Pharm 58

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Question 1 of 1

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174718

120

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The nurse teaches the patient to best maintain optimal GI function by including what in the daily routine?

Select the correct answer(s).

(0/0)

Explanation

The best way to maintain gastrointestinal (GI) function is through proper diet including optimizing fiber intake, adequate fluid intake, and exercise, which will stimulate GI activity. Drugs should only be used when normal function cannot be maintained. O

174719

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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?

Select the correct answer(s).

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Explanation

Glycerin suppositories are the best choice for infants and young children when constipation is a problem. The other choices are not recommended for infants or children.

174720

120

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The nurse provides drug teaching to the patient who will begin taking polycarbophil (FiberCon). What is the nurse's priority teaching point?

Select the correct answer(s).

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Explanation

Patients must take plenty of water with polycarbophil. If only a little water is consumed, the medication may absorb enough fluid in the esophagus to swell the food into a gelatin-like mass that can cause obstruction and other severe problems. The drug sh

174721

120

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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?

Select the correct answer(s).

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Explanation

Docusate is a stool softener that will make expulsion of stool easier in a traumatized body area following an episiotomy. Care must be taken to choose a mild laxative that will not enter breast milk and not affect the newborn if the mother is nursing. Doc

174722

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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?

Select the correct answer(s).

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Explanation

Common adverse effects of laxatives are diarrhea, abdominal cramping, and nausea. Central nervous system (CNS) adverse effects such as dizziness, headache, and weakness can occur. Rectal bleeding, confusion, and iron deficiency anemia are not associated w

174723

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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 this patient?

Select the correct answer(s).

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Explanation

Because laxatives increase the motility of the gastrointestinal (GI) tract and some laxatives interfere with the timing or process of absorption, it is not advisable to take laxatives with other prescribed medications. The administration of laxatives and

174724

120

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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?

Select the correct answer(s).

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Explanation

Metoclopramide has been associated with decreased absorption of digoxin from the gastrointestinal (GI) tract. The nurse should monitor patients taking this combination carefully. The other options do not pose a concern about drug–drug interactions.

174725

120

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What should the nurse tell the patient who will begin taking rifaximin (Xifaxan) for traveler's diarrhea?

Select the correct answer(s).

(0/0)

Explanation

Rifaximin should not be taken if a patient has bloody diarrhea or diarrhea that persists for more than 48 hours. It is started after the signs and symptoms of the disease develop and is taken for 3 days. The traveler should still avoid exposure to foreign

174726

120

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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?

Select the correct answer(s).

(0/0)

Explanation

Lactulose is often the drug of choice when a patient with cardiovascular problems requires a laxative. It is salt free, an important consideration in patients with heart failure; it acts by exerting a gentle osmotic pull of fluid into the intestinal lumen

174727

120

none

A man with irritable bowel syndrome reports ongoing diarrhea and asks for a prescription for alosetron (Lotronex), which was helpful for his coworker who recently started taking the drug. What is the nurse's best response?

Select the correct answer(s).

(0/0)

Explanation

Alosetron (Lotronex) is approved for use in women with irritable bowel syndrome with diarrhea being the predominant complaint and should be discontinued immediately if the patient develops constipation or symptoms of ischemic colitis. Patients must read a

174728

120

none

The nurse administers psyllium hydrophilic mucilloid (Metamucil) expecting it to have what action?

Select the correct answer(s).

(0/0)

Explanation

Metamucil is a natural substance that forms a gelatin-like bulk of the intestinal contents. This agent stimulates local activity. It is considered milder and less irritating than many other bulk stimulants. Patients must use caution and take it with plent

174729

120

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The nurse administers loperamide (Imodium) to decrease the number and liquidity of stool by what mechanism?

Select the correct answer(s).

(0/0)

Explanation

Systemic antidiarrheal agents slow the motility of the gastrointestinal (GI) tract through direct action on the lining of the GI tract to inhibit local reflexes (bismuth subsalicylate), through direct action on the muscles of the GI tract to slow activity

174730

120

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The nurse teaches the patient that a common adverse effect of loperamide (Imodium) is what?

Select the correct answer(s).

(0/0)

Explanation

Adverse effects associated with antidiarrheal drugs, such as constipation, distention, abdominal discomfort, nausea, vomiting, dry mouth, and even toxic megacolon, are related to their effects on the gastrointestinal (GI) tract. Other adverse effects that

174731

120

none

The nurse will question an order for bismuth salts (Pepto-Bismol) in a patient with what condition?

Select the correct answer(s).

(0/0)

Explanation

Pepto-Bismol has aspirin in it and should not be given to a patient with an allergy to aspirin. There is no contraindication for a patient with rheumatoid arthritis, hypertension, or viral gastroenteritis.

174732

120

none

The home health nurse is caring for a 72-year-old man in his home. He complains about almost daily diarrhea. The nurse assesses for what common cause of diarrhea in older adults?

Select the correct answer(s).

(0/0)

Explanation

Diarrhea in older adults may result from laxative overuse so the nurse should assess what over-the-counter (OTC) products the patient is using. Diabetes, hypertension medications, and glaucoma are not common causes of diarrhea in patients.

Pharm 58

Question 1 of 1

Time Left

The nurse teaches the patient to best maintain optimal GI function by including what in the daily routine?

Select the correct answer(s).

(0/0)

Explanation

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?

Select the correct answer(s).

(0/0)

Explanation

The nurse provides drug teaching to the patient who will begin taking polycarbophil (FiberCon). What is the nurse's priority teaching point?

Select the correct answer(s).

(0/0)

Explanation

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?

Select the correct answer(s).

(0/0)

Explanation

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?

Select the correct answer(s).

(0/0)

Explanation

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 this patient?

Select the correct answer(s).

(0/0)

Explanation

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?

Select the correct answer(s).

(0/0)

Explanation

What should the nurse tell the patient who will begin taking rifaximin (Xifaxan) for traveler's diarrhea?

Select the correct answer(s).

(0/0)

Explanation

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?

Select the correct answer(s).

(0/0)

Explanation

A man with irritable bowel syndrome reports ongoing diarrhea and asks for a prescription for alosetron (Lotronex), which was helpful for his coworker who recently started taking the drug. What is the nurse's best response?

Select the correct answer(s).

(0/0)

Explanation

The nurse administers psyllium hydrophilic mucilloid (Metamucil) expecting it to have what action?

Select the correct answer(s).

(0/0)

Explanation

The nurse administers loperamide (Imodium) to decrease the number and liquidity of stool by what mechanism?

Select the correct answer(s).

(0/0)

Explanation

The nurse teaches the patient that a common adverse effect of loperamide (Imodium) is what?

Select the correct answer(s).

(0/0)

Explanation

The nurse will question an order for bismuth salts (Pepto-Bismol) in a patient with what condition?

Select the correct answer(s).

(0/0)

Explanation

The home health nurse is caring for a 72-year-old man in his home. He complains about almost daily diarrhea. The nurse assesses for what common cause of diarrhea in older adults?

Select the correct answer(s).

(0/0)

Explanation

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