The nurse is caring for a patient taking cimetidine (Tagamet) orally. Which should the
nurse consider about administering this drug?
A) Administer the
... [Show More] drug with the first bit of food
B) Administer the drug immediately after meals
C) Administer the drug 30 minutes after meals
D) Administer the drug 30 minutes before meals
D) Administer the drug 30 minutes before meals
The nurse is discharging a patient with a new patient for ranitidine (Zantac). Which
information would be important to include in the discharge teaching?
A) Thrombolytic thrombocytopenic purpura (TTP) may occur
B) Aspirin may be taken with this medication
C) The patient may experience iron deficiency anema
D) The patient may experience restlessness
A) Thrombolytic thrombocytopenic purpura (TTP) may occur
A patient is prescribed sucralfate (Carafate) and asks the nurse what the purpose of taking
this medication is. Which is the nurse's best response?
A) The medication helps reduce bacteria levels in the stomach
B) The medication helps neutralize gastric acid in the stomach
C) The medication is used to protect the gastrointestinal mucosa
D) The medication can reduce the patient's constipation
C) The medication is used to protect the gastrointestinal mucosa
The nurse is creating a class for older adults in the community. Which information about
laxative use in older adults would be important to include?
A) Laxative are not effective in older adults
B) All laxative are exactly the same
C) Over-the-counter laxatives are misused
D) Laxatives can cause potassjum retention
D) Laxatives can cause potassjum retention
The nurse is caring for a patient with a new order for an oral laxative. Which is a
contraindication in administering an oral laxative?
A) Cardiac problems
B) Abdominal pain of unknown origin
C) Several hemorrhoids
D) Chronic constipation
B) Abdominal pain of unknown origin
The nurse is studying antacids that contain magnesium and calcium for the pharmacology
exam. The student nurse remembers that these antacids should be used with caution in
patients with which condition?
A) Hypertension
B) Renal failure
C) Heart failure
D) Peptic ulcer disease
D) Peptic ulcer disease
A patient asks the nurse how to best prevent constipation. Which class of laxative would
the nurse recommend to this patient?
A) Stimulant laxatives
B) Bulk-forming laxatives
C) Amollient laxatives
D) Hyperosomatic laxatives
A) Stimulant laxatives
The nurse is caring for patient with short term persistent diarrhea. Which class of
medication would the nurse anticipate giving?
A) Lubricants
B) Probiotics
C) Adsorbents
D) Anticholinergics
B) Probiotics
The nurse is creating community education about over-the-counter (OTC) antacids.
Which information about calcium antacids would be important to include?
A) They cause decreased gastric acid production
B) Long-term use may result in kidney stones
C) Long-term use may result in fluid retention
D) They may cause severe bouts of diarrhea
A) They cause decreased gastric acid production
The nurse is administering an aluminum-based antacid to a patient. Which side effect of
this drug should the student consider?
A) Rebound hyperacidity
B) Acute constipation
C) Chronic indigestion
D) Dumping syndrome
A) Rebound hyperacidity
The nurse is caring for a patient who has been taking bismuth subsalicylate (Pepto-
Bismol) at home for several weeks, During the morning assessment, the nurse notices the patient has blue gums while doing the oral assessment. Which action would the nurse
take?
A) Ask the patient what he had to drink with breakfast
B) This is a common side effect; nothing needs to be done
C) Ask the patient if he has been eating blur-colored fruits
D) Call the healthcare provider and report the blue gums
D) Call the healthcare provider and report the blue gums
The nurse is caring for patient with severe constipation. Which laxative will produce the
most rapid response?
A) Magnesium oxide
B) Psyllium (Metamucil)
C) Magnesium hydroxide
D) Docusate salts (Colace)
C) Magnesium hydroxide
A patient on the oncology unit is experiencing nausea and vomiting from chemotherapy.
Which drug will decrease nausea for this patient?
A) Cimetidine
B) Chlorpromazine (Thorazine)
C) Scopolamine (Scopace)
D) Ondansetron (Zofran)
D) Ondansetron (Zofran)
The nurse is planning discharge teaching for a patient taking an antihistamine antiemetic.
Which information would be important to include?
A) This medication can be taken with a glass of wine at dinner
B) It is appropriate for the patient to skip doses with feeling better
C) Driving should be avoided due to the possibility for drowsiness
D) The patient may experience intermittent problems with taste
C) Driving should be avoided due to the possibility for drowsiness
The nurse is caring for an older adult who has been taking sodium bicarbonate several
times a day for the past month. The nurse will assess for which potential problem that
may occur with overuse of sodium bicarbonate?
A) Respiratory alkalosis
B) Increased gastric secretions
C) Decreased bowel sounds
D) Metabolic alkalosis
D) Metabolic alkalosis
The nurse is caring for a patient taking valsartan (Diovan). The nurse will explain to the
patient that this medication has which therapeutic effect?
A) Increases serum sodium
B) Decreases preload and afterload
C) Increases serum ADH
D) Decreases the renal blow flow
B) Decreases preload and afterload
The patient is being seen in the emergency department (ED) for confirmed digitalis
toxicity. Which drug would the nurse anticipate to administer for treatment of the
patient's conditions?
A) Digitalis glycoside
B) Spironolactone (Aldactone)
C) Amiodarone (Cordarone)
D) Digoxin immune fab
D) Digoxin immune fab
Me matoris mins to a mic with fewerdiwxwhris kerkalemit. Whichders from
A) Atenolol (Ternormin)
B) Hydralazine/isosorbide dinitrate (BiDil)
C) Furosemide (Lasix)
D) Digoxin (Lanoxin)
C) Furosemide (Lasix)
The nurse is caring for a diabetic patient with heart failure. Which medication should be
used with caution in this patient?
A) Losartan (Cozaar)
B) Propranolol (Inderal)
C) Spironolactone (Aldactone)
D) Dobutamine (Dobutrex)
C) Spironolactone (Aldactone)
The nurse is caring for a patient taking Lisinopril (Prinivil). The nurse knows to monitor
the patient for which adverse effect?
A) Elevated serum potassium
B) Increase urine output
C) Bronchodilation
D) Increased blood pressure
A) Elevated serum potassium [Show Less]