Nursing 317 Midterm Exam With
Answers 2024.
The nurse teaches the patient to best maintain optimal GI function by including what in
the daily routine?
A) Exercise, adequate sleep, and avoiding caffeine
B) Proper diet, fluid intake, and exercise
C) Proper diet, avoiding alcohol, and cautious use of laxatives
D) Avoiding prescription medications, increased fluid intake, and vigorous exercise -
ANSWER- B) Proper diet, fluid intake, and exercise
The nurse admits to the clinic a 7-month-old infant whose mother reports that the baby
has not had a bowel movement in 6 days. What drug would be appropriate to treat this
patient?
A) Cascara (generic)
B) Magnesium hydroxide (Milke of Magnesia)
C) Polyethylene glycol-electrolyte solution (GoLYTELY)
D) Glycerin (Sani-Supp) - ANSWER- D) Glycerin (Sani-Supp)
The nurse provides drug teaching to the patient who will begin taking polycarbophil
(FiberCon). What is the nurse's priority teaching point?
A) Do not eat or drink anything for 2 hours after taking the medication
B) Drink lots of water when taking the drug
C) Take at night before bedtime
D) The drug can be taken up to six times per day - ANSWER- B) Drink lots of water
when taking the drug
A new mother required an episiotomy during the birth of her baby. Two days after
delivery, the patient is in need of a laxative. What will be the most effective drug for the
nurse to administer?
A) Bisacodyl (Dulcolax)
B) Castor oil (Neolid)
C) Magnesium sulfate (epsom salts)
D) Docusate (colace) - ANSWER- D) Docusate (colace)
The nurse, teaching a patient to be discharged with an order to use chemical stimulant
laxatives PRN, instructs the patient that one of the most common adverse effects of this
type of laxative is what?
A) Abdominal cramping
B) Rectal bleeding
C) Confusion
D) Iron deficiency anemia - ANSWER- A) Abdominal cramping
, A patient taking a chemical stimulant laxative and medications for heart failure and
osteoarthritis calls the clinic and reports to the nurse that she is not feeling right. What is
the priority question the nurse should ask the patient?
A) Effectiveness of laxatives
B) Timing of medication administration
C) The amount of fiber in her diet
D) Amount of fluid ingested - ANSWER- B) Timing of medication administration
A patient who is taking metoclopramide (Reglan) has come to the clinic for a follow-up
visit. The nurse will be most concerned about a drug-drug interaction when learning the
patient is taking what other medication?
A) Albuterol (Proventil)
B) Digoxin (Lanoxin)
C) Furosemide (Lasix)
D) Acetylsalicylic acid (ASA) - ANSWER- B) Digoxin (Lanoxin)
What should the nurse tell the patient who will begin taking rifaximin (Xifaxan) for
traveler's diarrhea?
A) Do not start taking the drug until the diarrhea has persisted for at least 24 hours
B) Taking the antibiotic will allow you to enjoy the local water and food without concern
C) Do not take the drug if you have bloody diarrhea
D) Start the drug 3 days before leaving for your trip and continue until you return -
ANSWER- C) Do not take the drug if you have bloody diarrhea
A clinic patient with a history of heart failure requires a laxative for treatment of chronic
constipation. What medication would be most appropriate for this patient?
A) Senna (Senokot)
B) Lactulose (Chronulac)
C) Magnesium sulfate (Milk of Magnesia)
D) Castor oil (Neoloid) - ANSWER- B) Lactulose (Chronulac)
A man with irritable bowel syndrome reports ongoing diarrhea and asks for a
prescription for alosetron (Lotronex), which has helpful for his coworker who recently
started taking the drug. What is the nurse's best response?
A) This drug is only approved for use in women.
B) This drug is used as a laxative
C) This drug is contraindicated with irritable bowel syndrome
D) This drug is no longer on the market for prescription use - ANSWER- A) This drug is
only approved for use in women.
The nurse administers psyllium hydrophilic mucilloid (Metamucil) expecting it to have
what action?
A) Slows peristalsis
B) Promotes reabsorption of water into bowel
C) Has antibacterial properties
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