Nokea
A client is administered trimethobenzamide hydrochloride (Tigan) to control nausea and vomiting. The nurse would assess the client for which of the following?
- A. Acid rebound
- B. Neurotoxicity
- C. Blurred vision
- D. Bone softening
Correct Answer: C
Rationale: The nurse should monitor the client for blurred vision as an adverse reaction to the trimethobenzamide hydrochloride (Tigan). The nurse need not monitor the client for acid rebound, neurotoxicity, and bone softening as they are not adverse reactions to trimethobenzamide hydrochloride (Tigan). Acid rebound is an adverse reaction to calcium carbonate. Neurotoxicity and bone softening are adverse reactions to aluminum carbonate gel.
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A group of nursing students are reviewing information about upper gastrointestinal system drugs. The students demonstrate understanding of the material when they identify which of the following as a proton pump inhibitor?
- A. Nizatidine
- B. Omeprazole
- C. Esomeprazole
- D. Sucralfate
- E. Misoprostol
Correct Answer: B,C
Rationale: Omeprazole and esomeprazole are examples of proton pump inhibitors. Nizatidine is a histamine-2 receptor antagonist. Sucralfate and misoprostol are examples of miscellaneous acid reducers.
A nurse is caring for an elderly client who has received cimetidine. Which of the following interventions should the nurse perform?
- A. Monitor the client for complaints of pain or sour taste.
- B. Monitor the client for concentrated urine and restlessness.
- C. Closely monitor the client for confusion and dizziness.
- D. Report symptoms of tardive dyskinesia to the primary health care provider.
Correct Answer: C
Rationale: The nurse should closely monitor the elderly client who has been administered cimetidine for confusion and dizziness. When the client is receiving an antiemetic, the nurse monitors the client frequently for continued complaints of pain, sour taste, spitting blood, or coffee-ground-colored emesis. When antacids are given to the client, the nurse should observe the client for concentrated urine and restlessness. When the client is administered prolonged doses of metoclopramide, the nurse reports any sign of tardive dyskinesia or extrapyramidal symptoms to the primary health care provider.
Which of the following antacids may produce constipation and should be used cautiously in clients who have chronic constipation?
- A. Calcium carbonate (Mylanta)
- B. Magnesium hydroxide (Milk of Magnesia)
- C. Magnesium oxide (Mag-Ox)
- D. Aluminum hydroxide (ALternaGEL)
- E. Sodium bicarbonate (Bell/ans)
Correct Answer: A,D
Rationale: The aluminum- and calcium-containing antacids may produce constipation. Magnesium- and sodium-containing antacids tend to have a laxative effect.
A nurse is conducting a class for a community group. As part of the class, the nurse is explaining the use of syrup of ipecac. The nurse would emphasize that this drug is contraindicated in which of the following cases?
- A. The client is comatose or has altered mental status.
- B. The client has erosive esophagitis.
- C. The client is having seizures.
- D. The substance is a caustic or corrosive agent.
- E. The substance is a low-viscosity petroleum distillate.
Correct Answer: A,C,D,E
Rationale: The use of syrup of ipecac is contraindicated in the following cases: the client is comatose or has altered mental status, the client is having seizures, the substance is a caustic or corrosive agent, the substance is a low-viscosity petroleum distillate, or the substance is capable of also altered mental status or convulsions.
Which of the following antacids may have a laxative effect and should be used cautiously in clients who have chronic diarrhea?
- A. Calcium carbonate (Mylanta)
- B. Magnesium hydroxide (Milk of Magnesia)
- C. Magnesium oxide (Mag-Ox)
- D. Aluminum hydroxide (ALternaGEL)
- E. Sodium bicarbonate (Bell/ans)
Correct Answer: B,C,E
Rationale: The magnesium- and sodium-containing antacids may have a laxative effect and may produce diarrhea. Aluminum- and calcium-containing antacids tend to produce constipation.