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NUR 2092 Chapter 58 Exam – 100 Questions on Laxatives, Antidiarrheals, IBS Drugs & GI Motility Agents – Chamberlain

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This expertly structured study set for NUR 2092: Nursing Pharmacology at Chamberlain University provides 100 exam-style questions with correct answers, targeting Chapter 58 – Drugs Affecting Gastrointestinal (GI) Motility, developed for the 2025/2026 academic year. It is tailored to help students master pharmacologic management of bowel disorders, constipation, diarrhea, irritable bowel syndrome (IBS), and drug-related nursing responsibilities. Students will engage with real-world clinical scenarios through NCLEX-style multiple choice and select-all-that-apply questions that emphasize patient safety, drug mechanisms, and individualized care plans. Topics covered include: Laxative categories and uses: bulk-forming (psyllium, polycarbophil), stool softeners (docusate), osmotic agents (lactulose, magnesium citrate), stimulants (bisacodyl, cascara) Antidiarrheals: diphenoxylate with atropine (Lomotil), loperamide, bismuth subsalicylate – safety in pediatrics, CNS side effects, contraindications with aspirin Irritable bowel syndrome medications: alosetron – indications, severe adverse effects, gender-specific use GI conditions and management: Clostridium difficile, functional diarrhea, encopresis, chronic constipation Drug actions and safety: electrolyte imbalances, laxative overuse, drug interactions (e.g., mineral oil reducing vitamin absorption), timing of administration Patient teaching: bowel regimen planning, nonpharmacologic interventions (hydration, diet, physical activity), OTC product warnings Special populations: older adults, pediatric clients, post-surgical patients, and patients with cardiac risks who require non-straining options (e.g., docusate for post-MI) The document is ideal for knowledge application, clinical preparation, and safe medication administration related to bowel motility and digestive care. Recommended for: Students in NUR 2092 at Chamberlain University Nursing students preparing for pharmacology unit tests, NCLEX-RN, or ATI gastrointestinal content reviews Learners reviewing bowel disorder pharmacology, laxative and antidiarrheal safety, or IBS medication therapies Allied health students studying GI tract function, motility regulation, and fluid-electrolyte pharmacology This resource supports exam readiness and deepens clinical understanding of GI motility drugs and nursing responsibilities. Keywords: NUR 2092, Chapter 58, GI motility drugs, laxatives, antidiarrheals, diphenoxylate, loperamide, bismuth subsalicylate, psyllium, bisacodyl, docusate, alosetron, IBS, constipation, diarrhea, NCLEX GI drugs, Chamberlain

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NUR 2092 Pharmacology Ch 58 Drugs
Affecting GI Motility Questions with
Correct Answers

A client who has suffered a myocardial infarction is prescribed a laxative to

help prevent straining during defecation. Which medication would the nurse

expect to administer? - 🧠 ANSWER ✔✔docusate


A client is being sent home with orders for a laxative PRN. The nurse is

conducting client teaching on the use of a laxative. What will the nurse

inform the client is one of the most common adverse effects of a laxative? -

🧠 ANSWER ✔✔Abdominal cramping


A nurse is teaching a client about diarrhea. Which statement by the client

regarding diarrhea would indicate a need for additional teaching? - 🧠

ANSWER ✔✔"Diarrhea is a disease that has no cure."

,The parent of an adolescent client reports that the teen has chronic

diarrhea and lacks an appetite. Assessment reveals that the client is

significantly underweight, has dry hair, and exhibits erosion of tooth

enamel. When asked, the client reports occasional laxative use for - 🧠

ANSWER ✔✔"constipation." What condition does the nurse consider most

likely?

bulimia with laxative abuse

An adult resident of an assisted living facility has not responded

appreciably to bulk-forming laxatives, so the primary care provider has

prescribed bisacodyl. The nurse who oversees the care at the facility

should know that this drug may be administered by what route? Select all

that apply. - 🧠 ANSWER ✔✔Oral


Suppository

A client diagnosed with HIV/AIDS has diarrhea that is not responding to

antidiarrheal agents. Which medication will best assist in treating this

client's diarrhea? - 🧠 ANSWER ✔✔Octreotide acetate

, The nurse should counsel a client to discontinue use of over-the-counter

antidiarrheals and seek treatment from a health care provider if diarrhea

persists for how long? - 🧠 ANSWER ✔✔2 days


The nurse is caring for a client with diarrhea who has been prescribed

diphenoxylate with atropine and is observing the client for which adverse

effects of this drug? - 🧠 ANSWER ✔✔Dizziness


The nurse is aware that critically ill clients are more at risk for constipation

for what reasons? (Select all that apply.) - 🧠 ANSWER ✔✔Decreased

activity

Use of opioid medications

Change in bowel routines

A prescriber adds psyllium to the medication administration record for a

client experiencing diarrhea. Which is the best rationale for the addition of

psyllium? - 🧠 ANSWER ✔✔It absorbs toxins and water, decreasing fluidity

of stools.

The nurse is preparing to administer polycarbophil to a client experiencing

liquid stools. How should the nurse describe the action of this substance? -




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