazine to prevent anemia." - ANS A.
"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."
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?
A. Reduces inflammation
B. Reduces gastric acid
C. Prevents diarrhea
D. Prevents straining - ANS D. Prevents straining
A nurse should recognize that diphenoxylate/atropine should be used with caution for a
client who has which of the following conditions?
A. Inflammatory bowel disease
B. Thrombophlebitis
C. Agranulocytosis
D. Immunization with a live virus vaccine within the last 6 weeks - ANS A. Inflammatory
bowel disease
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 (237 mL) of water
B. Take with diphenhydramine to prevent extrapyramidal effects
C. Avoid activities that require alertness
