Nursing 6005 Pharm Quiz 7.

NURSING 6005 PHARM QUIZ 7. QUIZ 7 . Gastrointestinal and Hepatobiliary Disorders QUE STI ON 1 1. A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that is A. low in proteins. B. high in iron. C. low in sodium and potassium. D. low in sodium, high in potassium. QUE STI ON 2 1. A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? A. Mesalamine B. Lubiprostone C. Bismuth subsalicylate D. Docusate QUE STI ON 3 1. A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess which of the following? A. Urine specific gravity B. Blood glucose level C. Aspartate transaminase levels D. Serum phosphate level QUE STI ON 4 1. Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse will discuss with the patient the possibility for which of the following adverse effects related to the new drug therapy? A. Fatigue B. Increased appetite C. Metallic taste D. Hair loss QUE STI ON 5 1. A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several years and has undergone several courses of treatment with limited benefit. Which of the following targeted therapies has the potential to alleviate the symptoms of Crohn's disease? A. Eculizumab (Soliris) B. Infliximab (Remicade) C. Muromonab-CD3 (Orthoclone OKT3) D. Tositumomab plus 131I (Bexxar) QUE STI ON 6 1. A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment? A. Avoid OTC antacids for the duration of treatment B. Teach the patient strategies for dealing with headaches C. Advocate for intravenous, rather than oral, administration D. Carefully assess the patient for infections QUE STI ON 7 1. A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy? A. Increased abdominal pain and vomiting B. Anorexia C. Increased urine output D. Drug toxicity QUE STI ON 8 1. A nurse is providing patient education for a patient who has been prescribed diphenoxylate HCl with atropine sulfate. Which of the following instructions would be important for self- administration of this drug? A. Decrease the dosage when the number of stools decreases B. Take the drug with fruit juice C. Take the drug with a meal D. Continue therapy until the physician discontinues the drug QUE STI ON 9 1. A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is A. headache. B. dry mouth. C. irritability. D. heart palpitations. QUE STI ON 10 1. A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse? A. “Sure, you may take an antacid with ranitidine.” B. “I wouldn't advise it. You may experience severe constipation.” C. “Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine.” D. “No, the two drugs will work against each other.” QUE STI ON 11 1. To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication A. four times a day. B. once a day. C. every 2 hours. D. twice a day. QUE STI ON 12 1. Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? A. Bismuth subsalicylate B. A stimulant laxative C. A hyperosmotic laxative D. A bulk-forming (fiber) laxative QUE STI ON 13 1. A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is concerned for the patient's safety. Which of the following would be an appropriate nursing diagnosis? A. Potential Complication: Electrolyte Imbalance related to hypophosphatemia, secondary to drug therapy B. Risk for Injury related to drug-induced somnolence, dizziness, confusion, or hallucinations C. Diarrhea related to adverse effects of drug therapy D. Acute Pain related to adverse drug effects, headache QUE STI ON 14 1. It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy? A. Relief from symptoms B. Oncotic pressure in the colon C. Water levels in the colon D. Blood ammonia levels QUE STI ON 15 1. A patient has been prescribed a histamine-2 (H2) receptor antagonist for the treatment of GERD. Why are H2RAs more effective than H1 receptor antagonists in the treatment of diseases of the upper GI tract? A. H2RAs have a longer duration of action and fewer adverse effects than H1RAs. B. The parietal cells of the stomach have H2 receptors but not H1 receptors. C. H2RAs may be administered orally and in an outpatient environment but H1RAs require intravenous administration. D. H2 receptors in the upper GI tract outnumber H1 receptors by a factor of 2:1. QUE STI ON 16 1. A 58-year-old man is prescribed dicyclomine (Bentyl) for irritable bowel syndrome. In which of the following conditions is dicyclomine therapy contraindicated? A. Rheumatoid arthritis B. Glaucoma C. Diabetes mellitus D. Hypertension QUE STI ON 17 1. A patient develops diarrhea secondary to antibiotic therapy. He is to receive two tablets of diphenoxylate HCl with atropine sulfate (Lomotil) orally as needed for each loose stool. The nurse should inform him that he may experience A. dizziness. B. muscle aches.