Question 1
1 / 1 pts
A patient who experiences motion sickness when flying asks the nurse the best time to take the medication prescribed to prevent
... [Show More] motion sickness for a 0900 flight. The nurse will instruct the patient to take the medication at which time?
As needed, at the first sign of nausea
At 0700, before leaving for the airport
At 0830, just prior to boarding the plane
When seated, just prior to takeoff
Question 2
1 / 1 pts
The nurse is caring for a patient who has unexplained, recurrent vomiting and who is unable to keep anything down. Until the cause of the vomiting is determined, the nurse will anticipate administering which treatment?
Antibiotics and antiemetics
Intravenous fluids and electrolytes
Non-prescription antiemetics
Prescription antiemetics
Question 3
1 / 1 pts
A patient is ordered bisacodyl (Ducolax). Before administering the medication, it is important for the nurse to assess the patient for what?
Hypertension
Anemia
Allergy to penicillin
Appendicitis
Question 4
1 / 1 pts
The nurse is teaching a patient who is about to take a long car trip about using dimenhydrinate (Dramamine) to prevent motion sickness. What information is important to include when teaching this patient?
“Do not drive while taking this medication.”.
“Dry mouth is a sign of toxicity with this mediation.”
“Take the medication when you start the drive.”
“Take 100 mg up to 6 times daily for best effect.”
The nurse is caring for a patient who has postoperative nausea and vomiting. The surgeon has ordered promethazine HCl (Phenergan). Which aspect of this patient’s health history would be of concern?
Ulcerative Colitis
Diabetes
GERD
Glaucoma
Question 6
1 / 1 pts
A patient who is receiving chemotherapy will be given dronabinol (Marinol) to prevent nausea and vomiting. The nurse will tell the patient that this drug will be given at which time?
Before and after the chemotherapy
During chemotherapy
Immediately prior to chemotherapy
24 hours prior to chemotherapy
Question 7
1 / 1 pts
A woman who is 2 months pregnant reports having morning sickness every day and asks if she can take any medications to treat this problem. The nurse will recommend that the patient take which action first?
Contact the provider to discuss a possible need for intravenous fluids.
Contact your mother to discuss an antiemetic.
Use nonpharmacologic measures such as saltine crackers.
Take over-the-counter antiemetics such as diphenhydramine.
Question 8
1 / 1 pts
The child who is a candidate for treatment with syrup of ipecac after ingestion or an overdose is the child who has ingested which substance?
Acetaminophen elixir
Chlorine bleach
“Do not administer ipecac without consulting a poison control center.”
“Expect the onset of emesis to be immediate.”
“Give ipecac with a glass of milk to increase its emetic effect.”
“Use ipecac fluid extract and not ipecac syrup.”
Question 10
1 / 1 pts
A patient asks the nurse “how does loperamide (Imodium) work to treat infectious diarrhea.” Which response will the nurse give?
“Loperamide results in many central nervous system (CNS) side effects.”
“Loperamide has no effect on infectious diarrhea.”
“Loperamide is taken once daily.”
“Loperamide may slow the transit through the intestines and prolong the symptoms.”
Question 11
1 / 1 pts
A child is brought to the emergency department after ingestion of a toxic substance. The child is alert and conscious and is reported to have ingested kerosene 20 minutes prior. The nurse will anticipate administering.
activated charcoal. an anticholinergic antiemetic. gastric lavage. syrup of ipecac.
Question 12
1 / 1 pts
A patient who is taking diphenoxylate with atropine (Lomotil) to treat diarrhea asks the nurse why it contains atropine. The nurse will explain that atropine is added to
increase intestinal motility. decrease abdominal cramping. minimize nausea and vomiting. provide analgesia.
Question 13
1 / 1 pts
A patient asks the nurse the best way to prevent traveler’s diarrhea. The nurse will provide which recommendation to the patient?
“Ask your provider for prophylactic antibiotics.”
“Eat fresh, raw fruits and vegetables.”
“Drink bottled water and eat only well-cooked meats.”
“Take loperamide (Imodium) every day.”
Question 14
1 / 1 pts
The nurse is instructing a patient who will take psyllium (Metamucil) to treat constipation. What information will the nurse include when teaching this patient?
The importance of consuming adequate amounts of water
The need to monitor for systemic side effects
The onset of action of 30 to 60 minutes after administration
The need to use the dry form of Metamucil to prevent cramping
Question 15
1 / 1 pts
A patient is taking esomeprazole (Nexium) 15 mg per day to treat a duodenal ulcer. After 10 days of treatment, the patient reports that the pain has subsided. The nurse will counsel the patient to
reduce the medication dose by half.
stop taking the medication. take the medication every other day. complete the medication as prescribed by the physician.
Question 16
1 / 1 pts
A patient with a peptic ulcer has been diagnosed with H. pylori. The provider has ordered lansoprazole (Prevacid), and clarithromycin (Biaxin). The patient asks the nurse why two medications are needed. The nurse will explain that two drugs.
Decrease gastric motility combat nausea and vomiting. have synergistic effects. improve acid suppression.
Question 17
1 / 1 pts
Ondansetron (Zofran) has been ordered for the patient undergoing cancer chemotherapy to control the severe nausea and vomiting. What side effects should the nurse observe for?
Headache, dizziness, and fatigue
Anorexia and hair loss
Abdominal cramping and irritability
Psychosis and middle ear disturbances
Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes that Dulcolax
is incompatible with alcohol consumption. should be avoided during pregnancy as it is teratogenic. increases peristalsis to produce a bowel movement. may lead to paralytic ileus.
Question 19
1 / 1 pts
Lactulose is ordered for a patient with liver disease. What would indicate the medication is exerting a positive therapeutic effect on the patient?
Decreased ascites
Decreased ammonia level
Decreased jaundice
Decreased blood pressure
Question 20
1 / 1 pts
A patient who takes propantheline bromine (Pro-Banthine) and omeprazole (Prilosec) for an ulcer will begin taking an antacid. The nurse will give which instruction to the patient regarding how to take the antacid?
Take the antacid 2 hours after taking the propantheline Take the antacid along with a meal.
Take the antacid with milk.
Take the antacid with the propantheline bromine.
Question 21
1 / 1 pts
A patient reports experiencing flatulence and abdominal distension to the nurse. Which over-thecounter medication will the nurse recommend?
Alka-Seltzer
“I need to increase my fluid intake.”
“I need to report pain or vomiting of blood.”
“I need to take Carafate 30 minutes after meals.”
“I need to report changes in the color of my urine.”
Question 23
1 / 1 pts
An older adult patient reports taking aluminum hydroxide (Amphojel) on a daily basis to relieve symptoms of GERD. The nurse needs to evaluate for which condition?
Diarrhea
Abdominal pain
Constipation
Flatulence
Question 24
1 / 1 pts
A patient with a gastric ulcer is ordered sucralfate (Carafate). This medication works to
calm the patient to reduce acid production. block the H2 receptors.
neutralize the gastric acids. coat the gastric lining.
Question 25
1 / 1 pts
A patient with a history of renal problems is asking for advice about which antacid he should use. The nurse will make which recommendation?
“Patients with renal problems cannot use antacids.”
“Aluminum-based antacids are the best choice for you.”
“Calcium-based antacids are the best choice for you.”
“Magnesium-based antacids are the best choice for you.”
Question 26
1 / 1 pts
A 30-year-old patient is taking simethicone (Mylicon) for excessive flatus associated with diverticulitis. During a patient teaching session, the nurse explains the mechanism of action of simethicone by saying:
“It neutralizes gastric pH, thereby preventing gas.”
“It buffers the effects of pepsin on the gastric wall.”
“It decreases gastric acid secretion and thereby minimizes flatus.”
“It causes mucus-coated gas bubbles to break into smaller ones.” The nurse is preparing to administer the first dose of misoprostol (Cytotec) for a patient who has been diagnosed with a gastric ulcer. What condition would be a contraindication to this medication?
Hypothyroidism
Type 2 diabetes mellitus
Pregnancy
Hypertension
Instructing the patient to open the capsule and chew the contents for best absorption
Administering the PPI only when the patient complains of heartburn
Giving the PPI with meals
Making sure the patient does not crush or chew the capsules
Question 29
1 / 1 pts
The parents of an 11-year-old boy ask about growth hormone therapy for their child who is shorter than his 10-year-old sister. The nurse will tell the parents that growth hormone
does not affect other hormones when given.
is available as an oral tablet to be taken once daily. is given after tests prove that it is necessary. may be given until the child’s desired height is reached.
Question 30
1 / 1 pts
The nurse is caring for a patient who is receiving growth hormone. Which assessment will the nurse monitor closely?
Complete blood count
Asthma
Malnutrition
Enuresis
Prader-Willi syndrome
Question 32
1 / 1 pts
The nurse is caring for a patient who has experienced head trauma in a motor vehicle accident. The patient is having excessive output of dilute urine. The nurse will notify the provider and will anticipate administering which medication?
Calcifediol (Calderol)
Corticotropin (Acthar)
Vasopressin (Pitressin)
Prednisolone (AK-Pred) [Show Less]