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RN Nursing School · Pharmacology · 60 questions

Medications Affecting the Gastrointestinal System practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Medications Affecting the Gastrointestinal System, practise in the app.

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  1. 1A health care provider suspects a client may have developed pancreatitis. Which laboratory values will confirm this diagnosis?Answer →
  2. 2Which medication binds to the base of ulcers and erosions in the stomach and forms a protective barrier against stomach acids?Answer →
  3. 3The nurse cares for a patient with end-stage liver disease. Which sign would the nurse observe indicating the patient has an elevated serum ammonia level?Answer →
  4. 4A 90-year-old patient is complaining of abdominal pain. The nurse assesses the patient and determines that the patient has impacted stool. Which medication should the nurse use to facilitate the passage of stool, minimize patient discomfort, and maintain patient safety?Answer →
  5. 5Which of these is the most common cause of acute pancreatitis?Answer →
  6. 6A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?Answer →
  7. 7When teaching a patient who is taking several oral medications, including twice-daily dosages of antacids, which instruction is correct?Answer →
  8. 8A patient on chemotherapy is using ondansetron (Zofran) for treatment of nausea. The nurse will instruct the patient to watch for which adverse effect of this drug?Answer →
  9. 9A patient has used over-the-counter ibuprofen for several years as a treatment for osteoarthritis. However, her pain and arthritis symptoms are getting worse and are no longer being controlled with OTC medications. She is given prescriptions for a stronger and longer-acting nonsteroidal anti-inflammatory drug (NSAID) and misoprostol. The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response?Answer →
  10. 10The nurse is preparing to administer metoclopramide. Which condition is a contraindication?Answer →
  11. 11A client with chronic constipation reports taking 2 ounces of magnesium hydroxide at bedtime. The bottle is labeled Magnesium Hydroxide Saline Laxative USP 400 mg/5 mL. How many mL should the nurse document in the medical record? Enter numerical value only.Answer →
  12. 12The nurse is caring for a patient who has been taking naproxen (Aleve) for several weeks. The patient is now presenting with acute stomach pain. The health care provider has ordered misoprostol (Cytotec). What health history information is the most important for the nurse to obtain?Answer →
  13. 13A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the ondansetron is effective?Answer →
  14. 14A client with chronic constipation reports taking 2 ounces of magnesium hydroxide at bedtime The bottle is labeled Magnesium Hydroxide Saline Laxative USP 400 mg5 mL How many mL should the nurse document in the medical record Enter numerical value onlyAnswer →
  15. 15The nurse is reviewing the client's history and physical and laboratory results. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  16. 16A patient is diagnosed with H. pylori gastritis. Which medications should the nurse anticipate will be prescribed? Select all that apply.Answer →
  17. 17Bisacodyl suppository assessment classificationAnswer →
  18. 18A female client with a history of peptic ulcer disease receives a prescription for misoprostol Which information provided by the client indicates to the nurse a need for further teachingAnswer →
  19. 19A nurse is caring for a client who has been prescribed a proton pump inhibitor (PPI) for chronic GERD. Which of the following are important nursing considerations, monitoring, or teaching points? (Select all that apply)Answer →
  20. 20A nurse is administering ondansetron to a client undergoing chemotherapy. What is the primary purpose of this medication?Answer →
  21. 21A patient is being treated with high-dose ondansetron for chemotherapy-induced nausea. Which concurrent medication in the patient's profile would require the nurse to notify the provider immediately?Answer →
  22. 22A patient with hepatic encephalopathy is receiving PO lactulose. Which assessment finding should be reported to the healthcare provider immediately?Answer →
  23. 23The nurse assesses a patient admitted with a diagnosis of cholelithiasis. Which of these findings is consistent with cholelithiasis?Answer →
  24. 24Which of the following factors increases the risk of UGIB in a patient taking an NSAID?Answer →
  25. 25The nurse should plan to instruct the client to Target 1 and Target 2.Answer →
  26. 26Which drug is most likely to have potential drug interactions because it interferes with various CYP-450 enzymes?Answer →
  27. 27A patient is taking chemotherapy with a drug that has a high potential for causing nausea and vomiting. The nurse is preparing to administer an antiemetic drug. Which class of antiemetic drugs is most commonly used to prevent nausea and vomiting for patients receiving chemotherapy?Answer →
  28. 28A patient with chronic renal failure is prescribed Magnesium Hydroxide (an osmotic laxative) for constipation. Which assessment finding should the nurse prioritize as an indication of a potential complication related to this medication?Answer →
  29. 29A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?Answer →
  30. 30Which drug is an antagonist of histamine receptor type H₁ that presents local anesthetic property, but not used with this clinical indication?Answer →
  31. 31A patient in the intensive care unit has a nasogastric tube and is also receiving a proton pump inhibitor (PPI). The nurse recognizes that the purpose of the PPI is which effect?Answer →
  32. 32Which endogenous protective factor of the gastric mucosa alters the pH balance of the stomach?Answer →
  33. 33The nurse cares for a patient who has been taking proton pump inhibitors (PPI) for 1 year. Which of these should be included in this patient's plan of care?Answer →
  34. 34A male client is admitted for observation because he is reporting progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. He has a history of antacids. Which assessment finding should the nurse report immediately to the healthcare provider (HCP)?Answer →
  35. 35Proton pump inhibitors can increase the risk of the following:Answer →
  36. 36The nurse is providing discharge education to a patient starting long-term proton pump inhibitor therapy for severe gastroesophageal reflux disease. Which of the following risks associated with long-term PPI use should be included? Select all that apply.Answer →
  37. 37Which of the following statements below regarding famotidine (Pepcid) is TRUE?Answer →
  38. 38The nurse cares for a hospitalized patient who is prescribed famotidine. The patient reports "I do not have acid reflux." Which is the nurse's best response?Answer →
  39. 39Which protective mechanism of the gastrointestinal tract is blunted by the use of ibuprofen (Motrin)?Answer →
  40. 40A patient with chronic gastroesophageal reflux disease (GERD) asks the nurse why it is important to adhere to a treatment plan. Which response from the nurse is correct?Answer →
  41. 41Which assessment finding may be related to the patient's use of aluminum hydroxide?Answer →
  42. 42A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?Answer →
  43. 43A male patient is in respiratory failure after extensive surgery after a motor vehicle accident. Which action should the nurse implement as the most effective method of preventing gastric irritation or erosion in this patient?Answer →
  44. 44Which of the following GI medications are associated with causing diarrhea as an adverse effect? (Select all that apply.)Answer →
  45. 45A patient has a gastric ulcer, and a culture of the secretions reveals Helicobacter pylori. Which medication should the nurse administer along with omeprazole (Priosec)?Answer →
  46. 46A patient with pancreatic insufficiency is prescribed pancrealipase. Which assessment finding indicates that the medication is working effectively?Answer →
  47. 47Which of these is a characteristic feature of Crohn's disease?Answer →
  48. 48A patient with Type 2 Diabetes and gastroparesis is experiencing chronic nausea and delayed gastric emptying. Which prokinetic medication would the nurse expect the provider to prescribe, and what is the primary nursing priority for this drug?Answer →
  49. 49The nurse teaches a patient about the differences between histamine-2 blockers (H2 blockers) and proton pump inhibitors (PPIs). Which statement from the patient indicates that teaching has been effective?Answer →
  50. 50Which of the following statements correctly describes the mechanism of action of omeprazole (Prilosec)?Answer →
  51. 51A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?Answer →
  52. 52A nurse is caring for a patient with diabetic gastroparesis who has been prescribed metoclopramide. After administration, which clinical effect should the nurse anticipate when evaluating the patient's response to the medication?Answer →
  53. 53A nurse is educating a patient who was recently diagnosed with gastroesophageal reflux disease (GERD) and is prescribed omeprazole. Which of the following statements should the nurse include in the teaching?Answer →
  54. 54A nurse is providing care to a client who has been prescribed dicyclomine for irritable bowel syndrome (IBS). Which of the following actions should the nurse take?Answer →
  55. 55The nurse administers metoclopramide to the client with what condition? (Select all that apply.)Answer →
  56. 56A nurse should question a prescription for magnesium hydroxide in which client?Answer →
  57. 57A patient with a history of chronic NSAID use for arthritis is prescribed misoprostol. The nurse explains that this medication prevents ulcers by.Answer →
  58. 58A patient was just diagnosed with Helicobacter pylori infection and peptic ulcer disease. Which two medications must be used in the treatment of this H. pylori infection? (Select all that apply.)Answer →
  59. 59The nurse cares for a patient with an elevated serum bilirubin level. Which of these conditions might the nurse observe in the client as a result of their elevated serum bilirubin?Answer →
  60. 60Which of these would the nurse anticipate as a pharmacologic treatment goal of peptic ulcer disease?Answer →