ATI Gastrointestinal System

Flashcard maker : Donna Chou
a health care professional is about to administer ondansetron (Zofran) to a patient who is receiving chemotherapy. Which of the following actions should the health care professional take? (select all that apply)
A. infuse the drug over 30 minutes prior to chemotherapy
B. administer the drug when the patient reports nausea
C. infuse the drug slowly over 15 min
D. administer the drug immediately following chemotherapy
E. repeat the dose 4 hr after chemotherapy
infuse the drug over 30 minutes prior to chemotherapy, infuse the drug slowly over 15 min, repeat the dose 4 hr after chemotherapy
A health care professional should question the use of misoprostol (cytotec) for a patient who has which of the following?
A. a seizure disorder
B. rheumatoid arthritis
C. a positive pregnancy test
D. heart failure
a positive pregnancy
a health care professional should question the use of metoclopromide (Reglan) for a patient who is taking which of the following drugs
A. digoxin (Lanoxin)
B. warfarin (coumadin)
C. Fluvoxamine (Luvox)
D. allopurinol (zyloprim)
digoxin (Lanoxin)
when talking with a patient about taking omeprazole (prilosec) to treat a duodenal ulcer, the health care professional should include which of the following instructions?
A. take the drug with food
B. swallow the capsules whole
C. dissolve the tablets in water
D. take the drug at bed time
swallow the capsules whole
a health care professional is caring for a patient who is about to begin taking azathioprine (imuran) to treat inflammatory bowel disease. The health care professional should tell the patient to report which of the following adverse effects? (select all that apply)
A. impotence
B. bruising
C. jaundice
D. sore throat
E. Nausea
brusing, jaundice, sore throat, nause
a health care professional is reviewing the medical record of a patient who is to begin taking ranitidine (Zantac). which of the following medications interacts with rantidine?
A. phenobbarbitol sodium (Luminal)
B. ketoconazole
C. Lisinopril (Prinivil)
D. Hydrochlorthiazide (hydroDIURIL)
ketoconazole
a health care professional is caring for a patient who is about to begin using dimenhydrinate to prevent motion sickness. which of the following instructions should the health care professional include when talking with the patient about taking the drug? (select all that apply)
A. sit upright for 30 minutes after taking
B. avoid antacids when taking the drug
C. take the drug 30 to 60 min before activities that trigger nausea
D. avoid activities that require alertness
E. increase fluid and fiber intake
take the drug 30 to 60 minutes before activities that trigger nausea, avoid activities that require alertness, increase fluid and fiber intake
when talking with a patient about taking psyllium (metamucil) to treat constipation, the health care professional should include which of the following instructions? (select all that apply)
A. expect results in 5 to 12 hours
B. urinate every 4 hours
C. take the drug with at least 8 oz of fluid
D. avoid activities that require alertness
E. increase fluid and fiber intake
take the drug with at least 8 oz of fluid, increase fluid and fiber intake
a health care professional is caring for a patient who has recently had a myocardial infarction and is about to begin taking docusate sodium (colace). the health care professional should explain that docusate sodium will have which of the following therapeutic effects?
A. reduces inflammation
B. reduces gastric acid
C. prevents diarrhea
D. prevents straining
prevents straining
a health care professional is assessing a client who was administered ondansetron (Zofran) IV 1 hr ago. which of the following is an adverse effect of this drug?
A. dizziness
B. rash
C. tardive dyskinesia
D. abdominal cramping
dizziness
which of the following drugs has protocols that require patients to meet specific risk management criteria and sign a treatment agreement before the health care professional can administer the drug?
A. Lubiprostone (Amitiza)
B. Azathioprine (Imuran)
C. sulfasalazine (Azulfidine)
D. Alosetron (Lotronex)
Alosetron (Lotronex)
a health care professional is caring for a patient who is about to begin taking Ranitidine (Zantac) to treat GERD. the HCP should tell the patient to take certain precautions when taking which of the following OTC drugs?
A. Ginkgo biloba
B. antidiarrheals
C. St. John’s Wort
D. Antacids
antacids
a primary care provider should use caution when prescribing bisacodyl (Dulcolax) for a patient who has
A. anorexia nervosa
B. myelosuppression
C. hypomagnesemia
D. diabetes mellitus
anorexia nervosa
A health care professional is caring for a patient who is about to begin taking alosetron (Lotronex) to treat bowel syndrome. the health care professional should tell the patient to report which of the following adverse effects?
A. headache
B. drowsiness
C. abdominal pain
D. sore throat
abdominal pain
when talking with a patient about taking loperamide (Imodium) the health care professional should include which of the following instructions?
A. dissolve the powder thoroughly in 8 oz of water
B. have diphenhydramine available
C. avoid activities that require alertness
D. take 30 min before activities that trigger nausea
avoid activities that require alertness
when talking with a patient about taking metoclopramide (Reglan) to treat GERD, the health care professional should include which of the following instructions?
A. take the drug once a day in the morning
B. stop taking the drug if drowsiness develops
C. chew gum or cusk on hard candy
D. take acetaminophen (tylenol) for headaches
chew gum or suck on hard candy
when administering sulfasalazine (Azulfidine) to a patient, the health care professional should check which of the following to help identify an adverse effect of the drug? (Select all that apply)
A. level of consciousness
B. skin integrity
C. temperature
D. urine output
E. CBC
skin integrity, temperature, CBC
a primary care provider should use caution when prescribing sulfasalazine (Azulfidine) for a patient who has
A. pancreatitis
B. aspirin ssensitivity
C. bronchitis
D. GERD
aspirin sensitivity
a health care professional is caring for an older patient who is about to begin taking cimetidine (Tagamet) to treat a duodenal ulcer. the health care professional should tell the patient to report which of the following adverse reactions?
A. lethargy
B. cellulitis
C. dry mouth
D. myalgia
lethargy
a health care professional should conclude that alosetron (Lotronex) therapy is effective when a patient who is taking it reports which of the following?
A. one formed stool per day
B. urination without burning
C. no nausea or vomiting
D. less GI reflux
one formed stool per day
when talking with a patient about taking lubiprostone (Amitiza),the health care professional should tell the patient not to take the drug if he has which of the following?
A. nausea
B. diarrhea
C. urinary retention
D. sore throat
diarrhea
a health care professional is caring for a patient who takes phenytoin (Dilantin) for a seizure disorder and is about to begin sucralfate (carafate) therapy to treat a duodenal ulcer. the health care professional should tell the patient to take the drug at last 2 hrs apart because
A. phenytoin increases the metabolism of sucralfate
B. phenytoin reduces the effectiveness of sucralfate
C. sucralfate increases the risk for phenytoin toxicity
D. sucralfate interferes with the absorption of phenytoin
sucralfate interferes with the absorption of phenytoin
a health care professional should question the use of diphenoxylate/atropine (Lomotil) for a patient who has which of the following disorders
A. inflammatory bowel disease
B. thrombophlebitis
C. agranulocytosis
D. immunization with a live virus
inflammatory bowel disease
a primary care provider who is considering the various pharmacologic options for a patient who has peptic ulcer disease should understand that which of the following drugs require monitoring of the patients phosphorus levels?
A. omeprazole (prilosec)
B. aluminum hydroxide (Amphojel)
C. sucralfate (carafate)
D. Ranitidine (Zantac)
aluminum hydroxide (Amphojel)
a health care professional should question the use of dimenhydrinate for a patient who has which of the following disorders?
A. hyperthyroidism
B. angle-closure glaucoma
C. hypertension
D. diabetes mellitus
angle-closure glaucoma
a health care provider is reviewing the history of a patient who is about to begin furosemide (Lasix) therapy to treat hypertension. Which of the following drugs that the patient takes should alert the health care provider to take further action?
A. Lithium (Lithobid) for bipolar disorder
B. Phenytoin (Dilantin) for a seizure disorder
C. Erythromycin (Erythrocin) for bronchitis
D. Warfarin (Coumadin) to prevent blood clots
Lithium (Lithobid) for bipolar disorder
a health care provider is caring for a patient who is about to begin taking verapamil (Calan) to treat atrial fibrillation. The health care provider should tell the patient to avoid grapefruit juice while taking verapamil because it can cause
A. tachycardia
B. dehydration
C. diarrhea
D. hypotension
hypotension
a health care provider is assessing a patient following administration of nifedipine (Procardia). Recognizing the adverse effects of nifedipine, the health care provider should be prepared to administer which of the following drugs?
A. Prazosin (Minipress)
B. Doxazosin (Cardura)
C. Propranolol (Inderal)
D. Enalapril (Vasotec)
Propranolol (Inderal)
when talking with a patient about taking eplerenone (Inspra) to treat hypertension, the health care provider should include which of the following instructions
A. avoid drinking grapefruit juice
B. use sunscreen and protective clothing
C. avoid the use of salt substitutes
D. stop taking the drug if dizziness occurs
avoid the use of salt substitutes
a health care professional id caring for a patient who is about to begin taking losartan (Lozaar) to treat hypertension. the health care professional should tell the patient to report which of the following indications of an adverse reaction to the drug?
A. facial edema
B. sleepiness
C. peripheral edema
D. constipation
facial edema
when talking with a patient about taking amiodarone (Cordarone) to treat atrial fibrillation, which of the following should the health care provider tell the patient to avoid?
A. grapefruit juice
B. milk
C. foods high in vitamin K
D. NSAIDs
grapefruit juice
a health care provider is about to administer atenolol (Tenormin) to a patient who has hypertension. which of the following assessments should the health care provider perform prior to giving the patient the drug?
A. respiratory rate
B. level of consciousness
C. serum glucose
D. apical pulse
apical pulse
while talking with a patient about drug therapy options for hypertension, the provider notes that the patient also has some manifestations of depression that require treatment. Which of the following antihypertensive drugs is inappropriate for the patient?
A. reserpine
B. captopril (Capoten)
C. hydralazine
D. Eplerenone (Inspra)
Reserpine
a health care provider is caring for a patient who is about to begin taking ethacrynic acid (Edecrin) to treat heart failure. the health care provider should tell the patient to report which of the following indications of a potentially serious adverse reaction?
A. shortness of breath
B. hearing loss
C. swelling in the legs
D. blurred vision
hearing loss

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