Show Pharmacology Made Easy 4.0 Module: The Gastrointestinal System 1.A Nurse is planning for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include? “Avoid driving or activities requiring alertness. (correct) 2. A nurse should recognize that misoprostol (cytotec) is contraindicated for a client who has which of the following conditions? Positive Pregnancy test. Correct 3.A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron? The drug is prescribed to female clients who have IBS-D lasting more than 6 months. 4.A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client’s phosphorus levels when administering which of the following drugs? Aluminum hydroxide. (Correct). 5. A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? “Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn. 6.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? Prevents Straining. (correct) 7.A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? Inflammatory bowel disease. (Correct) 8. A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? Avoid activities that require alertness. (Correct) 9.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 tanitidine and which of the following over-the-counter drugs? Antacids. (correct) 10.A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (select all that apply) Skin integrity, Temperature and CBC. Correct 11.A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? Allopurinol delays the conversion of azathioprine and can lead to toxicity. 12.A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? Dizziness. (correct) 13.A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (Select all that apply). Take the drug with at least 8oz (237mL) of fluid, Increase fluid and fiber intake. (Correct). Which of the following drugs interacts with famotidine?Famotidine decreases stomach acid, so it may change how well these products work. Some affected products include atazanavir, dasatinib, delavirdine, certain azole antifungals (such as itraconazole, ketoconazole), levoketoconazole, pazopanib, among others.
What should be included in the client teaching for a client prescribed sulfasalazine?Take sulfasalazine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Swallow delayed-release tablets whole; do not crush or chew them. Drink plenty of fluids while taking sulfasalazine.
What are the therapeutic effects of Alosetron?Alosetron works by blocking the action of serotonin on the intestine. This reduces the cramping abdominal pain, abdominal discomfort, urgency (sudden need for a bowel movement), and diarrhea caused by IBS.
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