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F.A. Davis NURS 1220 Gastrointestinal System Meds Questions With Complete Solutions
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F.A. Davis NURS 1220 Gastrointestinal System Meds Questions With Complete Solutions
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F.A. Davis NURS 1220 Gastrointestinal System MedsQuestions With Complete Solutions
A 10-year-old child is diagnosed with influenza. The child's
parent reports giving the child bismuth subsalicylate (Pepto
Bismol) for diarrhea. Which information would be most
important for the LPN/LVN to reinforce?
1.
The medication is given to adults and children 12 years of age
and older.
2.
The drug is never administered to a child or teenager with a viral
illness.
3.
The child is best managed with fluid replacement only.
4.
The drug is not specifically prescribed to control diarrhea.
Correct Answer 2.
Option 2:
This drug should never be used in a child or teenager with a
viral illness because of the unknown association between
salicylates and Reye's syndrome. This is the most important
information for the LPN/LVN to reinforce.
A patient asks the LPN/LVN about how to avoid constipation
without the use of laxatives. Which physiological activity would
the LPN/LVN suggest?
1.
Drink warmed prune juice.
2.
Increase daily fluid intake.
,3.
Decrease the intake of dairy products.
4.
Include exercising and laughing. Correct Answer 4.
Option 4:
Physiological activities that can help avoid constipation include
exercising and laughing, which massage the intestines and
encourage peristalsis.
A patient being treated for gastroesophageal reflux disease
(GERD) with over-the-counter antacid therapy states, "The
medication helps my stomach but gives me terrible diarrhea."
The patient is currently taking milk of magnesia. Which
suggestion by the LPN/LVN would be appropriate?
1.
Take antacid without magnesium.
2.
Decrease the antacid by half.
3.
Take the antacid after a full meal.
4.
Drink a full glass of water with the antacid. Correct Answer 1.
Option 1:
Magnesium compounds of antacids are most likely to cause
diarrhea. The health-care provider may have some suggestions.
A patient is admitted to the emergency department after an
accident. The patient is unconscious and unresponsive.
Attending family members report that the patient ate a large
dinner 1 hour before the accident. For which reason would the
, patient be prescribed metoclopramide (Reglan) through the IV
route?
1.
To avoid possible aspiration
2.
To restore normal peristalsis
3.
To maintain low peptic activity
4.
To increase esophageal sphincter pressure Correct Answer 1.
Option 1:
If a patient is at risk for aspiration of stomach contents, this drug
may be given to decrease the amount of time the food is in the
stomach and thus reduce the risk for aspiration pneumonia or
choking.
A patient is being prescribed a lipase inhibitor, orlistat
(Xenical), for treatment of obesity. Which reinforcement
statement would be the most important from the LPN/LVN to
this patient?
1.
"Always have extra underwear and moistened wipes readily
available."
2.
"Do not leave your home until fecal urgency is decreased."
3.
"You may notice an oily film in the toilet after a bowel
movement."
4.
"Flatulence will occur after a bout of abdominal pain." Correct
Answer 1.
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