Pharm for GI Jeopardy Template

PUD

GERD

backed up

got the runs

feeling queasy

100

What two things protect your stomach lining from aggravating pepsin and gastric acids that can cause PUD? (select 2)

A. mucus

B. parietal cells

C. CYP450 enzyme

D. bicarb

A and D

100

with GERD, acidic stomach contents are entering which part of the body?

A. small intestine

B. lungs

C. esophagus

D. heart

C. the esophagus

100

When performing teaching to your patient about their prescribed bulk-forming laxative, Miralax, the patient explains that she has a busy schedule with 2 young children and a full time job. She is concerned about how quickly she will need to use the bathroom once she takes the laxative. What is the onset of action?

A. 15-30 minutes

B. 1-6 hours

B. 6-12 hours

C. 24-48 hours

100

what is the one instance you would not want to give someone with diarrhea an anti-diarrheal?

A. they're already taking probiotics

B. they're dehydrated

C. if they have an infection

100

Nursing responsibilities/teaching for anti-emetic medications include which of the following? (select all that apply)

A. avoid alcohol and CNS depressants

B. monitor I&O's / fluid & electrolytes

C. most cause drowsiness

D. watch for hypotension

ABCD

200

Which of the following factors increase the incidence of developing PUD? (select all that apply)

A. NSAIDs

B. smoking

C. caffeine

D. blood group O

ABCD

200

A severe form of GERD that is likely to progress to cancer is called:

A. Barrett's esophagus

B. Celiac Disease

C. IBS

200

A patient scheduled for surgery is prescribed a laxative as part of their bowel prep regimen prior to their procedure. They have been admitted to the hospital for pre-op observation. Which type of laxative would you expect the physician to prescribe?

A. Dulcolax, a stimulant laxative

B. Colace, a stool softener

C. Miralax, a bulk forming laxative

D. GoLYTELY, an osmotic laxative

D. GoLYTELY

200

Which two drug classes are indicated for a patient with excessive diarrhea due to their ability to slow peristalsis of the GI tract? (select 2)

A. Antibiotics

B. Probiotics

C. Opioids

D. Anticholinergics

C and D

200

What is the drug of choice (class or specific drug) people take before travel to prevent sea sickness? or general motion sickness causing n/v?

A. Zofran

B. a Benzodiazepine

C. scopolamine/Dramamine

300

With GASTRIC ulcers: eating will __ (increase or decrease) pain, pain will occur __ (.5-1 hr after eating or 2-3 hours after), pt will __ (lose or maintain) weight

increase

.5-1 hrs

lose weight

300

true or false: antacids promote ulcer healing and/or eliminates H pylori

False - antacids neutralize stomach acid to relieve heartburn

300

Your patient returns post-op to your floor from their appendectomy surgery. What type of laxative would you expect to be ordered as prevention of constipation for this post-op patient?

A. Colace, surfactant laxative/stool softener

B. Dulcolax, a stimulant laxative

C. Miralax, a bulk-forming laxative

D. A or C

300

When administering codeine, a narcotic, to a patient suffering from diarrhea, what is the primary side effect would you want to look out for?

A. constipation

B. drowsiness

C. nausea

D. dizziness

300

Phenothiazines, a class of dopamine antagonists, ___ (increases/decreases) peristalsis of the GI tract, thus decreasing nausea

increases peristalsis, emptying the stomach so you dont feel so nauseous

400

PPI's (Proton Pump Inhibitors) are the main drug of choice for PUD. What is the main prototype of this class?

A. sodium bicarb (Alka-seltzer)

B. omeprazole (Prilosec)

C. calcium carbonate

D. none of the above

B. omeprazole (Prilosec)

400

Your patient is prescribed Tums, an OTC antacid, for heart burn concerns in addition to PUD. When providing teaching, what medication would you inform them to avoid taking with this med?

A. omeprazole (Prilosec), a PPI

B. Miralax, a bulk forming laxative

C. Metoclopramide (Reglan)

D. ranitidine (Zantac), an H2 receptor antagonist

400

When administering GoLytely, an osmotic laxative, what is a potential concern with overuse you want to make your patient aware of?

A. nausea & vomitting

B. laxative dependency

C. electrolyte imbalance

D. gastric ulcers

400

Your patient with chronic diarrhea is told to add more probiotic-rich foods to her diet to keep her intestines healthy. She asks you what kinds of food or drinks have probiotics in them. What would you recommend?

A. broccoli

B. yogurt

C. beans

D. bananas

400

A patient comes into the ER complaining of nausea and reports 4 vomitting episodes in the last hour. Patient is drowsy with slurred speech upon observation. Which lab value would you check before administering Compazine, a dopamine agonist?

A. blood alcohol

B. WBC

C. CO2 level

D. glucose

500

A patient with chronic PUD is prescribed ranitidine (Zantac), an H2 receptor antagonist. 3 days after the patient begins this course of treatment, they are still complaining of symptoms. What would be your response?

A. Notify the physician that this medication is ineffective and the patient needs a different prescription.

B. Tell the patient that taking it with food will enhance the effects and provide relief of symptoms

C. Inform the patient that this is normal since it is a long acting medication that may take days or even weeks for relief.

500

Your patient complaining of heartburn from GERD requests a medication for symptom relief. The provider prescribes a magnesium hydroxide antacid. What part of the patient's medical history would contraindicate this particular type of antacid?

A. chronic constipation

B. kidney disease

C . hypertension

D. heart failure

500

When sharing non-pharmacological interventions for constipation with your patient, which of the following would you include in your teaching? (select all that apply)

A. a normal pattern does not have to be once a day

B. decrease fiber in your diet

C. maintain adequate intake (3000 mL)

D. increase physical activity

ACD

why not B? you should INCREASE fiber in your diet

500

Knowing what kind of imbalances diarrhea can cause in the body, which preliminary nursing intervention would you expect to take for your patient?

A. strict calorie count

B. check blood glucose

C. place an NG tube

D. administer IV fluids

500

Your patient who is NPO due to n/v asks about when they will be able to eat again. What information would you provide them in terms of re-introducing their body to food/drink? (select all that apply)

A. now that you have compazine to control your N/V, you will be able to tolerate your normal diet right away

B. you should start with liquids before advancing to solid food

C. you need to have small amounts of food in more frequent periods

D. big meals more spaced out are better for N/V prevention than frequent meals

B and C