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ATI The Gastrointestinal System Test 4.0 questions with correct answers
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ATI The Gastrointestinal System Test 4.0 questions with correct answers
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ATI The Gastrointestinal System Test 4.0A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following
statements should the nurse make? - correct answer ✔✔"Use sunscreen and protective clothing while
taking sulfasalazine to prevent sunburn."
Photosensitivity is a possible adverse effect of sulfasalazine that makes the skin sensitive to light. The
nurse should instruct the client to wear sunscreen and protective clothing when outdoors to prevent
burning.
A nurse is caring for a client who is receiving chemotherapy and has a new prescription for ondansetron.
Which if the following actions should the nurse plan to take? (Select all) - correct answer ✔✔1. Infuse
the drug 30 min prior to chemotherapy.
2. Infuse the drug slowly over 15 min.
3. Repeat the dose 4 hf after chemotherapy.
A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following
findings should the nurse recognize as an adverse effect of this drug? - correct answer ✔✔Dizziness
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's
phosphorus levels when administering which of the following drugs? - correct answer ✔✔Aluminum
hydroxide. Antacids that contain aluminum, such as aluminum hydroxide, can cause hypophosphatemia
because of aluminum's ability to bind with phosphate and decrease its absorption. The nurse should
monitor the client's phosphorus levels while administering this drug.
A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome.
The nurse should instruct the client to report which of the following adverse effects of the drug? -
correct answer ✔✔Abdominal pain. Alosetron, a serotonin 5-HT3 receptor antagonist, can cause
ischemic colitis. The nurse should tell the client to report abdominal pain, bloody diarrhea, or rectal
bleeding, and to stop taking the drug if these manifestations occur.
A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent
motion sickness. Which of the following instructions should the nurse include? (Select all) - correct
answer ✔✔1. Take the drug 30 to 60 min before activities that trigger nausea.
2. Avoid activities that require alertness.
, 3. Increase fluid and fiber intake.
A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that
alosetron therapy is effective when the client reports which of the following? - correct answer ✔✔One
formed stool per day. Alosetron, a serotonin 5-HT3 receptor antagonist, treats the diarrhea and pain of
severe irritable bowel syndrome. One formed stool per day indicates effective therapy.
A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for
azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these
prescriptions with the provider? - correct answer ✔✔Allopurinol delays the conversion of azathioprine
and can lead to toxicity. Allopurinol delays the conversion of azathioprine to an inactive form and can
lead to toxicity. If used concurrently, the dose of azathioprine must be reduced.
A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to
help identify an adverse drug reaction? (Select all) - correct answer ✔✔1. Skin integrity
Sulfasalazine can cause a skin rash, so the nurse should check the client's skin for rashes. The drug can
also cause nausea. If the client reports nausea, the nurse should suggest taking the drug with food or
water.
2. Temperature
Sulfasalazine can cause a fever, so the nurse should check the client's temperature and treat fever with
an antipyretic.
3. CBC
Sulfasalazine can cause hematologic disorders, such as agranulocytosis and hemolytic and macrocytic
anemia. The nurse should check the client's CBC periodically during therapy and tell the client to report
sore throat or fatigue.
A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for
sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr
apart for which of the following reasons? - correct answer ✔✔Sucralfate interferes with the absorption
of phenytoin. The nurse should instruct the client to allow at least 2 hr between taking the two drugs
and should monitor the client's phenytoin levels.
A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should
instruct the client to wait at least 1 hr between taking ranitidine and which of the following over-the-
counter drugs? - correct answer ✔✔Antacids can decrease the absorption of ranitidine, a histamine 2-
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