1. A client in a long-term care facility is ordered to receive ranitidine (Zantac). When should the nurse administer this medication?
At bedtime with water
After the evening meal
Before eating in the morning
One hour before meals
2. A client with known peptic ulcer disease is placed on a clear-liquid diet pending an endoscopy. What proton pump inhibitor can be given in a liquid form to this client?
Famotidine (Pepcid)
Ranitidine (Zantac)
Lansoprazole (Prevacid)
Esomeprazole (Nexium)
3.Several hospitalized clients have an order for a laxative as needed for constipation. To which client would the nurse expect to administer a laxative?
A client who had a bowel movement yesterday and one the day before but not yet today
A client who has not had a bowel movement in 4 days
A client who did not have a bowel movement today, but had one yesterday
A client who has daily bowel movements that are formed
4. Which statements about bulk-forming laxative drugs are accurate? Select all that apply.
They work immediately after one dose.
They are contraindicated when the client has undiagnosed abdominal pain, suspected intestinal obstruction, or fecal impaction.
They must be taken with plenty of water, or they can cause an esophageal obstruction.
The prototype of bulk-forming laxatives is milk of magnesia.
Bulk-forming laxative powder should never be taken dry.
5. The nurse is caring for a group of clients on a medical-surgical unit. Which clients would the nurse assess as predisposed to constipation? Select all that apply.
A client who is 85 years old
A client with a bacterial infection
A client with a history of malabsorption
A client with a sedentary lifestyle
A client with decreased food intake
6. The nurse is caring for a client with irritable bowel syndrome (IBS). Which drugs would most likely be used to treat this disorder?
Antispasmodics
Saline cathartics
Sulfasalazine
Immunosuppressive agents
7. A client is being treated for inflammatory bowel disease (IBD). The nurse anticipates receiving orders for which medications?
Loperamide (Imodium)
Doxepin (Sinequan)
Sulfasalazine (Azulfidine)
Prednisone
Azathioprine (Imuran)
8. Which statement is true regarding the prevention and treatment of nausea and vomiting?
An antiemetic drug is indicated if the client has ingested a poisonous substance or taken an overdose of an oral medication.
Antihistamines and anticholinergic drugs may be used to treat nausea and vomiting due to motion sickness.
Medications for nausea and vomiting are available only by prescription.
Antiemetic drugs can be used throughout pregnancy.
9. Which statement is true regarding the use of pancreatic enzyme replacement in the pharmacotherapy of pancreatitis?
Its use is contraindicated when the client has cystic fibrosis.
Its use is indicated when lack of pancreatic enzyme secretion causes malabsorption disorders.
Its use is contraindicated when the client has pain in the abdomen.
Its use is indicated when the client has acute pancreatitis.
10. A client is being treated with sulfasalazine (Azulfidine) for inflammatory bowel disease (IBD). Which information is important for the nurse to provide to the client and family? Select all that apply.
It is important to avoid prolonged sun exposure, because the skin might be sensitive.
The drug should not be taken for longer than 12 weeks unless recommended by the health care provider.
Fluid intake should be 2-3 liters per day to avoid crystal formation in the urine.
The medication can color urine and skin orange-yellow.
The medication can affect female fertility.