GI
This is often the term used to describe the wavelike motion that moves contents in the GI tract.
What is peristalsis?
The prototype H2 antagonist, cimetidine has many important drug to drug interactions. Which of these drugs listed below does not have a drug to drug interaction with this medication: warfarin, farxiga, theophylline, or alcohol.
What is farxiga?
A client is prescribed misoprostol. The nurse would expect to administer this drug by which route?
What is oral?
A client diagnosed with hemorrhoids reports intense pain when straining to pass stools. What type of agent would the nurse expect to be the first choice for this client?
stool softener
saline cathartic
stimulant cathartic
bulk-forming laxative
What is stool softener?
A client is receiving a phenothiazine antiemetic. The nurse instructs the client to use the call light if he needs to get out of bed to go to the bathroom based on the understanding that this group of drugs is associated with:
Gastrointestinal overstimulation
Central nervous system effects
Urinary abnormalities
Endocrine effects
What are central nervous system effects?
This is often known as the innermost layer of the GI tube.
What is mucosal?
This type of dependence can occur when laxatives are used over a long period of time.
What is cathartic?
A nurse in a health care facility is caring for a patient who is administered milk of magnesia to control constipation. Which nursing diagnosis should the care plan for this patient include?
Risk for imbalanced fluid volume
Disturbed sensory perception
Impaired physical mobility
Ineffective tissue perfusion
What is risk for imbalanced fluid volume?
A client needing to evacuate the colon for endoscopy would likely be prescribed which medication solution?
polyethylene glycol electrolyte
methylcellulose
psyllium
mineral oil
What is polyethylene glycol electrolyte?
Which assessment finding serves to contraindicate the use of an antiemetic agent?
History of chronic liver dysfunction
History of lung cancer
Currently receiving radiation therapy
Demonstrated signs/symptoms associated with menopause
What is history of chronic liver dysfunction?
This reflex involves the stimulation of the stomach by stretching, the presence of food, and cephalic stimulation.
What is gastroenteric reflex?
This ingredient often found in a Hershey's bar for a patient with GERD.
What is chocolate?
An older adult has been taking a calcium-based antacid on an increasingly frequent basis. When teaching this client, the nurse should include suggestions for the prevention of which adverse effect?
- Constipation
- Urinary frequency
- Fatty stools
-Nausea
What is constipation?
A client is using psyllium hydrophilic mucilloid to promote evacuation of stool. What is the action of this medication?
It reduces the surface tension of bowel contents.
It irritates the intestinal mucosa, thus increasing intestinal motility.
It increases mass and water content of stool, promoting evacuation.
It creates a barrier between the colon wall and feces.
What is it increases mass and water content of stool, promoting evacuation?
Vomiting occurs when signals from the chemoreceptor trigger zone reach the vomiting center. Where is the vomiting center located?
What is the medulla oblongata?
The emetic zone and chemoreceptor trigger zone in the medulla are both responsible for this reflex and is also referred to as "tossing your cookies"
What is vomiting?
Excessive laxative use can result in this type of imbalance in the body.
What is electrolyte?
The client will receive cimetidine 800 mg PO at bedtime. Prior to administration, the nurse should inform the client that common side effects related to this medication include:
tremors.
headache.
visual disturbances.
anxiety
What are headaches?
Older adults who are unable or unwilling to eat an adequate diet or who are debilitated may benefit from using bulk-forming laxatives. What is an important teaching regarding intake for anyone using bulk-forming laxatives?
Ensure adequate fluid intake
Ensure adequate roughage intake
Ensure adequate fat intake
Ensure adequate protein intake
What is ensure adequate fluid intake?
An older adult client with severe dementia has been experiencing repeated vomiting. What antiemetic drug has a black box warning against use in a client of this age?
Prochlorperazine
Benzquinamide
Buclizine
Cyclizine
What is prochlorperazine?
The network of nerve fibers running through the wall of the GI tract that allows local reflexes and control is known as the
What is nerve plexus?
When taking proton pump inhibitors nurses should be aware of this potential respiratory complication.
What is pneumonia?
A male client is taking cimetidine. Which adverse effect is more likely to occur with cimetidine than with other histamine2 receptor antagonists?
Prostatic hypertrophy
Hypertension
Gynecomastia
Seizures
What is gynecomastia?
During an assessment of a client experiencing diarrhea, which question is appropriate for the nurse in determining the possible cause of the diarrhea?
“Have you recently consumed uncooked ground beef?”
“Can you tell me what you ate in the last 24 hours?”
“Do you wash your hands after you use the restroom?”
"Have you been vaccinated for hepatitis A?”
What is "Can you tell me what you ate in the last 24 hours?"
What antiemetic is the most common first-line drug for the treatment of postoperative nausea and vomiting?
Ondansetron
Dronabinol
Dimenhydrinate
Hydroxyzine
What is Ondansetron?