In evaluating the effects of loperamide (Imodium), which outcome would indicate that the drug
is performing as intended?
A. An increase in urine output
B. Two or three soft stools per day
C. Watery, diarrhea stools
D. Slow the passage of stools through the intestines - Answers D. Slow the passage of stools
through the intestines
A patient with Crohn disease will receive an initial infusion of infliximab. The prescriber explains
how this drug works to treat this disease. Which statement by the patient indicates a need for
further teaching?
A. I will take the second dose in 2 weeks, the third dose in 6 weeks, and then a dose every 8
weeks thereafter
B. This drug sometimes provides a complete cure of inflammatory bowel disease
C. I should report chills, fever, itching and shortness of breath while receiving the infusion
D. I may have an increased risk of infections when taking infliximab - Answers B. This drug
sometimes provides a complete cure of inflammatory bowel disease
The APRN prescribed omeprazole to a client. The APRN determines that the medication is
therapeutic if which of the following is stated by the client?
A. Relief of nausea and vomiting
B. Reduced diarrheal episodes
C. Relief of constipation
, D. Relief of GERD - Answers D. Relief of GERD
A patient with a history of chronic alcohol use has been admitted to the unit with a diagnosis of
cirrhosis. Admission laboratory reports show that the patient's ammonia level is elevated at 218.
What medication will the provider prescribe to address the lab result?
A. Lactulose
B. Polyethylene glycol (Miralax)
C. 0.9ft NS IV
D. Docusate sodium (Colace) - Answers A. lactulose
A patient reports a 6 month history of daily episodes of recurrent, crampy abdominal pain
followed by diarrhea that usually relieves the pain. The patient undergoes a colonoscopy, for
which the findings are normal. What will the provider discuss with the patient?
A. Avoiding food containing lactose and gluten
B. Keeping a food, stress and symptom diary
C. Prescribing antidiarrheal drugs to manage symptoms
D. Prescribing antispasmodic medication - Answers B. Keeping a food, stress and symptom
diary
A patient is prescribed ondansetron 30 minutes before initiation of chemotherapy. The patient
reports that the ondansetron did not work as well as it had previously. What action will the
prescriber take?
A. Prescribe loperamide to be given with the ondansetron
B. Order that the ondansetron be given at the same time as chemotherapy is administered
C. Prescribe dexamethasone to be given with the ondansetron
D. Prescribe a high dose of intravenous dolasetron - Answers C. Prescribe dexamethasone to be
given with ondansetron
A patient is diagnosed with Zollinger Ellison syndrome. What medication does the provider
recognize as most effective for the patients condition?