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WorksheetsPharmacology Unit 7 CH 38 & 39- Upper & Lower GI drugs
Total questions: 20
Worksheet time: 24mins
A patient is prescribed an aluminum-containing antacid for hyperacidity. The nurse should inform the patient about which possible adverse effect?
Dizziness
Flatulence
Constipation
Muscle twitching
How does sucralfate achieve a therapeutic effect?
By neutralizing the pH of gastric acid
By enhancing gastric acid absorption
By inhibiting gastric acid secretion
By forming a protective barrier over the gastric mucosal lining
Which is an example of an H2 receptor antagonist?
sucralfate
famotidine
metoclopramide
lansoprazole
What is an effective treatment for a postoperative patient who has gaseous distention?
ranitidine
sucralfate
omeprazole
simethicone
The client diagnosed with CAD is prescribed atorvastatin (Lipitor). Which statement by the client warrants the nurse notifying the provider?
"I really haven't changed my diet much, but I am taking my medication every day"
"I am feeling pretty good except I am having muscle aches all over my body"
"I am swimming at the local pool about three times a week for 30 minutes"
"I am taking this medication in the evening, around 6 pm."
The nurse is preparing to administer clopidogrel (Plavix) to the client with coronary artery disease. The client asks the nurse, "Why am I getting this medication?" Which statement by the nurse is most appropriate?
"It will help decrease your chance of developing a deep vein thrombosis, which is a clot in the deep veins of the legs."
"Plavix will help decrease your LDL cholesterol levels in about 1 month"
"This medication will help prevent your blood from clotting in the arteries"
"This medication will help decrease your blood pressure if you take it daily"
The home health nurse is caring for a client diagnosed with CHF who has been prescribed the cardiac glycoside digoxin (Lanoxin) and the loop diuretic furosemide (Lasix). Which statements by the client indicate the medications are effective? (Select all that apply).
"I am able to walk next door now without being short of breath."
"I keep my feet propped up as much as I can during the day."
"I have not gained any weight since my last doctor's visit."
"My ankles aren't as swollen as they used to be."
"I am staying on my diet, and I don't salt my foods anymore."
The client who has been exhibiting the following telemetry reading for the last 6 months is being discharged. Which instruction will the nurse discuss with the client?
The importance of monitoring the client's urinary output
The need to monitor PTT level while taking aspirin
Dietary restrictions while taking the anticoagulant warfarin (Coumadin)
The importance of measuring a daily weight.
The client has had a total right hip replacement. Which medication should the nurse anticipate the HCP prescribing?
The oral anticoagulant warfarin (Coumadin)
The intravenous anticoagulant heparin
The intravenous thrombolytic alteplase (Activase)
The subcutaneous low-molecular-weight heparin, enoxaparin (Lovenox)
Which statement is the scientific rationale for administering a proton-pump-inhibitor (PPI) to a client diagnosed with gastrointestinal reflux disease (GERD)?
PPI medications neutralize the gastric secretions
PPI medications block H2 receptors on the parietal cells
PPI medications inhibit the enzyme that generates gastric acid
PPI medications form a protective barrier that protects the stomach lining against acid and pepsin
The nurse is administering medications to clients on an orthopedic unit. Which medication should the nurse question?
Ibuprofen (Motrin) to a client with mild back pain and a history of gastric ulcers
Morphine to a client with back pain rated as 8/10
Methocarbamol (Robaxin), a muscle relaxant, to a client with chronic back pain and spasms.
hydrocodone/acetaminophen (Vicodin) to a client with moderate back pain
Your client is complaining of nausea and dry heaves, which of the following drugs from the MAR would you select to administer?
sulcralfate
calcium carbonate
docusate sodium
ondansetron
omeprazole
Your client has decreased peristalis which results in gastric stasis. Which of the following drugs would help with gastric motility?
promethazine
metoclopramide
bisacodyl
psyllium
simethicone
Which of the following drugs is an antidiarrheal agent? SELECT ALL THAT APPLY
psyllium
mineral oil
docusate sodium
loperamide
bismuth subsalicylate
Which of the following are potential adverse effects of laxatives?
dependence- needs to take laxative to have a BM
loose stools
flatulence
abd distention & cramping
hyperkalemia
Which position should a client be in when performing a saline laxative, such as Fleet's enema?
lithotomy or dorsal recumbant
prone
squatting
left side-lying or Sim's position
Which of the following drugs is a Histamine H2 Antagonist?
ondansetron
scopalamine
ranitidine
sucralfate
aluminum hydroxide
Which of the following is a bulk-forming laxative?
saline laxative (Fleets) enema
docusate sodium
sennosides
psyllium
Which of the following drugs may cause constipation as an adverse effect? SELECT ALL THAT APPLY
oxycodone/acetaminophen
polyethylene glycol
diphenoxylate with atropine
calcium carbonate
omeprazole
