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A client is taking nonsteroidal anti-inflammatory agents for arthritis of the knees and hips. Which disease is a result of cellular destruction of the gastrointestinal tract from this medication?
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An older adult client has been on long-term proton pump inhibitor (PPI) therapy. The nurse practitioner should focus on what assessment related to adverse effects?
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pharm 115
| Question | Answer |
|---|---|
| A client is taking nonsteroidal anti-inflammatory agents for arthritis of the knees and hips. Which disease is a result of cellular destruction of the gastrointestinal tract from this medication? | Peptic ulcer disease |
| An older adult client has been on long-term proton pump inhibitor (PPI) therapy. The nurse practitioner should focus on what assessment related to adverse effects? | bone density |
| Vomiting occurs when signals from the chemoreceptor trigger zone reach the vomiting center. Where is the vomiting center located? | Medulla oblongata |
| Which adverse reaction of proton pump inhibitors is specific to menopausal women with osteoporosis? | Increased fracture risk |
| An older client with constipation says, "I took a dose of psyllium yesterday, but it has not worked." Which response will the nurse make? | “It might take 2 or 3 days for it to be effective.” |
| An older adult has been taking a calcium-based antacid on an increasingly frequent basis. When teaching this client, the nurse should include suggestions for the prevention of which adverse effect? | Nausea |
| The health care provider has prescribed ranitidine for a hospitalized client on a unit. Prior to administering the drug for the first time, which adverse effects should the nurse mention to the client? | headache |
| A client has requested an oral antiemetic to control motion sickness on an upcoming flight. While explaining proper use of the drug, the nurse should recommend that the client take the drug: | 30 minutes prior |
| A client with cancer has arrived to receive chemotherapy. The nurse administers prochlorperazine prophylactically before the infusion. What will the nurse’s teaching for this client include? | Transfer or change positions slowly in case of dizziness. |
| A nurse is caring for an elderly patient who has been administered cimetidine. Which intervention should the nurse perform? | Closely monitor the patient for confusion and dizziness. |
| A college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide. The nurse should caution the student to avoid using which substance? | alcohol |
| During an assessment of a client experiencing diarrhea, which question is appropriate for the nurse in determining the possible cause of the diarrhea? | “Can you tell me what you ate in the last 24 hours?” |
| A female client has GERD and is taking cimetidine. She continues to have gastric discomfort and asks whether she can take an antacid. Which is an appropriate response by the nurse? | “Yes, but be sure to wait at least 2 hours to take the antacid after you take the cimetidine.” |
| The nurse should be aware that ranitidine achieves a therapeutic effect by which means? | Inhibiting the secretion of gastric acid |
| A client, with recent abdominal pain and a 40-pack per year smoking history, is prescribed a treatment regimen for a diagnosis of duodenal ulcer. What important teaching would the nurse include in relation to treatment? | smoking effects on the healing of ulcers |
| Which instruction would be most important to give to a client who is receiving omeprazole? | “Swallow the tablet whole with a large glass of water.” |
| An older client has been prescribed omeprazole for the treatment of gastresophageal reflux disease (GERD). What explanation should the nurse provide when asked by the client why they are not being treated with famotidine? | "Proton pump inhibitors, like omeprazole, produce fewer adverse effects among the older population." |
| A nurse is reviewing information about proton pump inhibitors. The nurse recognizes that which of the following is available as an over-the-counter agent? | Omeprazole |
| A nurse in a health care facility is caring for a patient who is administered milk of magnesia to control constipation. Which nursing diagnosis should the care plan for this patient include? | Risk for imbalanced fluid volume |
| The nurse is teaching a client about lansoprazole prescribed for treatment of gastric ulcer. By what mechanism of action does lansoprazole help treat the disease? | inhibiting acid secretion |
| The nurse should warn a client taking aluminum- and calcium-containing antacids about which adverse effects? | Constipation |
| A female patient has been administered metoclopramide (Reglan) for nausea. Which statements indicates that she has understood the teaching provided by the nurse? | “I may experience drowsiness with this medication.” |
| The following data identified during a nursing assessment and interview. When considering risks for the development of a peptic ulcer, which situation should the nurse discuss with the client? | Self medicates with a nonsteroidal anti-inflammatory drug (NSAID) daily. |
| Client teaching should include what instruction about antacids? | Take antacid 1 hour before other medications. |
| A 94-year-old client is to begin taking psyllium hydrophilic mucilloid daily. What instructions should the nurse include in the discharge teaching? | Drink at least 8 ounces of fluid with the medication. |
| A 21-year-old female client has been prescribed metoclopramide for treatment of nausea and vomiting associated with migraines. Which substance should the nurse instruct the client to avoid? | Alcohol |
| A client is taking cimetidine for increased gastric pain and hypersecretion. Nurses should use caution when administering cimetidine to those with which condition? | heptic disease |
| A client arrives at the walk-in clinic reporting vomiting and a burning sensation in the mid-epigastric region. The nurse suspects that the client has peptic ulcer disease. Which is a potential cause of peptic ulcer disease? | Infection with H. pylori |
| A 20-month-old child is experiencing diarrhea. When planning the child's care, the nurse should prioritize assessments related to what health problem? | Electrolyte deficiencies |
| An older adult client with early-stage Alzheimer’s disease has had hydroxyzine prescribed for nausea. When planning this client’s care, the nurse should consequently identify what risk nursing diagnosis? | risk for falls related to adverse effects of hydroxyzine |
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armcneal