pharm unit 2 (Endocrine and GI meds)
Quiz by Kaelyn Kessel
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- Q1
A client is prescribed with Omeprazole (Prilosec). The nurse determines that the client is receiving its therapeutic effect if which of the following is stated by the client:
Relief of nausea and vomiting.
Decrease diarrheal episodes.
Relief from GERD.
The absence of constipation.
30s - Q2
A client has been given Loperamide hydrochloride (Imodium). Which of the following situation is the medication indicated to?
Bloody Diarrhea
Acute dysentery.
Patients with an ileostomy.
Abdominal pain
30s - Q3
A client has been given Ondansetron (Zofran). For which condition should the nurse administer this medication to the postoperative patient?
Abdominal infection
Vomiting
Atelectasis
Incisional pain
30s - Q4
What is the priority nursing intervention for a client receiving an antiemetic?
Keep items far away from the bed.
Keep bed in low position with side rails up.
Give the client privacy by letting him walking around the room.
Monitor intake and output.
30s - Q5
Which of the following condition can you safely administer Metoclopramide (Reglan)?
Patients with pheochromocytoma.
Patient with bowel obstruction
Patient with gastrointestinal hemorrhage
Patient undergoing radiation.
30s - Q6
A nurse is giving discharge instructions to a client who is receiving a bulk-forming laxative as part of the home medications. All of which is an example of bulk-forming laxative?
Psyllium (Metamucil)
Docusate Sodium (Colace)
Magnesium hydroxide (MOM)
Polyethylene glycol (miralax)
30s - Q7
Which statement by the patient indicates that further teaching is needed about antiemetic medication?
"I will not drive while I am taking these medications because they may cause drowsiness."
"I may take Tylenol to treat the headache caused by ondansetron (Zofran)."
"I will apply the scopolamine patches to rotating sites on my upper arms."
"I should take my prescribed antiemetic before receiving my chemotherapy dose and continue afterwards."
30s - Q8
The nurse is administering loperamide (Imodium) to a patient with diarrhea. What assessment is essential for the nurse to perform?
Vascular assessment
Hourly blood pressure measurements
Intake and output every shift
Gastric assessment
30s - Q9
What instruction is most important for the nurse to teach a patient who is taking an anticholinergic agent to treat nausea and vomiting?
"Check your heart rate and call the health care provider if it gets below 50 beats/min."
"Brush your teeth and gargle to help with dryness in your mouth."
"Do not take more than two doses of this medication."
"Assess your stools for dark streaks."
30s - Q10
Which assessment is most important for the patient who is taking stimulant laxatives?
Monitor signs and symptoms of fluid and electrolyte imbalance.
Monitor bowel elimination daily.
Monitor intake and output.
Monitor heart rate and blood pressure every 4 hours.
30s - Q11
The health care provider prescribes lansoprazole (Prevacid) for a patient. Which assessment indicates to the nurse that the medication has had a therapeutic effect?
The patient has no esophageal pain.
The patient has no gastric pain.
The patient has no diarrhea.
The patient is able to eat
30s - Q12
The health care provider has prescribed lansoprazole (Prevacid) for the patient. Within 30 minutes of receiving the first dose of the medication, the patient experiences shortness of breath and develops a rash on his skin. What does the nurse expect that the patient is experiencing?
Toxic level of the medication
Allergic reaction to the medication
Unexpected side effect of the medication
Typical side effect of the medication
30s - Q13
Which statement demonstrates to the nurse that the patient understands instructions regarding the use of histamine2-receptor antagonists?
"Since I am taking this medication, it is all right for me to eat spicy foods."
"I should take this medication 1 hour after each meal to decrease gastric acidity."
"I should decrease bulk and fluids in my diet to prevent diarrhea."
"Smoking decreases the effects of the medication, so I should try a cessation program."
30s - Q14
A patient who is prescribed a bisacodyl (Dulcolax) suppository. Which explanation will the nurse use to explain the action of bisacodyl?
Absorbs water into the intestines to increase bulk and peristalsis
Lowers surface tension and increases water in the feces to increase bulk
Pulls salt into the colon and increases water in the feces to increase bulk
Acts on smooth intestinal muscle to gently increase peristalsis
30s - Q15
A patient is using scopolamine (Transderm-Scop) to prevent motion sickness. About which common side effect should the nurse teach the patient?
Diarrhea
Vomiting
Dry mouth
Insomnia
30s