Deck 37: Drugs for Gastrointestinal Disorders

Question 1

The client receives sibutramine (Meridia). What will be a priority assessment by the nurse?

A) peripheral edema
B) blood pressure
C) urinary output
D) daily weight

Answer 1

blood pressure

Question 2

The client is scheduled for a "bowel prep" prior to surgery. What is a critical assessment of the nurse prior to administering the "bowel prep"?

A) the client's weight
B) the client's creatinine level
C) the client's blood pressure
D) the client's hemoglobin and hematocrit

Answer 2

the client's creatinine level

Question 3

The nurse is planning care for the client who experiences frequent constipation. What will the best plan of the nurse include? Select all that apply.

A) Increase daily physical exercise.
B) Increase dairy products in the diet.
C) Increase protein in the diet.
D) Increase dietary fibre in the diet.
E) Drink a glass of water every hour.

Answer 3

Increase daily physical exercise.
Increase dietary fibre in the diet.

Question 4

The nurse has completed medication education for the client who takes psyllium mucilloid (Metamucil). The nurse recognizes that additional teaching is indicated when the client makes which statement?

A) "This medication is a lot more natural than other laxatives."
B) "My cholesterol level will be reduced somewhat with this medication."
C) "This medication takes several days to work."
D) "I don't need to drink extra fluids while I take this medication."

Question 5

The nurse teaches a group of young mothers the ABCs as a treatment of diarrhea for young children. What is the best information to include?

A) Give your child apples, bananas, and cantaloupe.
B) Give your child apricots, bananas, and carrots.
C) Give your child apples, bananas, and carrots.
D) Give your child apples, bread, and carrots.

Question 6

The physician has prescribed orlistat (Xenical) for the obese client. The nurse knows the client has been eating too much fatty food in her diet when she reports which adverse effect?

A) oily stools
B) foul -smelling stools
C) constipation
D) white stools

Question 7

The nursing instructor is teaching student nurses about lower gastrointestinal (GI) functioning and the large intestine. The nursing instructor evaluates learning has occurred when the students make which statement?

A) "Food travels through the large intestine for 3 to 6 hours."
B) "The large intestine contains host flora that manufacture vitamin E."
C) "The large intestine absorbs most of the nutrients from food."
D) "The large intestine absorbs water and eliminates stool."

Question 8

The client receives prochlorperazine (Stemetil) for nausea and vomiting. The nurse notices that the client is exhibiting a stiff neck, turned to the side. What is the best action by the nurse?

A) Contact the physician immediately.
B) Administer benztropine (Apo-Benztropine) IM immediately.
C) Ask the client if she has ever experienced this before.
D) Hold the next dose and observe the client.

Question 9

The nurse designs a teaching plan for the client with chronic pancreatitis who receives pancrelipase (Pancrease). What will the best plan of the nurse include as it relates to the rationale for the client to receive this drug?

A) "These enzymes promote digestion of starches and fats."
B) "These enzymes will help promote healing of your pancreas."
C) "These enzymes replace what your ineffective pancreas cannot make."
D) "These enzymes will help digest all of the food you eat."

Question 10

The client is scheduled for bowel surgery. What medications are appropriate for the "bowel prep"? Select all that apply.

A) bisacodyl (Ducolax)
B) tap -water enema
C) docusate sodium (Colace)
D) glycerin suppository
E) sodium phosphate (Fleet Phospho -Soda)

Question 11

Which client is most at risk to develop constipation?

A) the young client in the hospital for an appendectomy
B) the pediatric client who takes antibiotics for ear infections
C) the elderly client who uses mineral oil
D) the middle -aged client who uses an enema when he travels

Question 12

The client takes diphenoxylate with atropine (Lomotil) for diarrhea. The client asks the nurse why he does not experience pain relief since this drug is an opioid. What is the best response by the nurse?

A) "It does provide some relief from the pain associated with diarrhea."
B) "You would really have to take a lot to experience pain relief."
C) "This drug is not an opioid; did your doctor tell you that?"
D) "Because this opioid does not have analgesic properties."

Question 13

The client has been vomiting for several days. What will the best assessment of the nurse include?

A) metabolic acidosis
B) respiratory acidosis
C) metabolic alkalosis
D) respiratory alkalosis

Question 14

The client takes a stool softener on a regular basis and now reports a change in bowel patterns. Which assessment data would the nurse report to the physician?

A) an increase in bowel frequency
B) cramping with each stool passed
C) stools that are smaller in size
D) a decrease in bowel frequency

Question 15

The elderly client has constipation. He asks the nurse the reason for this. What is the best response by the nurse?

A) "You could have a serious illness, and should check with your doctor."
B) "You probably drink too much alcohol, and end up constipated."
C) "Your large intestine is old and does not work as well as it used to."
D) "You don't eat enough fibre, so the stool stays in your intestine too long."