NCLEX Prep II Gastrointestinal Medications Exam (Latest Update) Questions and Answers with Rationales (GRADED A)

Document Content and Description Below

NCLEX Prep II Gastrointestinal Medications Exam (Latest Update) Questions and Answers with Rationales (GRADED A) The nurse is administering senna to an older client. What is the expected result o... f this medication? 1. It increases peristalsis. 2. It lines the wall of the bowel. 3. It adds fiber and bulk to the stool. 4. It stimulates the vagus nerve to improve bowel tone. It increases peristalsis. Rationale:Senna works by altering the transport of water and electrolytes in the large intestine, which causes accumulation of water in the mass of stool and increased peristalsis. The other options are incorrect actions for this medication. We have an expert-written solution to this problem! The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction? 1."I will continue taking vitamin supplements." 2."This medication will help to lower my cholesterol." 3."This medication should only be taken with water." 4."A high-fiber diet is important while taking this medication." "This medication should only be taken with water." Rationale: Cholestyramine is a bile acid sequestrant used to lower the cholesterol level, and client compliance is a problem because of its taste and palatability. The use of flavored products or fruit juices can improve the taste. Some side effects of bile acid sequestrants include constipation and decreased vitamin absorption. A client admitted to the medical nursing unit has a diagnosis of gastroesophageal reflux disease (GERD). Metoclopramide has been prescribed 4 times a day. When should the nurse schedule administration of the medication? 1.Every 8 hours 2.With meals and at bedtime 3.Right after meals and at bedtime 4.30 minutes before meals and at bedtime 30 minutes before meals and at bedtime Rationale: Metoclopramide is a gastrointestinal stimulant. Administration should be scheduled 30 minutes before meals and at bedtime to allow the medication time to begin working before food intake and digestion. The other options are incorrect. A client taking an oral laxative wants to obtain a rapid effect from the medication. How should the nurse instruct the client to take the medication? 1.At bedtime 2.With breakfast 3.With the noon meal 4.On an empty stomach On an empty stomach Rationale: Most rapid results from an oral laxative occur when it is taken on an empty stomach. If taken at bedtime, the client will have a bowel movement in the morning. It will not have a rapid effect if taken with a meal. A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? 1.Constipation 2.Abdominal pain 3.An episode of diarrhea 4.Hematest-positive nasogastric tube drainage An episode of diarrhea Rationale: Loperamide is an antidiarrheal agent. It is used to manage acute and chronic diarrhea in conditions such as inflammatory bowel disease. Loperamide also can be used to reduce the volume of drainage from an ileostomy. It is not used for the conditions in options 1, 2, and 4. We have an expert-written solution to this problem! The client with peptic ulcer disease is prescribed medication therapy. The nurse explains the medications to the client and explains that sucralfate will help to heal the ulcer by doing what? [Show More]

Last updated: 10 months ago

Preview 5 out of 54 pages