Nokea
The nurse has provided medication instruction to a client prescribed sucralfate. Which of the following statements, if made by the client, would require further teaching? Select all that apply.
- A. I should take this medication one hour after meals.
- B. I will remain upright for 30 minutes after taking this medicine.
- C. This medication will help with my peptic ulcer disease.
- D. I know this medication works when my nausea and vomiting are gone.
- E. I may dissolve this medication in warm water.
Correct Answer: A,D,E
Rationale: Sucralfate is taken 1 hour before meals, not after; it treats ulcers but does not primarily relieve nausea/vomiting; and it should not be dissolved in water. Remaining upright and ulcer treatment are correct.
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Which of the following interventions is helpful in reducing the effects of Gastroesophageal Reflux Disease (GERD)?
- A. Lie down after eating.
- B. Wear a girdle.
- C. Elevate the head of the bed on 4-6 inch blocks.
- D. Increase fluid intake just before bedtime.
Correct Answer: C
Rationale: Elevating the head of the bed (C) reduces GERD symptoms by preventing acid reflux during sleep. Lying down (A), wearing a girdle (B), or increasing fluids at bedtime (D) worsen reflux.
The nurse is caring for a client with diverticulosis who reports difficulty getting enough dietary fiber. The nurse should anticipate the primary healthcare provider (PHCP) will prescribe
- A. Psyllium
- B. Oil-retention enema
- C. Codeine
- D. Bisacodyl
Correct Answer: A
Rationale: Psyllium, a bulk-forming laxative, increases fiber intake, promoting regular bowel movements in diverticulosis. Enemas, codeine (which slows motility), and bisacodyl (a stimulant laxative) are not appropriate for increasing dietary fiber.
The nurse is caring for a client with anemia and occult blood in the stool. Which of the following medications should the nurse question?
- A. Iron sucrose
- B. Enoxaparin
- C. Sucralfate
- D. Hydroxyurea
Correct Answer: B
Rationale: Enoxaparin, an anticoagulant, increases bleeding risk, which is concerning in a client with occult blood in the stool. Iron sucrose treats anemia, sucralfate protects the gastric mucosa, and hydroxyurea is not directly related to gastrointestinal bleeding.
The nurse is reviewing gastrointestinal assessment with a group of student nurses. It would be correct if the student identifies which of the following would cause hyperactive bowel sounds?
- A. Paralytic ileus
- B. Gastroenteritis
- C. Late bowel obstruction
- D. Peritonitis
Correct Answer: B
Rationale: Gastroenteritis (B) causes hyperactive bowel sounds due to increased intestinal motility from inflammation or infection. Paralytic ileus (A), late bowel obstruction (C), and peritonitis (D) typically cause hypoactive or absent bowel sounds.
The nurse is caring for a client diagnosed with peptic ulcer disease. The nurse anticipates a prescription for which medication?
- A. Ondansetron
- B. Diphenoxylate with atropine
- C. Famotidine
- D. Psyllium
Correct Answer: C
Rationale: Famotidine, an H2 receptor blocker, reduces gastric acid production, aiding in peptic ulcer healing. Ondansetron is for nausea, diphenoxylate-atropine for diarrhea, and psyllium for constipation, none of which treat ulcers directly.