NURSING 6005 PHARM QUIZ 7 | GRADED

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NURSING 6005 PHARM QUIZ 7. QUIZ 7. Gastrointestinal and Hepatobiliary Disorders QUESTION 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 2. A. low in proteins. B. high in iron. C. low in sodium and potassium. D. low in sodium, high in potassium. 1 points QUESTION 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? 2. A. Mesalamine B. Lubiprostone C. Bismuth subsalicylate D. Docusate 1 points QUESTION 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? 2. A. Urine specific gravity B. Blood glucose level C. Aspartate transaminase levels D. Serum phosphate level 1 points QUESTION 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? 2. A. Fatigue B. Increased appetite C. Metallic taste D. Hair loss 1 points QUESTION 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? 2. A. Eculizumab (Soliris) B. Infliximab (Remicade) C. Muromonab-CD3 (Orthoclone OKT3) D. Tositumomab plus 131I (Bexxar) 1 points QUESTION 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? 2. 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 1 points QUESTION 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? 2. A. Increased abdominal pain and vomiting B. Anorexia C. Increased urine output D. Drug toxicity 1 points QUESTION 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? 2. 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 1 points QUESTION 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 2. A. headache. B. dry mouth. C. irritability. D. heart palpitations. 1 points QUESTION 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? 2. 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.” 1 points QUESTION 11 1. To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse will instruct the patient to take the medication 2. A. four times a day. B. once a day. C. every 2 hours. D. twice a day. 1 points QUESTION 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? 2. A. Bismuth subsalicylate B. A stimulant laxative C. A hyperosmotic laxative D. A bulk-forming (fiber) laxative 1 points QUESTION 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? 2. 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 1 points QUESTION 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? 2. A. Relief from symptoms B. Oncotic pressure in the colon C. Water levels in the colon D. Blood ammonia levels 1 points QUESTION 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? 2. 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. 1 points QUESTION 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? 2. A. Rheumatoid arthritis B. Glaucoma C. Diabetes mellitus D. Hypertension 1 points QUESTION 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 2. A. dizziness. B. muscle aches. C. bradycardia. D. increase in appetite. 1 points QUESTION 18 1. A nurse is assessing a female patient who is taking diphenoxylate HCl with atropine sulfate. Which of the following would lead the nurse to suspect that she is experiencing an allergic reaction? 2. A. Headache and lethargy B. Toxic megacolon C. Numbness of extremities D. Urticaria 1 points QUESTION 19 1. A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to 2. A. shellfish. B. pollen. C. pork. D. ragweed. 1 points QUESTION 20 1. A 48-year-old woman who works as an office manager is prescribed metoclopramide (Reglan) for diabetic gastroparesis. The nurse will be sure to assess the patient for 2. A. hypotension. B. depression. C. anemia. D. tachycardia. 1 points QUESTION 21 1. A patient with a long history of alcohol abuse has been admitted to an acute medical unit with signs and symptoms of hepatic encephalopathy. His current medication orders include QID doses of oral lactulose. What desired outcomes should the nurse associate with this drug order? 2. A. Patient will have three to four loose bowel movements each day. B. Patient will have formed bowel movements that do not contain frank or occult blood. C. Patient will express relief from constipation. D. Patient will express an understanding of his current bowel regimen. 1 points QUESTION 22 1. Prior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU is a cell cycle–specific chemotherapeutic agent. Which of the following statements best describes cell cycle–specific drugs? 2. A. They follow a specific sequence of cytotoxic events in order to achieve cell death. B. They affect cancerous cells and normal body cells in a similar manner. C. They achieve a synergistic effect when administered in combination with cell cycle–nonspecific drugs. D. They affect cancerous cells during a particular phase of cellular reproduction. 1 points QUESTION 23 1. A woman with an inflammatory skin disorder has begun taking prednisone in an effort to control the signs and symptoms of her disease. The nurse who is providing care for this patient should prioritize which of the following potential nursing diagnoses in the organization of the patient's care? 2. A. Impaired Gas Exchange B. Acute Confusion C. Fluid Volume Excess D. Constipation 1 points QUESTION 24 1. A patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient to 2. A. treat the diarrhea with OTC medications. B. notify the clinic if the stools are black or if there is evidence of blood. C. avoid protein-rich foods. D. avoid grapefruit and grapefruit juice. 1 points QUESTION 25 1. A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)? 2. A. Impaired cardiac function B. Breathlessness and hypotension C. Hyperthyroidism D. Constipation 1 points QUESTION 26 1. An adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient's risk of severe nausea, the nurse should 2. A. encourage the patient to request antiemetics if the nausea becomes unbearable. B. administer a combination of antiemetics prior to the administration of the drug. C. place the patient on a low-residue diet. D. ensure that the patient is NPO from midnight prior to receiving the drug. 1 points QUESTION 27 1. A 29-year-old female patient has been prescribed orlistat (Xenical) for morbid obesity. The nurse is providing patient education concerning the drug. An important instruction to the patient would be to 2. A. omit the dose if the meal does not contain protein. B. take orlistat in one dose at breakfast. C. take orlistat and multivitamins together. D. omit the dose if the meal does not contain fat. 1 points QUESTION 28 1. A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs? 2. A. Digoxin B. Morphine C. Levodopa D. Dicyclomine hydrochloride 1 points QUESTION 29 1. A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient? 2. A. “Take each dose of ranitidine with an antacid of your choice.” B. “Quitting smoking will significantly increase the chance that this drug will heal your ulcer.” C. “This drug will help to eliminate the bacteria in your stomach that caused your ulcer.” D. “You should eat several small meals each day rather than three larger meals.” 1 points QUESTION 30 1. A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important for the nurse to monitor which of the following during the first 72 hours of the initial treatment cycle? 2. A. Nausea and vomiting B. Cardiac events C. Myelosuppression D. White blood cell nadir 1 points QUESTION 31 1. A patient is taking cholestyramine. The nurse will assess for which of the following common adverse effects of the drug? 2. A. Indigestion B. Constipation C. Headache D. Abdominal pain 1 points QUESTION 32 1. A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? 2. A. Slight headache B. Diarrhea C. Nausea D. Bradycardia 1 points QUESTION 33 1. A clinic nurse is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? 2. A. Teach the patient to take omeprazole 1 hour before meals. B. Coordinate bone density testing for the patient. C. Monitor the patient for the development of diarrhea. D. Emphasize that the drug should not be crushed or chewed. 1 points QUESTION 34 1. A patient who is postoperative day one following a metatarsal amputation is experiencing nausea and vomiting. Consequently, the nurse has administered an intravenous dose of metoclopramide. This drug will relieve the patient's nausea by 2. A. raising the pH of the patient's gastric contents. B. stimulating the motility of the patient's upper GI tract. C. eradicating H. Pylori bacteria from the patient's stomach. D. blocking the effect of histamine at H2 receptors. 1 points QUESTION 35 1. A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, “I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all.” How should the nurse best respond to this patient's statement? 2. A. “Prilosec will help your heartburn but it's not designed to provide immediate relief of specific episodes of heartburn.” B. “Prilosec won't really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem.” C. “A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn.” D. “It could be that Prilosec isn't the right drug for you, so it would be best to talk this over with your care provider.” [Show More]

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