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WorksheetsPharm GI/GU/Repro: Post-Review Assessment
Total questions: 15
Worksheet time: 8mins
An older adult client taking oxycodone for cancer pain is prescribed docusate sodium. Which therapeutic outcome indicates the medication is effective?
Decreased abdominal cramping
Passage of soft stool without straining
Increased bowel sounds
Reduced nausea
A nurse should question an order for loperamide for which client?
Client with acute traveler’s diarrhea
Client with irritable bowel syndrome
Client with bloody diarrhea and fever
Client with mild dehydration
Which instruction is most important to include when teaching a client prescribed sucralfate?
Take with meals to prevent stomach upset
Take at the same time as other medications
Take 1 hour before meals and at bedtime
Limit fluid intake while taking this medication
A client with GERD has been taking omeprazole for several months. Which assessment finding requires follow-up?
Improved heartburn symptoms
Reports of occasional headache
History of osteoporosis
Takes medication before breakfast
Which medication is most appropriate for a client with diabetic gastroparesis?
Ondansetron
Famotidine
Metoclopramide
Loperamide
A nurse monitors a client taking metoclopramide for which priority adverse effect?
Urinary retention
Extrapyramidal symptoms
Bradycardia
Hypotension
Which medication requires the nurse to monitor for QT prolongation?
Famotidine
Magnesium hydroxide
Ondansetron
Polyethylene glycol
A client with ulcerative colitis is prescribed sulfasalazine. Which teaching is appropriate?
Avoid foods high in potassium
Wear sunscreen when outdoors
Take on an empty stomach
Expect black, tarry stools
Which finding is a contraindication to hormone replacement therapy with conjugated equine estrogen?
Hot flashes
Family history of osteoporosis
History of deep vein thrombosis
Night sweats
A nurse is reinforcing teaching for ethinyl estradiol and drospirenone. Which statement by the client indicates understanding?
I can smoke as long as I exercise regularly.
I will take this medication at the same time every day.
If I miss a dose, I should stop taking it.
This medication prevents pregnancy by killing sperm.
A client taking sildenafil reports chest pain and states they used nitroglycerin earlier. What is the nurse’s priority action?
Document the finding
Instruct the client to rest
Notify the provider immediately
Encourage fluid intake
Which teaching is most important for a client starting tamsulosin?
Increase fluid intake
Take the medication at bedtime only
Change positions slowly
Expect immediate symptom relief
A client prescribed finasteride for BPH should be informed that:
Effects are immediate
PSA levels may decrease
The medication is taken PRN
Urinary output will increase within 24 hours
Which adverse effect should the nurse monitor for in a client taking oxybutynin?
Diarrhea
Excess salivation
Blurred vision
Increased urinary frequency
A nurse should withhold magnesium hydroxide and notify the provider if the client reports:
Loose stools
Mild heartburn
Severe undiagnosed abdominal pain
Increased thirst
