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Custom GI PHARM 6 15 20 ATI Practice Assessment 2024 Questions with verified correct answers
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Custom: GI PHARM 6/15/20 ATI PracticeAssessment
A nurse is reinforcing teaching with a client who has a duodenal ulcer and new
✅✅
prescription for cimetidine. Which of the following instructions should the nurse
include? - --"You will need to continue taking this medication for up to 6 weeks."
To heal a duodenal ulcer, the client should take the medication for 4 to 6 weeks.
A nurse is preparing to administer hydroxyzine HCL 50 mg PO. Available is
hydroxyzine oral suspension 25 mg/5 mL. How many mL should the nurse
✅✅
administer? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.) - --10 mL
50 mg x 5 mL = 250
250/50 = 10 mL
A nurse is collecting data from a client who has been taking esomeprazole for
✅✅
several months. Which of the following client statements should the nurse identify as
indicating effectiveness of the medication? - --"I don't have pain in my stomach
anymore."
Esomeprazole is a proton pump inhibitor that treats gastric ulcers, duodenal ulcers,
and gastroesophageal reflux disease. Therefore, this statement indicates the
medication is improving the client's condition.
A nurse is caring for a client who has cirrhosis and a prescription for lactulose.
✅✅
Following administration, the nurse should monitor the client for which of the
following adverse effects? - --Diarrhea
The nurse should monitor for diarrhea. Lactulose is a synthetic disaccharide that the
small intestine cannot utilize. It causes diarrhea by lowering the pH, so the bacterial
flora are changed in the bowel.
A nurse is reinforcing teaching with a client who is to start taking atorvastatin. The
✅✅
nurse should instruct the client that she will need which of the following baseline
examinations prior to starting therapy? - --Papanicolaou test
Statins such as atorvastatin can cause liver damage and liver disease is a
contraindication for taking the medication. The client should have baseline liver
function testing before beginning therapy, then every 1 to 2 months, at 6 and 12
weeks, and then periodically throughout therapy.
, A nurse is collecting data from a client who has a prescription for oral clindamycin
✅✅
hydrochloride. Which of the following findings should the nurse immediately to the
provider? - --Watery diarrhea
The greatest risk to this client who is taking clindamycin hydrochloride is colitis,
ranging from mild diarrhea to a severe, life-threatening condition called
pseudomembranous colitis. Watery diarrhea might be a manifestation of
pseudomembranous colitis; therefore, this is the priority finding to report to the
provider.
A nurse is caring for a client who has gastroesophageal disease and a prescription
✅✅
for metoclopramide. For which of the following adverse effects should the nurse
monitor? - --Sedation
The nurse should monitor the client for sedation, which is a common adverse effect
of metoclopramide.
A nurse is caring for a client who routinely drinks alcohol. Which of the following
✅✅
information should the nurse provide the client about alcohol consumption? -
--"Medication is metabolized faster when alcohol is consumed regularly."
Medication is metabolized faster when alcohol is consumed regularly due to
alcohol-induced hepatic drug-metabolizing enzymes.
A nurse is reviewing medications for a client who has just been diagnosed with a
✅✅
small bowel obstruction. The nurse should withhold senna prescribed orally based
on understanding of which of the following? - --Laxatives are contraindicated in
clients who have a small bowel obstruction.
Senna is a stimulant laxative and, like other laxatives, is contraindicated in clients
who have fecal impaction, bowel obstruction, and acute abdominal surgery to
prevent perforation. Because the bowel does not allow for any passage of stool with
a complete small bowel obstruction, laxatives will cause increased abdominal
cramping and discomfort and might cause perforation of the bowel.
✅✅
A nurse is preparing to administer orlistat to a client for a treatment of obesity. For
which of the following adverse effects should the nurse monitor? - --Oily fecal
spotting
Because the medication reduces the gastrointestinal tract's absorption of fat, oily
fecal spotting is an adverse effect of orlistat.
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