Pharmacology: Gastrointestinal Medications

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Questions and Answers

What should a nurse include when teaching a client prescribed loperamide?

Use sunscreen while taking the medication

Take the medication before meals

Increase fluid intake

Avoid driving or activities requiring alertness (correct)

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?

Aluminum hydroxide Signup and view all the answers

What should a nurse advise a client taking sulfasalazine?

You should use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn Signup and view all the answers

What therapeutic effect does docusate sodium provide?

Prevents straining Signup and view all the answers

For which condition should diphenoxylate/atropine be used with caution?

Inflammatory bowel disease Signup and view all the answers

When should a client take ranitidine after antacids?

At least one hour Signup and view all the answers

To identify an adverse drug reaction when administering sulfasalazine, which data should the nurse collect?

CBC Signup and view all the answers

Why should a nurse clarify prescriptions for allopurinol and azathioprine?

Allopurinol delays the conversion of azathioprine and can lead to toxicity Signup and view all the answers

What is a common adverse effect of ondansetron?

Dizziness Signup and view all the answers

What instructions should a nurse provide to a client starting psyllium for constipation?

Take the drug with at least 8 oz (237 mL) of fluid Signup and view all the answers

When administering ondansetron to a chemotherapy patient, what should the nurse do?

Infuse the drug 30 min prior to chemotherapy Signup and view all the answers

What manifestation should a client with renal impairment report when taking cimetidine?

Lethargy Signup and view all the answers

What indicates effective alosetron therapy?

One formed stool per day Signup and view all the answers

Which adverse effect should a client on alosetron report?

Abdominal pain Signup and view all the answers

What adverse reaction can lubiprostone cause?

Nausea Signup and view all the answers

What condition should a client starting methotrexate monitor for?

Gout Signup and view all the answers

For which condition is sulfasalazine contraindicated?

Aspirin sensitivity Signup and view all the answers

Which drug interacts with ranitidine?

Ketoconazole Signup and view all the answers

What should be included in the teaching for a client taking dimenhydrinate?

Take the drug 30 to 60 min before activities that trigger nausea Signup and view all the answers

Which drug requires clients to meet specific risk management criteria before administration?

Alosetron Signup and view all the answers

Why should phenytoin and sucralfate be taken at least 2 hours apart?

Sucralfate interferes with the absorption of phenytoin Signup and view all the answers

What instruction should be given for taking omeprazole?

Swallow the capsule whole Signup and view all the answers

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.