Nokea
Before administering a prescribed emetic, which of the following would the nurse need to assess?
- A. What chemicals or substances were ingested?
- B. What are the client's current medications?
- C. What time was the substance ingested?
- D. What is the client's blood pressure?
- E. What symptoms were noted before seeking treatment?
Correct Answer: A,C,E
Rationale: Before an emetic is given, it is extremely important to know the chemicals or substances that have been ingested, the time they were ingested, and what symptoms were noted before seeking medical treatment.
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A 30-year-old nonpregnant client is prescribed misoprostol. Which of the following should the nurse instruct the client as part of the teaching plan?
- A. Swallow the tablet 1 hour before eating.
- B. Administer the drug 1 hour before travel.
- C. Do not chew, open, or crush the tablet.
- D. Use a reliable contraceptive method.
Correct Answer: D
Rationale: The nurse should instruct the client to use a reliable contraceptive method to avoid pregnancy during the course of treatment as it can cause spontaneous abortion. The nurse should instruct the client taking proton pump inhibitors not to chew, open, or crush the tablet and to swallow the tablet whole at least 1 hour before eating. The nurse needs to inform the client taking a drug for motion sickness to administer it about 1 hour before travel.
After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students identify which of the following as a gastrointestinal stimulant?
- A. Ranitidine (Zantac)
- B. Misoprostol (Cytotec)
- C. Omeprazole (Prilosec)
- D. Metoclopramide (Reglan)
Correct Answer: D
Rationale: Metoclopramide (Reglan) is classified as a gastrointestinal stimulant. Ranitidine is a histamine-2 receptor antagonist. Omeprazole is a proton pump inhibitor. Misoprostol is a miscellaneous acid reducer.
When describing the action of which drug would the nurse explain that it works to reduce gastric motility and decrease the amount of acid secreted by the stomach via blockade of cholinergic receptors?
- A. Omeprazole (Prilosec)
- B. Ranitidine (Zantac)
- C. Propantheline (Pro-Banthine)
- D. Sucralfate (Carafate)
- E. Glycopyrrolate (Robinul)
Correct Answer: C,E
Rationale: Propantheline (Pro-Banthine) and glycopyrrolate (Robinul) are anticholinergic drugs used to reduce gastric motility and decrease the amount of acid secreted by the stomach via blockade of cholinergic receptors.
A client is prescribed ranitidine. A review of the client's medication history reveals that she also takes warfarin for treatment of deep vein thrombosis. The nurse would monitor the client for which of the following?
- A. Decreased white blood cell count
- B. Increased risk of respiratory depression
- C. Increased risk for bleeding
- D. Decreased seizure threshold
Correct Answer: C
Rationale: Histamine-2 receptor antagonists when given with warfarin place the client at an increased risk for bleeding. A decreased white blood cell count occurs when histamine-2 receptor antagonists are given with carmustine. An increased risk of respiratory depression occurs when histamine-2 receptor antagonists are given with opioid analgesics. This class of drugs does not interact with any antiseizure medications.
A nurse is caring for a client who is prescribed omeprazole for a duodenal ulcer. The client is also taking benzodiazepines for the management of a seizure disorder. The nurse would assess the client for which of the following?
- A. Decreased absorption of the proton pump inhibitor
- B. Risk for toxic level of benzodiazepines
- C. Increased risk of respiratory depression
- D. Increased risk of bleeding
Correct Answer: B
Rationale: When the proton pump inhibitor is administered with benzodiazepines, there will be a risk for a toxic level of benzodiazepines. When the client is administered sucralfate with the proton pump inhibitor, there will be a decrease in absorption of the proton pump inhibitor. When the client is administered an antacid with opioid analgesics, there will be an increased risk of respiratory depression. There will be an increased risk of bleeding when the client is taking oral anticoagulants with the proton pump inhibitor.