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Gastrointestinal Drugs And Medications: Nursing Pharmacology Questions And Answers With Verified Solutions Latest Update.
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  • Nursing pharmacology
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  • Nursing Pharmacology

Gastrointestinal Drugs And Medications: Nursing Pharmacology Questions And Answers With Verified Solutions Latest Update.

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Document information

  • August 4, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • gastrointestinal drugs and medications nursing ph
  • a client has been taking ibuprofen for a while and
  • a geriatric patient is prescribed with cimetidine
  • a nurse is administering an iv bolus of cimetidin

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  • Nursing pharmacology
  • Nursing pharmacology

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Gastrointestinal Drugs And Medications: Nursing
Pharmacology Questions And Answers With Verified
Solutions Latest Update.
A client has been taking Ibuprofen for a while and was given misoprostol (Cytotec). Which of the
following is exhibiting the therapeutic effect of Cytotec?



A. Relief of constipation

B. Relief of diarrhea

C. Relief of vomiting

D. Relief of gastric ulcer - ANSWER D. Relief of gastric ulcer

Misoprostol (Cytotec) is a synthetic (man-made) prostaglandin that is used to reduce the risk of
stomach ulcers in patients treated with nonsteroidal anti-inflammatory drugs (NSAIDs, for example,
aspirin, ibuprofen, etc.).

Options A & C: These are not related to the medication.

Option B: Although a side effect, it is not the intended therapeutic effect.

A geriatric patient is prescribed with cimetidine (Tagamet) for the treatment of heartburn. Which of
the following is the most frequent CNS side effect of the medication?



A. Agitation

B. Drowsiness

C. Headache

D. Somnolence - ANSWER A. Agitation

Cimetidine an H2-receptor antagonist passes the blood-brain barrier, and central nervous system side
effects can happen. The most common serious side effects are confusion, agitation, depression, and
disorientation.

Options B, C, & D: These are the less common side effects of cimetidine.

A nurse is administering an IV bolus of cimetidine (Tagamet). Which of the following should the nurse
monitor closely following the administration?



A. Respiratory rate

, B. Skin turgor

C. Blood pressure

D. Temperature - ANSWER C. Blood pressure

Rapid intravenous administration of Cimetidine causes hypotension due to arterial vasodilation. It is
recommended to be injected slowly over a period of not less than 5 minutes.

Options A, B, & D: These are not related to this medication.

The nurse is giving instructions to a client receiving cholestyramine (Prevalite). Which statement made
by the client indicates a need for further teachings?



A. "This medication will help lower my cholesterol".

B. "I will continue taking my multivitamins".

C. "I will sip the cholestyramine powder for a long time for faster absorption".

D. "I will include a high fiber rich food in my diet". - ANSWER C. "I will sip the cholestyramine
powder for a long time for faster absorption".

Sipping the medication for a long time may cause tooth discoloration or tooth decay. Regular brushing
of teeth is therefore recommended.

Option A: Cholestyramine is a bile acid sequestrant. It works by helping the body remove bile acids,
which can lower cholesterol levels in the blood.

Option B: Cholestyramine may decrease the absorption of some vitamins such as vitamin K and folate.

Option D: High fiber diet is advised to prevent constipation (a side effect of the medication).

Which of the following conditions can you safely administer metoclopramide (Reglan)?



A. Patient with bowel obstruction

B. Patient with gastrointestinal hemorrhage

C. Patient undergoing radiation

D. Patients with pheochromocytoma - ANSWER C. Patient undergoing radiation

Metoclopramide can be safely administered to patients having vomiting episodes following radiation,
chemotherapy, and surgery.

Options A & B: It is contraindicated in patients with conditions where stimulation of gastrointestinal
motility might be harmful, such as mechanical bowel obstruction, bowel perforation, or
gastrointestinal hemorrhage.

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