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.
2.5 mg
B.
1.5 mg
C.
0.5 mg
D.
1.0 mg
Question #2
Which drug is utilized for patients with diarrhea?
A.
Senna
B.
Loperamide
C.
Docusate sodium
D.
Bisacodyl
Question #3
Which route would be used to correctly administer glycerin?
A.
Intravenous
B.
Oral
C.
Rectal
D.
Intramuscular
Question #4
Which is the correct mechanism of action for loperamide?
A.
Inhibits the growth of intestinal microflora
B.
Suppresses the growth of pathogenic bacteria
C.
Improves the intestinal barrier function
D.
Inhibits peristalsis in the intestinal wall
Question #5
Which volume of fluid should be administered with psyllium to avoid fecal impaction?
A.
10 ounces
B.
4 ounces
C.
6 ounces
D.
8 ounces
Question #6
Which antidiarrheal drug causes potential side effects of dry mouth, tachycardia, abdominal pain, and blurred vision?
A.
Anticholinergics with opiates, such as loperamide
B.
Diphenoxylate with atropine
C.
Cholestyramine with glipizide
D.
Oral anticoagulant warfarin with adsorbents
Question #7
Which symptom characterizes irritable bowel syndrome (IBS)?
A.
Cramps, Diarrhea, Constipation
B.
Increased bleeding time, Nausea, Diarrhea
C.
Increased bleeding time, Nausea, Angina
D.
Increased bleeding time, Constipation, Angina
Question #8
Which mechanism of action describes how adsorbents relieve diarrhea?
A.
Decreased gastric secretions
B.
Binding to bacteria for elimination
C.
Increased fluid absorption
D.
Decreased gastrointestinal motility
Question #9
Which condition is a contraindication for loperamide treatment?
A.
Nausea
B.
Diarrhea lasting 2 days
C.
Escherichia coli–associated diarrhea
D.
Infection requiring antibiotic therapy
Question #10
Which drug used to treat constipation acts by stimulation of nerves?
A.
Senna
B.
Polyethylene glycol
C.
Psyllium
D.
Docusate salts (sodium)
Question #11
Which category of antidiarrheals is contraindicated in patients with hypersensitivity and narrow-angle glaucoma?
A.
Adsorbents
B.
Belladonna alkaloids
C.
Probiotics
D.
Opiates
Question #12
Which classification describes how antilipemic drugs function as antidiarrheal drugs?
A.
Adsorbents
B.
Opiates
C.
Anticholinergics
D.
Probiotics
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.
"You can take up to 500 mg a day."
B.
"Take this medication at bedtime daily."
C.
"This medication will soften your stools."
D.
"This medication may cause diarrhea."
Question #15
Which instruction would the nurse give to the patient taking methylcellulose?
A.
"Take only every other day."
B.
"Take before meals."
C.
"Mix in one glass of water and stir thoroughly."
D.
"Chew the drug thoroughly and then swallow with water."
Question #16
Which potential side effect would the nurse include when teaching the patient about senna?
A.
Lethargy
B.
Abdominal pain
C.
Dizziness
D.
Bloody stools
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.
"Hold other medications when taking this drug."
B.
"This medication can cause electrolyte and nutrient imbalances."
C.
"This medication has to be taken with food."
D.
"Do not take this medication in the morning."
Question #19
Which condition predisposes an individual to develop diarrhea?
A.
Bacterial infection
B.
Hyperlipidemia
C.
Diabetes mellitus
D.
Hypothyroidism
Question #20
Which instruction would the nurse give the patient to take docusate?
A.
On an empty stomach
B.
With 6 ounces of water
C.
Before meals
D.
After meals
Question #21
Which information is essential for the nurse to teach the patient about treatment with alosetron?
A.
This medication should cure your condition.
B.
Report severe constipation to the health care provider
C.
If this medication does not work, there is nothing else we can try.
D.
This medication should work immediately.
Question #22
Which information is essential for the nurse to teach the patient who is taking methylcellulose?
A.
"Take the medication with liberal amounts of water, immediately after thoroughly stirring."
B.
"Take the medication with a meal."
C.
"Wait 20 minutes after mixing the medication to drink it."
D.
"Take the medication without water."
Question #23
Which is the correct mechanism of action for saline laxatives?
A.
Increase electrolyte concentrations in the colon.
B.
Increase the surface tension of the fluids present in the colon.
C.
Lubricate the inside of the gastrointestinal tract.
D.
Increase osmotic pressure and draw water into the colon.
Question #24
Which type of antidiarrheal would relieve pain due to rectal spasms?
A.
Adsorbents
B.
Probiotics
C.
Anticholinergics
D.
Opiates
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.
Decreasing peripheral edema
C.
Reducing ammonia levels
D.
Alleviating galactose intolerance
Question #26
Which symptoms would the nurse assess in a patient with diarrhea who received diphenoxylate with atropine?
A.
Increased urination
B.
Bradycardia
C.
Somnolence
D.
Hypertension
Question #27
Which symptom is a contraindication for milk of magnesia?
A.
Flatulence, Rectal bleeding, Recent weight loss
B.
Recent weight loss, Flatulence, Nausea and vomiting
C.
Abdominal pain, Flatulence, Recent weight loss
D.
Rectal bleeding, Abdominal pain, Nausea and vomiting
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.
Tell the patient to stop the drug and notify the health care provider.
C.
Ask the patient about her diet.
D.
Assess consistency of stools.
Question #30
Which action will the nurse take during the insertion of a rectal suppository?
A.
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.
B.
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.
C.
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.
D.
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.
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.
"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."
C.
"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."
D.
"Observe your stools for a change in color." "This medication may cause urinary retention." "If you feel dizzy, this is a potential side effect."
Question #32
Which point would the nurse teach the patient who is taking a hyperosmotic laxative?
A.
"Everyday use is encouraged to remain regular." "This laxative is safe to use daily."
B.
"This laxative is safe to use daily." "Call the health care provider for rectal pain."
C.
"Call the health care provider for rectal pain." "Everyday use is encouraged to remain regular."
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 without crushing them into powder." "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 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."
D.
"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."
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 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."
C.
"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."
D.
"I should avoid caffeine." "I should adhere to the complete medical regimen." "I should avoid consumption of alcohol while I have diarrhea."
Question #35
Which antidiarrheal drug is contraindicated in a child who is recovering from chickenpox?
A.
Diphenoxylate
B.
Bismuth subsalicylate
C.
Lactobacillus acidophilus
D.
Hyoscyamine
Question #36
Which finding will the nurse expect to assess in a patient suspected of overdosing on diphenoxylate with atropine?
A.
Dry mouth, Tachycardia, Blurred vision
B.
Joint pain, Bradycardia, Tachycardia
C.
Blurred vision, Joint pain, Bradycardia
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.
Urination every 3 to 4 hours, Malaise or lethargy, Severe abdominal pain, Firm or rigid abdomen
C.
Bloody diarrhea, Urination every 3 to 4 hours, Severe abdominal pain, Firm or rigid abdomen
D.
Bloody diarrhea, Malaise or lethargy, 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 nausea?" "Do you have abdominal pain?" "Have you lost weight recently?"
B.
"Do you have hypertension?" "Do you have hypotension?" "Have you lost weight recently?"
C.
"Do you have abdominal pain?" "Do you have hypertension?" "Do you have hypotension?"
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.
"There are no medications for irritable bowel syndrome." "Daily laxatives are the best treatment for IBS with constipation."
D.
"Daily laxatives are the best treatment for IBS with constipation." "Stool softeners should be used daily."
Question #40
Which instruction is essential to teach the patient who is taking bismuth subsalicylate for diarrhea?
A.
"Always take this medication after an episode of diarrhea."
B.
"Avoid chewing these tablets."
C.
"Do not take aspirin for headaches while on this medication."
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.
"I should increase my daily fluid intake." "I should look to have regular bowel movements."
B.
"I need to take medication to prevent nausea with this drug." "My urine color may change to red while on this medication."
C.
"My urine color may change to red while on this medication." "My urine output may decrease while on this medication."
D.
"My urine output may decrease while on this medication." "I need to take medication to prevent nausea with this drug."
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.
"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."
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.
"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."
Question #43
Which nursing intervention is appropriate when a patient with irritable bowel syndrome (IBS) taking alosetron develops constipation?
A.
Stop the medication immediately.
B.
Change the route of administration.
C.
Increase fluid intake.
D.
Decrease the frequency 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 cholestyramine on the same schedule with other medications."
B.
"Take cholestyramine with your biggest meal of the day."
C.
"Take your other medications 2 hours before or after cholestyramine."
D.
"Take the cholestyramine only in the morning."
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 is not effective to relieve constipation in elderly patients."
B.
"Discontinue taking senna; it is not safe to take with antacids."
C.
"Senna takes effect 1 hour after administration."
D.
"Take senna 1 hour before taking other medications."
Question #48
Which action would the nurse take for a patient who states, "my stools are black" and is taking bismuth subsalicylate?
A.
Administer diphenhydramine.
B.
Call the health care provider immediately.
C.
Reassure the patient that this is an expected side effect of the medication.
D.
Stop the medication.
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