Question 1

A client has had diarrhea for 36 hours. The healthcare provider orders diphenoxylate with atropine (Lomotil). The nurse should contact the physician if the client has a history of:

Accepted Answer

The atropine would cause dilation of the pupils, which would further increase the intraocular pressure of glaucoma.

Question 2

The client has been prescribed an antihistamine anticholinergic medication. The nurse anticipates that the client will need a teaching plan regarding management of:

Accepted Answer

Antihistamine anticholinergics typically cause drowsiness and dry mouth.

Question 3

A nurse is teaching caregivers about syrup of ipecac. Caregiver teaching includes the need to observe for vomiting in response to the ipecac within _____ minutes.

Accepted Answer

Onset of emesis after ingestion of Ipecac is 15 to 30 minutes.

Question 4

The client has been started on a treatment regimen that includes psyllium. The most important instruction that the nurse can give the client regarding preparation of the dose is to mix the dosage in _____ ounces of water and follow it with _____ ounces of water.

Accepted Answer

The dosage of psyllium consists of 1 to 2 teaspoons in 8 ounces of water, and it should be followed with 8 ounces of water.

Question 5

The client will be taking scopolamine (Transderm-Scop) in his home setting for prevention of motion sickness. In teaching the client how to properly administer the medication, what is the nurse's highest priority instruction?

Accepted Answer

The patch should be applied behind the ear at least 4 hours before the expected journey. Only one patch should be worn at a time; hands should be washed after application; and the patch maintains effectiveness for only 3 days.

Question 6

What is the highest priority health teaching for a client who has taken an antidiarrheal medication?

Accepted Answer

Many of the antidiarrheals cause sedation and therefore require monitoring.

Question 7

Clients who are traveling abroad will ask how to avoid "traveler's diarrhea." What suggestion should be offered?

Accepted Answer

Bacteria is filtered and removed out of bottled water.

Question 8

The client takes Metamucil at 9:00 PM. She should expect the onset of action of the drug at between ________ the next day.

Accepted Answer

Onset of action for Metamucil is between 10 and 24 hours.

Question 9

The client has been ordered to be treated with Lomotil. She tells the nurse that she takes antihistamines for treatment of seasonal allergies. The best response from the nurse is that the combination of Lomotil and antihistamines can:

Accepted Answer

The combination of Lomotil and antihistamines can result CNS depression.

Question 10

The client has been started on a regimen that includes bisacodyl. The nurse notes that she has developed hypokalemia. The highest priority nursing intervention is to call the physician because this is _____ the medication.

Accepted Answer

Hypokalemia is considered an adverse reaction to bisacodyl.

Question 11

A school nurse is preparing to administer syrup of ipecac after an ingestion of a noncaustic substance. The label instructs the nurse that the ipecac should be mixed in a glass of:

Accepted Answer

Dilution with water allows for more ready administration of the ipecac.

Question 12

The client is being treated with FiberCon. The highest priority instruction that the nurse should give the client regarding administration of the medication is to:

Accepted Answer

FiberCon should be chewed and followed with a full glass of water.

Question 13

A client has been ordered a phenothiazine medication as part of his treatment regimen for a psychiatric disorder. Because he is taking the medication for this purpose, the nurse will prepare a dosage of medication that is:

Accepted Answer

The client will usually take a dose of the medication that is larger when it is prescribed for treatment of a psychiatric disorder.

Question 14

The nurse is concerned about the client's loss of fluids and electrolytes because of diarrhea. The best dietary recommendation that the nurse can give is for the client's diet to include which foods or drinks?

Accepted Answer

These drinks provide needed electrolytes along with the needed fluid.

Question 15

The client is taking GoLYTELY in preparation for a GI examination. What is the highest priority instruction that the nurse can give the client in preparing to take the medication?

Accepted Answer

Fasting for 3 to 4 hours is required in preparation for a GI examination and as GoLYTELY is taken.

Question 16

Which child would not be a candidate for treatment with syrup of ipecac?

Accepted Answer

Bleach is a caustic substance and should not be reintroduced to the esophagus during emesis.

Question 17

The client has been ordered Marinol for chemotherapy-induced nausea. In planning the dosage schedule for the drug, the nurse recognizes that the medication will be administered:

Accepted Answer

In order to prevent nausea caused by chemotherapy, Marinol should be given both before and after the chemotherapeutic agent is given.

Question 18

The client is planning a lengthy trip by automobile. She plans to leave her home at 8:00 AM. When should she plan to take her dimenhydrinate (Dramamine) to prevent motion sickness?

Accepted Answer

Motion sickness medication has its onset in 30 minutes.

Question 19

The client has been ordered to be treated with Phenergan. Which aspect of the client's medical history would cause the nurse to notify the physician?

Accepted Answer

Phenergan should be administered with caution to a client who has a history of hypertension.

Question 20

The client has been ordered to be treated with Lomotil. He is also being treated with an MAO inhibitor drug. Because of this combination of medications, the nurse must be vigilant in monitoring:

Accepted Answer

The combination of Lomotil and an MAO inhibitor drug can enhance the possibility of a hypertensive crisis.

Quiz 47: Drugs for Gastrointestinal Tract Disorders

A client has had diarrhea for 36 hours. The healthcare provider orders diphenoxylate with atropine (Lomotil) . The nurse should contact the physician if the client has a history of: