18 Oct A male client who has been taking a histamine2 blocker for several months reports decreased libido and breast swelling.

A male client who has been taking a histamine2 blocker for several months reports decreased libido and breast swelling. What will the nurse do?

 

Contact the provider to report possible drug toxicity.

 

Reassure the client that these symptoms will stop when the drug is discontinued.

 

Request an order for serum hormone levels.

 

Suggest that the client see an endocrinologist.

 

Question 2A client who has been instructed to use a liquid antacid medication to treat gastrointestinal upset asks the nurse about how to take this medication. What information will the nurse include when teaching this client?

 

Take a laxative if constipation occurs.

 

Take 60 minutes after meals and at bedtime.

 

Take with at least 8 ounces of water to improve absorption.

 

Take with milk to improve effectiveness.

 

Question 3A child is brought to the emergency department after ingestion of a toxic substance. The child is alert and conscious and is reported to have ingested kerosene 20 minutes prior. The nurse will anticipate administering which of the following?

 

Activated charcoal

 

An anticholinergic antiemetic

 

Gastric lavage

 

Syrup of ipecac

 

Question 4The nurse is caring for a client who will begin taking omeprazole 20 mg PO per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis. The nurse learns that the client takes digoxin. The nurse will contact the provider for orders to:

 

decrease the dose of omeprazole.

 

increase the dose of digoxin.

 

increase the omeprazole to 60 mg per day.

 

monitor for digoxin toxicity.

 

Question 5The nurse is teaching a group of nursing students about the use of antipsychotic drugs for antiemetic purposes. The nurse will explain that, when given as antiemetics, these drugs are given

 

in smaller doses.

 

less frequently.

 

with anticholinergics.

 

with antihistamines.

 

 

 

Question 6An elderly client reports using Maalox frequently to treat acid reflux. The nurse should notify the client’s provider to request an order for which laboratory tests?

 

Liver enzymes and serum calcium

 

Liver enzymes and serum magnesium

 

Renal function tests and serum calcium

 

Renal function tests and serum magnesium

 

Question 7A client who is receiving chemotherapy will be given dronabinol to prevent nausea and vomiting. The nurse will tell the client that this drug will be given at which time?

 

Before and after the chemotherapy

 

During chemotherapy

 

Immediately prior to chemotherapy

 

24 hours prior to chemotherapy

 

Question 8The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide is not being used to suppress vomiting. The nurse will explain that, in children, this drug is more likely to cause which effect?

 

Excess sedation

 

Extrapyramidal symptoms

 

Paralytic ileus

 

Vertigo

 

Question 9A client who is diagnosed with peptic ulcer disease has been started on a regimen that includes ranitidine 300 mg PO daily at bedtime. The client calls the clinic 1 week later to report no relief from discomfort. What action will the nurse take?

 

Contact the provider to discuss changing to cimetidine.

 

Notify the provider to discuss increasing the dose.

 

Reassure the client that the drug may take 1 to 2 weeks to be effective.

 

Suggest that the client split the medication into twice daily dosing.

 

Question 10A client who recently began having mild symptoms of gastroesophageal reflux disease (GERD) is reluctant to take medication. What measures will the nurse recommend to minimize this client’s symptoms? (Select all that apply.)

 

Avoiding hot, spicy foods

 

Avoiding tobacco products

 

Drinking a glass of red wine with dinner

 

Eating a snack before bedtime

 

 

 

Taking ibuprofen with food

 

Using a small pillow for sleeping

 

Wearing well-fitted clothing

 

Question 11Order: allopurinol 150 mg PO q.i.d.

 

Available: allopurinol 100 mg tablet, scored

 

How many tablet(s) will be given per dose?

 

Question 12Order: nefazodone hydrochloride PO: Day 1: 200 mg in two divided doses; Day 8: 400 mg in two divided doses.

 

Available: nefazodone hydrochloride 100 mg tablet

 

How many tablets will the client receive on Day 1?

 

Question 13The nurse is instructing a client who will take psyllium to treat constipation. What information will the nurse include when teaching this client?

 

The importance of consuming adequate amounts of water

 

The need to monitor for systemic side effects

 

The onset of action of 30 to 60 minutes after administration

 

The need to use the dry form of psyllium to prevent cramping

 

Question 14A client who has been taking ranitidine continues to have pain associated with peptic ulcer. A noninvasive breath test is negative. Which treatment does the nurse expect the provider to order for this client?

 

Adding an over-the-counter antacid to the client’s drug regimen

 

A dual drug therapy regimen

 

Amoxicillin, clarithromycin, and omeprazole

 

Lansoprazole instead of ranitidine

 

Question 15Which antacid is likely to cause acid rebound?

 

Aluminum hydroxide

 

Calcium carbonate

 

Magnesium hydroxide

 

Magnesium trisilicate

 

Question 16A client who takes propantheline bromine and omeprazole for an ulcer will begin taking an antacid. The nurse will give which instruction to the client regarding how to take the antacid?

 

Take the antacid 2 hours after taking the propantheline bromine.

 

Take the antacid along with a meal.

 

Take the antacid with milk.

 

Take the antacid with the propantheline bromine.

 

Question 17A client asks the nurse the best way to prevent traveler’s diarrhea. The nurse will provide which recommendation to the client?

 

“Ask your provider for prophylactic antibiotics.”

 

“Drink bottled water and eat only well-cooked meats.”

 

“Eat fresh, raw fruits, and vegetables.”

 

“Take loperamide every day.”

 

Question 18A patient who is taking diphenoxylate with atropine to treat diarrhea asks the nurse why it contains atropine. The nurse will explain that atropine is added for which of the following?

 

Decrease abdominal cramping

 

Increase intestinal motility

 

Minimize nausea and vomiting

 

Provide analgesia

 

Question 19A client reports experiencing flatulence and abdominal distension to the nurse. Which over-the-counter medication will the nurse recommend?

 

Alka-Seltzer

 

Maalox

 

Mylicon

 

Tums

 

Question 20A client has been taking famotidine 20 mg PO bid to treat an ulcer but continues to have pain. The provider has ordered lansoprazole 15 mg PO per day. The client asks why the new drug is necessary, since it is more expensive. What will the nurse explain about lansoprazole?

 

It can be used for long-term therapy.

 

It does not interact with other drugs.

 

It has fewer medication side effects.

 

It is more potent than famotidine