Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
32 Cards in this Set
- Front
- Back
|
Which of the following drugs is used to decrease gas production? a. Magnesium hydroxide b. simethicone (Mylicon) c. diphenoxylate HCl (Lomotil) d. docusate (Colace) |
B |
|
|
Which of these statements concerning the adverse effects of simethicone (Mylicon) is accurate? a. There are no potential adverse effects to its use b. There are a few potential adverse effects, but they are minor c. There are many potential adverse effects, but they are minor d. There are a few potential adverse effects, and they are serious |
a |
|
|
Which of the following drugs are used in the treatment of diarrhea? (Mark all that apply) a. Magnesium hydroxide (Milk of Magnesia) b. Loperamide (Imodium) c. Kaolin d. Diphenoxylate HCl (Lomotil) |
BCD |
|
|
Diphenoxylate (Lomotil) works by a. decreasing the absorption of fats and carbohydrates. b. increasing the water absorption from the bowel. c. slowing intestinal motility and prolonging intestinal transit time. d. decreasing water absorption from the bowel. |
C |
|
|
Administration of diphenoxylate (Lomotil) to a patient with diarrhea caused by bacteria may result in a. impaction. b. prolongation of symptoms. c. headache. d. no known interaction. |
B |
|
|
Magnesium hydroxide (Milk of Magnesia) works by a. increasing the bulk of fecal material. b. stimulating peristalsis of the bowel. c. softening the stool for easy passage. d. retaining water in the intestinal lumen to increase pressure. |
D
|
|
|
Potential adverse effects of long-term or high dose magnesium hydroxide (Milk of Magnesia) therapy include a. headaches. b. sedation. c. electrolyte imbalance. d. peptic ulcer. |
C
|
|
|
Which of the following laxatives may also be used in the treatment of hepatic coma? a. Magnesium hydroxide (Milk of Magnesia) b. Polyethylene glycol-electrolyte solution c. Lactulose (Cephulac) d. Bisacodyl (Dulcolax) |
C
|
|
|
What adverse effect is associated with long-term use of lubricant laxatives? a. Headache b. Hypertension c. Decreased absorption of fat-soluble vitamins d. Decreased absorption of fat and cholesterol |
C
|
|
|
Alosetron (Lotronex) is used for patients with irritable bowel syndrome (IBS) who have (Mark all that apply) a. not experienced response to other modalities. b. any degree of intermittent constipation. c. frequent bowel urgency. d. decreased absorption of fat and choles-terol. e. fecal incontinence. |
ACE
|
|
|
What common adverse effect is associated with alosetron (Lotronex)? a. Headache b. Hypertension c. Constipation d. Diarrhea |
C
|
|
|
Your patient is prescribed simethicone ( Mylicon) as needed for atus. Patient teaching should include instructions to a. smash the tablet and place it in food. b. chew the tablet thoroughly. c. take the medication only at bedtime. d. allow the suspension to separate before taking. |
B
|
|
|
Your patient has diarrhea and is taking diphenoxylate (Lomotil). The patient also has a seizure disorder and is prescribed phenobarbital. You should monitor this patient for a. increased sedation. b. profound nausea. c. abdominal discomfort. d. headache. |
A
|
|
|
Which of the following patients would have a high risk for atropine toxicity when taking diphenoxylate (Lomotil)? a. Lisa, with a history of migraine headache b. Susan, with Down syndrome c. Allison, with ulcerative colitis d. Francine, with peptic ulcer disease |
B
|
|
|
Your 35-year-old patient is hospitalized for diarrhea and dehydration and prescribed diphenoxylate (Lomotil). After reviewing the patient’s medical history, you note the patient has been taking nardil, a monoamine oxidase inhibitor. You should monitor this patient for a. tachycardia. b. hypertension. c. fever. d. blood dyscrasias. |
B
|
|
|
Your patient has frequent constipation and takes magnesium hydroxide (Milk of Magnesia). In addition, the patient takes theophylline (Theo-Dur), beclomethasone (Beclovent), and phenytoin (Dilantin). This patient should be monitored for a. exacerbation of asthma symptoms. b. theophylline toxicity. c. seizure activity. d. diarrhea. |
C
|
|
|
Which of the following patients should refrain from using psyllium, a bulk-forming laxative, for constipation? a. Julie, with a mental health disorder b. Adam, with asthma c. Tom, with benign prostatic hypertrophy d. Dixie, with chronic heart failure (CHF) |
D
|
|
|
Your patient states, “I have constipation all the time. What type of laxative should I take?” a. Bulk-forming b. Saline c. Stimulant d. Lubricant |
A
|
|
|
Your 17-year-old patient has irritable bowel syndrome (IBS). Which of the following drugs would you anticipate administering to this patient? a. simethicone (Mylicon) b. magnesium hydroxide (Milk of Magnesia) c. dicyclomine (Bentyl) d. Kaolin |
C
|
|
|
Your patient has severe IBS and is prescribed alosetron (Lotronex). Before administering the drug, you should assess the most recent a. complete blood count. b. electrolyte balance. c. liver function test. d. cholesterol level. |
C
|
|
|
Your patient has IBS and scheduled to start certolizumab therapy. Patient teaching must include which of the following? a. Decrease the intake of green leafy vegetables b. Limit exposure to large crowds c. Take acetaminophen (Tylenol) for head-aches d. Take the medication with at least 8 ounces of water |
B
|
|
|
The nurse should assess the patient receiving mesalamine (Asacol) for adverse effects which include (Mark all that apply) a. constipation b. atulence c. headache d. abdominal pain |
BCD
|
|
|
A postoperative patient is receiving alvimo-pan (Entereg). What therapeutic response do you anticipate? a. Decreased vomiting b. Decreased diarrhea c. Normal bowel evacuation d. Increased nausea |
C
|
|
|
Which of the following should be included in patient education for simethicone, an anti-atulent? a. Chew tablets before swallowing. b. Administer before meals or 2 hours after meals c. Increase dietary intake of cabbage, cucum-bers, and onions. d. Decreased belching is expected |
A
|
|
|
Your patient is a 10-year-old child being treated with diphenoxylate HCl with atropine sulfate for severe diarrhea. At the beginning of your shift, you, the nurse, perform a physical assess-ment of this patient. You note the following ndings—temperature, 100°F orally; pulse, 110 bpm; respirations, 24/ minute. Suprapubic distention is noted, with tenderness to palpa-tion. No urine output for 8 hours is recorded. Stools have decreased in frequency but still are loose. The patient is due for another dose of diphenoxylate HCl with atropine sulfate. How should you act based on these ndings? a. Administer another dose of diphenoxylate HCl with atropine sulfate. b. Administer another dose of diphenoxylate HCl with atropine sulfate, acetaminophen (Tylenol), and extra uids. c. Hold the next dose of diphenoxylate HCl with atropine sulfate and place an indwell-ing catheter in the patient to drain her bladder. d. Hold the next dose of diphenoxylate HCl with atropine sulfate and contact the doctor. |
D
|
|
|
Your patient with liver failure and hepatic encephalopathy receives lactulose 30 ml twice a day. The nursing assistant reports to you, the nurse, that he has very soft stools once or twice a day. The best action of the nurse would be to a. continue the lactulose per order and con-tinue to assess bowel function. b. request the doctor to increase the daily dose of the lactulose. c. hold the lactulose doses until the stools are rm. d. request the doctor order an anti diarrheal. |
A
|
|
|
You are caring for a 75-year-old patient who reports frequent constipation. The patient asks if he should take magnesium sulfate every day to prevent constipation. Which of the follow-ing would be the best nursing response? a. “Yes, this will help you be regular in bowel patterns.” b. “Yes, the extra magnesium will correct any dietary deciencies.” c. “No, magnesium sulfate is not intended for long-term use.” d. “No, magnesium sulfate has only antacid effects.” |
C
|
|
|
Your patient has been ordered polyethylene glycol-electrolyte solution, also known as PEG-ES (GoLYTELY), before an x-ray of the lower GI tract. Teaching related to this drug therapy should include that PEG-ES will a. prevent constipation after the x-ray. b. induce diarrhea. c. stop diarrhea. d. reduce blood ammonia levels. |
B
|
|
|
Which of the following patients should not receive multiple doses of magnesium hydroxide for severe constipation? a. Paul, 50 years old who is post operative for lung cancer b. Gina, 18 years old and postpartum c. Ai Ly, 80 years old with severe hyperglycemia d. Dominick, 35 year old with renal failure |
D
|
|
|
Your patient is to receive alvimopan to treat a postoperative paralytic ileus. As the nurse you know it is important to a. monitor BUN and creatinine b. keep track of the cumulative doses received c. encourage oral uid intake d. monitor liver enzymes |
B
|
|
|
Patient education for alosetron should include a. that serious complications from constipation may occur b. that the Medication Guide which accompanies each prescription be read each time a prescription is lled c. encourage at least 2000 cc of uid intake daily d. All of the above e. None of the above |
D
|
|
|
Mesalamine has just been prescribed to your patient who has ulcerative colitis. Which of the following facts, learned from reviewing the medical record and assessing the patient, should be reported to the doctor at once? a. The patient has bouts of bloody diarrhea b. The patient is allergic to aspirin c. The patient also receives glucocorticoid steroids d. The patient is 50 years old |
B
|
