Take Quiz: Quiz for Drug that Affect Gastrointestinal System

Question 1

The client has been prescribed oxymetazoline (Afrin) nasal spray for seasonal rhinitis. The nurse will provide which of the following instructions?*

A. Limit use of this spray to 5 days or less.

B. The drug may be sedating so be cautious with activities requiring alertness.

C. This drug should not be used in conjunction with antihistamines.

D. This is an OTC drug and may be used as needed for congestion.

Question 2

A client has a prescription for fluticasone (Flonase). Place the instructions that follow in the order in which the nurse will instruct the client to use the drug.*

A. Instill one spray directed high into the nasal cavity.

B. Clear the nose by blowing.

C. Prime the inhaler prior to first use.

D. Spit out any excess liquid that drains into the mouth.

Question 3

A male, age 67, reports taking diphenhydramine (Bena-dryl) for “hay fever.” Considering this client’s age, the nurse assesses for which of the following findings?*

A. A history of prostate or urinary conditions

B. Any recent weight gain

C. A history of allergic reactions

D. A history of peptic ulcer disease

Question 4

The nurse is teaching a client about the use of dextromethorphan with guaifenesin (Robitussin-DM) syrup for a cough accompanied by thick mucus. Which instruction should be included in the client’s teaching?*

A. “Lie supine for 30 minutes after taking the liquid.”

B. “Drink minimal fluids to avoid stimulating the cough reflex.”

C. “Take the drug with food for best results.”

D. “Avoid drinking fluids immediately after the syrup but increase overall fluid intake throughout the day.”

Question 5

A client has been prescribed fluticasone (Flonase) to use with oxymetazoline (Afrin). How should the client be taught to use these drugs?*

A. Use the fluticasone first, then the oxymetazoline after waiting 5 minutes.

B. Use the oxymetazoline first, then the fluticasone after waiting 5 minutes.

C. The drugs may be used in either order.

D. The fluticasone should be used only if the oxymetazoline fails to relieve the nasal congestion

Question 6

Which of the following is the best advice that the nurse can give a client with viral rhinitis who intends to purchase an OTC combination cold remedy?*

A. “Dosages in these remedies provide precise dosing for each symptom that you are experiencing.”

B. “These drugs are best used in conjunction with an antibiotic.”

C. “It is safer to use a single-drug preparation if you are experiencing only one symptom.”

D. “Since these drugs are available over the counter, it is safe to use any of them as long as needed.”

Question 7

A 35-year-old male client has been prescribed omeprazole (Prilosec) for treatment of a GERD. Which of the following assessment findings would assist the nurse to determine whether drug therapy has been effective? (Select all that apply.)*

A. Decreased “gnawing” upper abdominal pain on an empty stomach

B. Decreased belching

C. Decreased appetite

D. Decreased nausea

E. Decreased dysphagia

Question 8

The nurse is assisting the older adult diagnosed with a gastric ulcer to schedule her medication administration. What would be the most appropriate time for this client to take her lansoprazole (Prevacid)?*

A. About 30 minutes before her morning meal

B. At night before bed

C. After fasting at least 2 hours

D. 30 minutes after each meal

Question 9

The nurse is caring for a client with gastroesophageal reflux disease (GERD) and would question an order for which of the following?*

A. Amoxicillin (Amoxil)

B. Ranitidine (Zantac)

C. Pantoprazole (Protonix)

D. Calcium carbonate (Tums)

Question 10

Simethicone (Gas-X, Mylicon) may be added to some medications or given plain for what therapeutic effect?*

A. Decrease the amount of gas associated with GI disorders.

B. Increase the acid-fighting ability of some medications.

C. Prevent constipation associated with GI drugs.

D. Prevent diarrhea associated with GI drugs.

Question 11

In taking a new client’s history, the nurse notices that he has been taking omeprazole (Prilosec) consistently over the past 6 months for treatment of epigastric pain. Which recommendation would be the best for the nurse to give this client?*

A. Try switching to a different form of the drug.

B. Try a drug like cimetidine (Tagamet) or famotidine (Pepcid).

C. Try taking the drug after meals instead of before meals.

D. Check with his health care provider about his continued discomfort.

Question 12

A female client reports using OTC aluminum hydroxide (AlternaGEL) for relief of gastric upset. She is on renal dialysis three times a week. What should the nurse teach this client?*

A. Continue using the antacids but if she needs to continue beyond a few months, she should consult the health care provider about different therapies.

B. Take the antacid no longer than for two weeks; if it has not worked by then, it will not be effective.

C. Consult with the health care provider about the appropriate amount and type of antacid.

D. Continue to take the antacid; it is OTC and safe.