ATI Pharm Made Easy 4.0: GI System
A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should
instruct the client to wait at least 1hr between taking ranitidine and which of the following over-the-
counter drugs?
A) Ginkgo Biloba
B) Antidiarrheals
C) St. John's Wort
D) Antacids - correct answer ✔✔D) Antacids
Antacids can decrease the absorption of ranitidine, a H2-receptor antagonist. The nurse should instruct
the client to wait at least 1 hr between taking ranitidine and taking an antacid.
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
D) Take 30 min before activities that trigger nausea - correct answer ✔✔C) Avoid activities that require
alertness
Loperamide, an opioid agonist, can cause sedation and dizziness. The nurse should instruct the client to
avoid taking it before activities that require alertness.
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 - correct answer ✔✔D) Prevents Straining
Docusate sodium, a stool softener, prevents straining during defecation and prevents the elevation in
blood pressure that can result from straining. It also helps relieve constipation and reduces the painful
elimination of hard stools.
A nurse is teaching a client who has a new prescription of sulfasalazine. Which of the following
statements should the nurse take?
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" - correct answer ✔✔A)
"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn"
Photosensitivity is a possible adverse effect of sulfasalazine that makes the skin sensitive to light. The
nurse should instruct the client to wear sunscreen and protective clothing when outdoors to prevent
burning.
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 require 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" - correct answer ✔✔A)
"Avoid driving or activities require alertness"
A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should
instruct the client to wait at least 1hr between taking ranitidine and which of the following over-the-
counter drugs?
A) Ginkgo Biloba
B) Antidiarrheals
C) St. John's Wort
D) Antacids - correct answer ✔✔D) Antacids
Antacids can decrease the absorption of ranitidine, a H2-receptor antagonist. The nurse should instruct
the client to wait at least 1 hr between taking ranitidine and taking an antacid.
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
D) Take 30 min before activities that trigger nausea - correct answer ✔✔C) Avoid activities that require
alertness
Loperamide, an opioid agonist, can cause sedation and dizziness. The nurse should instruct the client to
avoid taking it before activities that require alertness.
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 - correct answer ✔✔D) Prevents Straining
Docusate sodium, a stool softener, prevents straining during defecation and prevents the elevation in
blood pressure that can result from straining. It also helps relieve constipation and reduces the painful
elimination of hard stools.
A nurse is teaching a client who has a new prescription of sulfasalazine. Which of the following
statements should the nurse take?
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" - correct answer ✔✔A)
"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn"
Photosensitivity is a possible adverse effect of sulfasalazine that makes the skin sensitive to light. The
nurse should instruct the client to wear sunscreen and protective clothing when outdoors to prevent
burning.
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 require 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" - correct answer ✔✔A)
"Avoid driving or activities require alertness"
