Chapter questions - Meds affecting the digestive system & nutrition
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| A clt receiving ranitidine (Zantac) and an antacid for tx of PUD. The nurse should instruct the client to take these medications | at least 1 hour apart. (antacids can interfere w/absorption of ranitidine)
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| A nurse is teaching a clt w/PUD how to properly self-admin ranitidine (Zantac). What client statement indicates effective teaching by the nurse? | "I will call my doctor if my stools look black and sticky" (signs of GI bleeding should be reported to PCP)
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| What clients is a laxative indicated? | Adult female who is postpartum from a vaginal delivery w/an episiotomy(prevents straining until episiotomy heals). Client affected by IBS(relief from diarrhea). Client preparing for a colonoscopy(bowel cleansing).
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| A clt is receiving scopolamine(transderm scop). What statements should alert nurse that client is experiencing side effects of medication? | "I'm urinating little and my abdomen feels full." (urinary retention is side effect of this med)
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| Children and older adults are usually not administered prochlorperazine (Compazine) for nausea and vomiting due to the increased risk for | Extrapyramidal symptoms. EPS such as restlessness, anxiety, and spasms of the face and neck are more common in children and older adults.
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| A nurse is providing teaching to a clt starting omeprazole (Prilosec) for management of GERD. Teaching has been effective when the clt states that this med works by | Decreasing the production of gastric acid. (med inhibits the enzyme that produces gastric acid.)
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| Laxatives containing sodium are contraindicated for which of the following clt conditions? | Laxative containing sodium can lead to Hypertension. (sodium and water retention, which could exacerbate hypertension.)
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| A clt taking sucralfate (Carafate) for peptic ulcer disease has been started on phenytoin(Dilantin) to control seizures. What should be included in the clts teaching? | Allow a 2-hr interval b/w these medications. (med can interfere w/the absorption of phenytoin)
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| What clt w/peptic ulcer disease is misoprostol (Cytotec) contraindicated? | 27-year-old pregnant woman. (med can induce pregnancy)
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