Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 51

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Question #1
Which initial dose of diphenoxylate with atropine will the nurse will administer to a pediatric patient with a weight of 20 kg, for a medication order of 0.3 mg/kg/day in four divided doses?
A.   1.5 mg
B.   0.5 mg
C.   2.5 mg
D.   1.0 mg
Question #2
Which drug is utilized for patients with diarrhea?
A.   Docusate sodium
B.   Bisacodyl
C.   Loperamide
D.   Senna
Question #3
Which route would be used to correctly administer glycerin?
A.   Intramuscular
B.   Intravenous
C.   Oral
D.   Rectal
Question #4
Which is the correct mechanism of action for loperamide?
A.   Inhibits the growth of intestinal microflora
B.   Improves the intestinal barrier function
C.   Inhibits peristalsis in the intestinal wall
D.   Suppresses the growth of pathogenic bacteria
Question #5
Which volume of fluid should be administered with psyllium to avoid fecal impaction?
A.   10 ounces
B.   6 ounces
C.   8 ounces
D.   4 ounces
Question #6
Which antidiarrheal drug causes potential side effects of dry mouth, tachycardia, abdominal pain, and blurred vision?
A.   Oral anticoagulant warfarin with adsorbents
B.   Diphenoxylate with atropine
C.   Cholestyramine with glipizide
D.   Anticholinergics with opiates, such as loperamide
Question #7
Which symptom characterizes irritable bowel syndrome (IBS)?
A.   Increased bleeding time, Nausea, Angina
B.   Increased bleeding time, Constipation, Angina
C.   Cramps, Diarrhea, Constipation
D.   Increased bleeding time, Nausea, Diarrhea
Question #8
Which mechanism of action describes how adsorbents relieve diarrhea?
A.   Decreased gastrointestinal motility
B.   Decreased gastric secretions
C.   Increased fluid absorption
D.   Binding to bacteria for elimination
Question #9
Which condition is a contraindication for loperamide treatment?
A.   Infection requiring antibiotic therapy
B.   Diarrhea lasting 2 days
C.   Escherichia coli–associated diarrhea
D.   Nausea
Question #10
Which drug used to treat constipation acts by stimulation of nerves?
A.   Psyllium
B.   Docusate salts (sodium)
C.   Senna
D.   Polyethylene glycol
Question #11
Which category of antidiarrheals is contraindicated in patients with hypersensitivity and narrow-angle glaucoma?
A.   Probiotics
B.   Belladonna alkaloids
C.   Adsorbents
D.   Opiates
Question #12
Which classification describes how antilipemic drugs function as antidiarrheal drugs?
A.   Adsorbents
B.   Probiotics
C.   Anticholinergics
D.   Opiates
Question #13
Which mechanism of action is correct for diphenoxylate?
A.   Decreases the reabsorption of water in the bowel
B.   Increases intestinal excretion of water
C.   Decreases peristalsis in the intestine
D.   Increases intestinal motility
Question #14
Which statement would the nurse make to teach the patient about docusate sodium?
A.   "This medication will soften your stools."
B.   "You can take up to 500 mg a day."
C.   "Take this medication at bedtime daily."
D.   "This medication may cause diarrhea."
Question #15
Which instruction would the nurse give to the patient taking methylcellulose?
A.   "Take before meals."
B.   "Take only every other day."
C.   "Chew the drug thoroughly and then swallow with water."
D.   "Mix in one glass of water and stir thoroughly."
Question #16
Which potential side effect would the nurse include when teaching the patient about senna?
A.   Dizziness
B.   Bloody stools
C.   Lethargy
D.   Abdominal pain
Question #17
Which point would the nurse teach parents about the use of bismuth subsalicylate?
A.   It cannot be given to teenagers.
B.   It is a prescription drug.
C.   It cannot be given orally.
D.   It has an aspirin base.
Question #18
Which instruction is essential to teach the patient about safe usage of a stimulant laxative?
A.   "This medication has to be taken with food."
B.   "Hold other medications when taking this drug."
C.   "This medication can cause electrolyte and nutrient imbalances."
D.   "Do not take this medication in the morning."
Question #19
Which condition predisposes an individual to develop diarrhea?
A.   Hyperlipidemia
B.   Bacterial infection
C.   Diabetes mellitus
D.   Hypothyroidism
Question #20
Which instruction would the nurse give the patient to take docusate?
A.   On an empty stomach
B.   After meals
C.   Before meals
D.   With 6 ounces of water
Question #21
Which information is essential for the nurse to teach the patient about treatment with alosetron?
A.   Report severe constipation to the health care provider
B.   If this medication does not work, there is nothing else we can try.
C.   This medication should cure your condition.
D.   This medication should work immediately.
Question #22
Which information is essential for the nurse to teach the patient who is taking methylcellulose?
A.   "Wait 20 minutes after mixing the medication to drink it."
B.   "Take the medication with a meal."
C.   "Take the medication without water."
D.   "Take the medication with liberal amounts of water, immediately after thoroughly stirring."
Question #23
Which is the correct mechanism of action for saline laxatives?
A.   Increase electrolyte concentrations in the colon.
B.   Increase osmotic pressure and draw water into the colon.
C.   Lubricate the inside of the gastrointestinal tract.
D.   Increase the surface tension of the fluids present in the colon.
Question #24
Which type of antidiarrheal would relieve pain due to rectal spasms?
A.   Adsorbents
B.   Opiates
C.   Anticholinergics
D.   Probiotics
Question #25
Which side effect of lactulose can be used as a therapeutic indication in addition to its use as a hyperosmotic laxative?
A.   Correcting sodium imbalances
B.   Alleviating galactose intolerance
C.   Reducing ammonia levels
D.   Decreasing peripheral edema
Question #26
Which symptoms would the nurse assess in a patient with diarrhea who received diphenoxylate with atropine?
A.   Bradycardia
B.   Hypertension
C.   Increased urination
D.   Somnolence
Question #27
Which symptom is a contraindication for milk of magnesia?
A.   Recent weight loss, Flatulence, Nausea and vomiting
B.   Rectal bleeding, Abdominal pain, Nausea and vomiting
C.   Abdominal pain, Flatulence, Recent weight loss
D.   Flatulence, Rectal bleeding, Recent weight loss
Question #28
Which condition is a contraindication for belladonna alkaloids?
A.   Chronic diarrhea, Paralytic ileus, Vitamin K deficiency
B.   Paralytic ileus, Myasthenia gravis, Narrow-angle glaucoma
C.   Myasthenia gravis, Chronic diarrhea, Vitamin K deficiency
D.   Chronic diarrhea, Vitamin K deficiency, Narrow-angle glaucoma
Question #29
Which action would be most appropriate for the nurse to take for a patient who is receiving alosetron but does not have adequate therapeutic effect after 4 weeks?
A.   Assess the patient’s fluid intake.
B.   Assess consistency of stools.
C.   Ask the patient about her diet.
D.   Tell the patient to stop the drug and notify the health care provider.
Question #30
Which action will the nurse take during the insertion of a rectal suppository?
A.   Wear gloves or a finger cot while inserting the suppository. Place the patient on the left side while inserting the suppository. Lubricate the suppository with water-soluble gel before insertion.
B.   Insert the suppository as far as possible into the rectum. Place the patient in a supine position for 30 minutes after insertion. Lubricate the suppository with water-soluble gel before insertion.
C.   Place the patient on the left side while inserting the suppository. Insert the suppository as far as possible into the rectum. Place the patient in a supine position for 30 minutes after insertion.
D.   Wear gloves or a finger cot while inserting the suppository. Insert the suppository as far as possible into the rectum. Place the patient in a supine position for 30 minutes after insertion.
Question #31
Which statement would the nurse include when teaching the patient about bismuth subsalicylate?
A.   "This medication may cause urinary retention." "Your tongue may darken in color." "If you feel dizzy, this is a potential side effect."
B.   "Your tongue may darken in color." "Observe your stools for a change in color." "Call the health care provider if you have ringing in the ears."
C.   "Observe your stools for a change in color." "This medication may cause urinary retention." "If you feel dizzy, this is a potential side effect."
D.   "This medication may cause urinary retention." "If you feel dizzy, this is a potential side effect." "Call the health care provider if you have ringing in the ears."
Question #32
Which point would the nurse teach the patient who is taking a hyperosmotic laxative?
A.   "Call the health care provider for rectal pain." "Everyday use is encouraged to remain regular."
B.   "Everyday use is encouraged to remain regular." "This laxative is safe to use daily."
C.   "This laxative is safe to use daily." "Call the health care provider for rectal pain."
D.   "Excessive use can cause electrolyte imbalance." "You may have abdominal bloating with the use of this laxative."
Question #33
Which statement indicates effective learning about bisacodyl therapy?
A.   "I should take the tablets on an empty stomach." "I should take the tablets along with antacids." "I should take the tablets within 1 hour of drinking milk."
B.   "I should take the tablets along with antacids." "I should take the tablets within 1 hour of drinking milk." "I should not drink juice within 1 hour of taking the tablets."
C.   "I should take the tablets without crushing them into powder." "I should take the tablets along with antacids." "I should take the tablets within 1 hour of drinking milk."
D.   "I should take the tablets on an empty stomach." "I should not drink juice within 1 hour of taking the tablets." "I should take the tablets without crushing them into powder."
Question #34
Which statement made by the patient indicates effective learning about the management of diarrhea?
A.   "I should adhere to the complete medical regimen." "I should eat small meals six times a day to manage diarrhea." "I should decrease my daily fluid intake while on antidiarrheal drugs."
B.   "I should avoid caffeine." "I should adhere to the complete medical regimen." "I should avoid consumption of alcohol while I have diarrhea."
C.   "I should eat small meals six times a day to manage diarrhea." "I should avoid consumption of alcohol while I have diarrhea." "I should decrease my daily fluid intake while on antidiarrheal drugs."
D.   "I should eat small meals six times a day to manage diarrhea." "I should decrease my daily fluid intake while on antidiarrheal drugs." "I should avoid caffeine."
Question #35
Which antidiarrheal drug is contraindicated in a child who is recovering from chickenpox?
A.   Bismuth subsalicylate
B.   Diphenoxylate
C.   Hyoscyamine
D.   Lactobacillus acidophilus
Question #36
Which finding will the nurse expect to assess in a patient suspected of overdosing on diphenoxylate with atropine?
A.   Joint pain, Bradycardia, Tachycardia
B.   Blurred vision, Joint pain, Bradycardia
C.   Dry mouth, Tachycardia, Blurred vision
D.   Joint pain, Dry mouth, Bradycardia
Question #37
Which symptom would require emergency medical treatment for a pediatric patient with diarrhea?
A.   Bloody diarrhea, Malaise or lethargy, Severe abdominal pain, Urination every 3 to 4 hours
B.   Bloody diarrhea, Malaise or lethargy, Severe abdominal pain, Firm or rigid abdomen
C.   Urination every 3 to 4 hours, Malaise or lethargy, Severe abdominal pain, Firm or rigid abdomen
D.   Bloody diarrhea, Urination every 3 to 4 hours, Severe abdominal pain, Firm or rigid abdomen
Question #38
Which question will the nurse ask the patient before administering a hyperosmotic laxative to help ensure drug safety?
A.   "Do you have abdominal pain?" "Do you have hypertension?" "Do you have hypotension?"
B.   "Do you have hypertension?" "Do you have hypotension?" "Have you lost weight recently?"
C.   "Do you have nausea?" "Do you have abdominal pain?" "Have you lost weight recently?"
D.   "Do you have hypertension?" "Do you have hypotension?" "Do you have nausea?"
Question #39
Which information is important to teach a patient who has irritable bowel syndrome (IBS) and has been prescribed alosetron?
A.   "Stool softeners should be used daily." "There are no medications for irritable bowel syndrome."
B.   "Avoid irritating foods.", and "Don’t take over-the-counter laxatives."
C.   "Daily laxatives are the best treatment for IBS with constipation." "Stool softeners should be used daily."
D.   "There are no medications for irritable bowel syndrome." "Daily laxatives are the best treatment for IBS with constipation."
Question #40
Which instruction is essential to teach the patient who is taking bismuth subsalicylate for diarrhea?
A.   "Do not take aspirin for headaches while on this medication."
B.   "Avoid chewing these tablets."
C.   "Always take this medication after an episode of diarrhea."
D.   "Do not use ibuprofen while on this medication."
Question #41
The nurse teaches a patient who has chronic constipation and is on a long-term laxative regimen. Which statement indicates that the patient understands the teaching?
A.   "My urine color may change to red while on this medication." "My urine output may decrease while on this medication."
B.   "My urine output may decrease while on this medication." "I need to take medication to prevent nausea with this drug."
C.   "I need to take medication to prevent nausea with this drug." "My urine color may change to red while on this medication."
D.   "I should increase my daily fluid intake." "I should look to have regular bowel movements."
Question #42
Which information is essential for the nurse to teach the patient about bismuth subsalicylate?
A.   "This medication should not be taken with water." "You should avoid eating yogurt while taking this medication." "This medication changes the color of your stool to black or gray."
B.   "You should properly chew the tablet before swallowing it." "This medication should not be taken with water." "You should avoid eating yogurt while taking this medication."
C.   "You should not take aspirin while taking this medication." "You should properly chew the tablet before swallowing it." "This medication changes the color of your stool to black or gray."
D.   "This medication should not be taken with water." "You should avoid eating yogurt while taking this medication." "You should not take aspirin while taking this medication."
Question #43
Which nursing intervention is appropriate when a patient with irritable bowel syndrome (IBS) taking alosetron develops constipation?
A.   Decrease the frequency of administration.
B.   Increase fluid intake.
C.   Stop the medication immediately.
D.   Change the route of administration.
Question #44
Which drugs will the nurse expect to be ordered for a patient who has hyperlipidemia and reports mild diarrhea?
A.   Opium tincture and loperamide
B.   Diphenoxylate and hyoscyamine
C.   Colestipol and cholestyramine
D.   Bismuth subsalicylate and aluminum hydroxide
Question #45
Which information is essential for the nurse to teach the patient who is taking cholestyramine along with multiple other medications?
A.   "Take the cholestyramine only in the morning."
B.   "Take cholestyramine with your biggest meal of the day."
C.   "Take cholestyramine on the same schedule with other medications."
D.   "Take your other medications 2 hours before or after cholestyramine."
Question #46
Which patient would be cautioned against taking a hyperosmotic laxative?
A.   One who is taking opioid medications for pain
B.   One who has had constipation for 3 days
C.   One who is over 55 years old
D.   One who is anxious
Question #47
Which response would the nurse give to an elderly patient who states, "I take senna for constipation with my antacid medication, but I do not get immediate relief?"
A.   "Senna takes effect 1 hour after administration."
B.   "Take senna 1 hour before taking other medications."
C.   "Discontinue taking senna; it is not safe to take with antacids."
D.   "Senna is not effective to relieve constipation in elderly patients."
Question #48
  
A.   Stop the medication.
B.   Call the health care provider immediately.
C.   Reassure the patient that this is an expected side effect of the medication.
D.   Administer diphenhydramine.

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