Questions and Answers
What should a nurse include when teaching a client prescribed loperamide?
Which condition contraindicates the use of misoprostol?
A positive pregnancy test
What information should the nurse provide about alosetron?
The drug is prescribed to female clients who have IBS-D lasting more than six months
Which drug requires monitoring of phosphorus levels in clients with peptic ulcer disease?
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What should a nurse advise a client taking sulfasalazine?
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What therapeutic effect does docusate sodium provide?
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For which condition should diphenoxylate/atropine be used with caution?
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When should a client take ranitidine after antacids?
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To identify an adverse drug reaction when administering sulfasalazine, which data should the nurse collect?
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Why should a nurse clarify prescriptions for allopurinol and azathioprine?
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What is a common adverse effect of ondansetron?
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What instructions should a nurse provide to a client starting psyllium for constipation?
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When administering ondansetron to a chemotherapy patient, what should the nurse do?
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What manifestation should a client with renal impairment report when taking cimetidine?
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What indicates effective alosetron therapy?
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Which adverse effect should a client on alosetron report?
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What adverse reaction can lubiprostone cause?
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What condition should a client starting methotrexate monitor for?
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For which condition is sulfasalazine contraindicated?
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Which drug interacts with ranitidine?
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What should be included in the teaching for a client taking dimenhydrinate?
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Which drug requires clients to meet specific risk management criteria before administration?
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Why should phenytoin and sucralfate be taken at least 2 hours apart?
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What instruction should be given for taking omeprazole?
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Study Notes
Loperamide and Diarrhea
- Loperamide is used to treat diarrhea; patients should avoid driving or activities that require alertness while taking it.
Misoprostol Contraindications
- Misoprostol is contraindicated in patients with a positive pregnancy test.
Alosetron for IBS-D
- Alosetron is prescribed for female patients with irritable bowel syndrome with diarrhea (IBS-D) lasting longer than six months.
Monitoring with Aluminum Hydroxide
- Patients with peptic ulcer disease should have phosphorus levels monitored when receiving aluminum hydroxide.
Sulfasalazine Instructions
- Patients taking sulfasalazine should use sunscreen and wear protective clothing to prevent sunburn.
Docusate Sodium Effects
- Docusate sodium is prescribed to prevent straining during bowel movements, particularly after myocardial infarction.
Caution with Diphenoxylate/Atropine
- Diphenoxylate/atropine should be used cautiously in patients with inflammatory bowel disease.
Ranitidine Administration
- For GERD treatment, instruct patients to wait at least one hour after taking antacids before taking ranitidine.
Adverse Effects of Ondansetron
- A potential adverse effect of ondansetron is dizziness.
Psyllium Administration
- Advise patients to take psyllium with at least 8 oz (237 mL) of fluid and to increase fluid and fiber intake.
Ondansetron and Chemotherapy
- Infuse ondansetron 30 minutes prior to chemotherapy, slowly over 15 minutes, and consider repeating the dose four hours after chemotherapy.
Cimetidine and Renal Impairment
- Patients with renal impairment taking cimetidine should report lethargy as a potential side effect.
Evaluating Alosetron Effectiveness
- Effectiveness of alosetron is indicated by the patient reporting one formed stool per day.
Reporting Alosetron Adverse Effects
- Patients using alosetron should report abdominal pain as a possible adverse effect.
Lubiprostone and Nausea
- Lubiprostone can cause nausea, which should be monitored by the patient.
Methotrexate and Gout Monitoring
- Patients on methotrexate should monitor for manifestations of gout.
Sulfasalazine Contraindications
- Sulfasalazine is contraindicated in individuals with aspirin sensitivity.
Ranitidine Drug Interactions
- Ranitidine can interact with ketoconazole, which should be monitored.
Dimenhydrinate for Motion Sickness
- Dimenhydrinate should be taken 30-60 minutes before activities that induce nausea; patients should also avoid activities requiring alertness and increase fluid and fiber intake.
Alosetron Risk Management
- Administering alosetron requires clients to meet specific risk management criteria and sign a treatment agreement.
Phenytoin and Sucralfate Administration
- Phenytoin and sucralfate should be taken at least 2 hours apart to prevent absorption interference of phenytoin by sucralfate.
Omeprazole Instructions
- Patients prescribed omeprazole should be instructed to swallow the capsule whole without chewing or breaking.
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Description
Test your knowledge on various gastrointestinal medications including loperamide, misoprostol, and others. This quiz covers important contraindications, monitoring requirements, and patient instructions for these drugs. Perfect for students in pharmacology or healthcare fields.
