chapter 13 pharm visovsky Complete Practice Guide Questions Fully Solved.

What types of drugs prevent or control nausea and vomiting? - correct answer antiemetic drugs Which common drug for nausea and vomiting is a 5-HT3 receptor antagonist? - correct answer odansetron (sofran) What specific problem can develop in a patient who has been prescribed both a 5-HT3 receptor antagonist and a phenothiazine? - correct answer cardiac dysrhythmias You are caring for a patient who is taking a substance P/neurokinin1 (NK1) receptor antagonist. Which laboratory finding would suggest the patient is experiencing an adverse reaction to this class of drugs? - correct answer decreased white blood cell count A patient who developed vomiting has been given 10 mg of prochlorperazine IM. What instructions should you provide to this patient? - correct answer call for assistance when getting out of bed Which drug for nausea and vomiting can cause decreased sweating and increased risk for overheating? - correct answer prochlorperazine (compazine) Which antiemetic drug class is reserved for patients with severe nausea and vomiting? - correct answer cannabinoids (marinol) You are teaching a patient who has been prescribed dronabinol for severe nausea. What information should be included in the patient teaching plan? - correct answer avoid alcohol while taking this drug A patient prescribed metoclopramide (Reglan) reports having difficulty sleeping, difficulty concentrating, tiredness, and feeling hopeless. What is your best action? - correct answer Hold the drug and notify the prescriber. A patient taking metoclopramide (Reglan) for the last 6 months develops uncontrolled rhythmic movement of the face, lip smacking, and rapid or wormlike movements of the tongue. What is your best action? - correct answer document findings notify prescriber Which drug classification would you expect a patient who was just diagnosed with a duodenal ulcer to be prescribed? - correct answer proton pump inhibitor A patient with gastrointestinal upset has been prescribed an antacid. What information regarding this drug classification would be appropriate to provide to the patient? - correct answer "Other drugs should be taken 1 hour before or 2 hours after an antacid." Which statement made by a patient taking a H2-receptor blocker for peptic ulcer disease leads you to suspect the patient needs additional teaching regarding taking this class of drugs? - correct answer "I will take my daily dose of this drug first think in the morning." A patient with a peptic ulcer who has been prescribed sucralfate asks you to explain how this drug works to heal the ulcer. What is your best response? - correct answer "This drug works by providing a protective layer over the ulcer." An elderly patient taking a loop diuretic comes in for a routine visit. During your interview with the patient, she informs you that she frequently uses a stimulant laxative. Which of the following problems may arise from frequent laxative use? - correct answer electrolyte imbalance A patient has been scheduled for a routine colonoscopy. Which of the following laxatives would be most appropriate to use for preparing the colon for this procedure? - correct answer an osmotic laxative You suspect an older adult patient of using excessive amounts of laxatives. Which would be an appropriate intervention for this patient to help reduce chronic laxative use and dependency? - correct answer Instruct the patient to drink six to eight glasses of water each day. You are providing instruction to a patient about the use of a bulk-forming laxative for the treatment of constipation. Which statement should be included in the teaching plan for this patient? - correct answer take this drug with a full glass of water What information about proton pump inhibitors is correct? (Select all that apply.) - correct answer a. these drugs can cause dizziness b. these drugs can increase risk of osteoporosis c. these drugs heal ulcers by reducing acid in the stomach What problems may a patient with nausea and vomiting be at risk for? (Select all that apply.) - correct answer a. weight loss b. dehydration c. electrolyte imbalance A patient reports constipation. Which high-fiber foods would the nurse instruct the patient to add to his diet? - correct answer a. oranges b. bran cereals c. figs A patient with gastritis asks why the healthcare provider prescribed an antacid when she has already been eating well. Which would be the best response made by the nurse? (Select all that apply.) - correct answer a. "Antacids are used to neutralize the acidity in your stomach between meals." b. antacids will help to neutralize stomach acid and reduce your discomfort. You are giving discharge instructions to a patient who will be taking an antacid for gastric problems. Which instructions should be provided to this patient? (Select all that apply.) - correct answer a. Antacids must be taken between meals. b. Antacids should be taken at bedtime. c. Antacids serve as a gastric buffer. d. antacids can cause diarrhea Which are classified as one of the five major categories of laxatives? (Select all that apply.) - correct answer a. bulk forming b,. lubricant laxatives c. stimulant laxatives d. stool softeners