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NURSING 6005 PHARM QUIZ 7.
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NURSING 6005 PHARM QUIZ 7.QUIZ 7. Gastrointestinal and Hepatobiliary Disorders
QUESTION 1
1. A nurse is providing discharge instructions to a patient who will be taking fludrocortisone
at home. The nurse will encourage the patient to eat a diet that is
2. A. low in proteins.
B. high in iron.
C. low in sodium and potassium.
D. low in sodium, high in potassium.
1 points
QUESTION 2
1. A teenage boy has undergone a diagnostic workup following several months of persistent,
bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced
intermittent abdominal pain and has lost almost 15 pounds this year. Which of the
following medications is most likely to treat this boy's diagnosis?
2. A. Mesalamine
B. Lubiprostone
C. Bismuth subsalicylate
D. Docusate
1 points
QUESTION 3
1. A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently
for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse
should assess which of the following?
2. A. Urine specific gravity
B. Blood glucose level
C. Aspartate transaminase levels
D. Serum phosphate level
1 points
QUESTION 4
1. Mesalamine (Asacol) is prescribed for a 22-year-old woman with Crohn disease. The nurse
will discuss with the patient the possibility for which of the following adverse effects
related to the new drug therapy?
2. A. Fatigue
B. Increased appetite
C. Metallic taste
D. Hair loss
, 1 points
QUESTION 5
1. A 22-year-old male college senior has lived with a diagnosis of Crohn's disease for several
years and has undergone several courses of treatment with limited benefit. Which of the
following targeted therapies has the potential to alleviate the symptoms of Crohn's disease?
2. A. Eculizumab (Soliris)
B. Infliximab (Remicade)
C. Muromonab-CD3 (Orthoclone OKT3)
D. Tositumomab plus 131I (Bexxar)
1 points
QUESTION 6
1. A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with
oral prednisone. Which of the following actions should the nurse take in order to minimize
the potential for adverse drug effects and risks associated with prednisone treatment?
2. A. Avoid OTC antacids for the duration of treatment
B. Teach the patient strategies for dealing with headaches
C. Advocate for intravenous, rather than oral, administration
D. Carefully assess the patient for infections
1 points
QUESTION 7
1. A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed
simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor
most closely during the patient's drug therapy?
2. A. Increased abdominal pain and vomiting
B. Anorexia
C. Increased urine output
D. Drug toxicity
1 points
QUESTION 8
1. A nurse is providing patient education for a patient who has been prescribed diphenoxylate
HCl with atropine sulfate. Which of the following instructions would be important for self-
administration of this drug?
2. A. Decrease the dosage when the number of stools decreases
B. Take the drug with fruit juice
C. Take the drug with a meal
D. Continue therapy until the physician discontinues the drug
1 points
QUESTION 9
, 1. A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at
bedtime. Even though few adverse effects are associated with this drug, one common
adverse effect that can be severe is
2. A. headache.
B. dry mouth.
C. irritability.
D. heart palpitations.
1 points
QUESTION 10
1. A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric
discomfort and asks whether she can take an antacid. Which of the following is an
appropriate response by the nurse?
2. A. “Sure, you may take an antacid with ranitidine.”
B. “I wouldn't advise it. You may experience severe constipation.”
C. “Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine.”
D. “No, the two drugs will work against each other.”
1 points
QUESTION 11
1. To maximize the therapeutic effect of diphenoxylate HCl with atropine sulfate, the nurse
will instruct the patient to take the medication
2. A. four times a day.
B. once a day.
C. every 2 hours.
D. twice a day.
1 points
QUESTION 12
1. Mr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a
healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has
experienced occasional constipation in recent months. What remedy should be the nurse's
first suggestion?
2. A. Bismuth subsalicylate
B. A stimulant laxative
C. A hyperosmotic laxative
D. A bulk-forming (fiber) laxative
1 points
QUESTION 13
1. A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse
is concerned for the patient's safety. Which of the following would be an appropriate
nursing diagnosis?
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