Exam 16: Gastrointestinal Medications

A patient comes into the clinic complaining of severe abdominal pain that occurs approximately 45 to 60 minutes after eating.The pain also wakes him up at night.When he eats or drinks some milk,he feels better.When he eats Mexican food or drinks alcohol,it feels worse.The physician plans to order some x-ray films.Before the tests are completed,the nurse anticipates the physician will probably ask the patient to take which medication?

A frail 67-year-old nursing-home patient is brought to the clinic for a barium enema.For the next few days following the procedure,he fails to have any bowel movements.The nurse anticipates the physician will probably order which treatment?

The nurse is instructing an elderly patient about the use of bisacodyl enteric-coated tablets for the treatment of constipation.Which response is true about this medication?

The physician orders an antacid for a patient diagnosed with functional dyspepsia.Which other types of medication may be ordered in conjunction with the antacid to treat this patient for stomach discomfort after eating?

A patient is admitted to the hospital inpatient treatment unit for alcohol intoxication.After 2 days without alcohol,he is medically stable enough to begin therapy.He begins individual therapy and group sessions with Alcoholics Anonymous.Prior to discharge,the nurse anticipates the physician might also start him on which medication?

A patient complains of constipation.Which high-fiber foods would the nurse instruct the patient to add to his diet? (Select all that apply.)

The nurse is giving discharge instructions to a patient who will be taking an antacid for gastric problems.Which responses are correct about antacids? (Select all that apply.)

One of the nurse's older adult patients is abusing laxatives.Which would be an appropriate intervention for this patient to help reduce this chronic laxative use and dependency?

Which are classified as one of the five major categories of laxatives? (Select all that apply.)

A patient with gastritis asks why the physician put her on an antacid when she has already been eating well.Which would be the best response made by the nurse? (Select all that apply.)

A patient is diagnosed as having a duodenal ulcer.Which medication does the nurse anticipate the physician will order?

A young female patient is diagnosed with irritable bowel syndrome and is in an acute phase.She is placed on Sal-Tropine (atropine sulfate)at the maximum dose.The patient will best benefit from this medication because of which reason?

A 47-year-old patient has been diagnosed with cholesterol gallstones.She has had increased abdominal pain following fatty meals for the past few weeks.The physician orders an x-ray examination,which reveals radiolucent cholesterol gallstones.What should the nurse anticipate the physician will do next?

An elderly patient comes into the clinic.The nurse notes on her routine clinic-visit questionnaire that she has checked frequent use of a stimulant laxative.The nurse should pay close attention to which laboratory value for this patient?

A patient recovering from alcoholism has been taking disulfiram for a week.On a return visit to the clinic,the patient tells the nurse that he is experiencing flushing and warming of the face.What may be causing this reaction?

An alcoholic patient comes to the emergency department after drinking a beer.He has complaints of severe diarrhea,nausea,and vomiting.Which drug would produce this kind of reaction in the patient?

A patient complains to her physician of abdominal bloating and discomfort.She is a known alcoholic and has been treated recently for pancreatitis.Which medications may be used to reduce abdominal discomfort resulting from intestinal spasm,increased motility,and acid production?

The nurse is preparing to administer a saline laxative with a patient who has been constipated for 4 days.Which is the priority task to be completed by the nurse first?

An older patient has been diagnosed with having laxative dependency due to chronic laxative use.The nurse plans to educate the patient on nonpharmacologic measures to prevent constipation.What should the nurse's education plan include?

A patient who has had gallbladder surgery finds that in the postoperative period she is bothered by an excess of intestinal gas,producing flatus and bloating.Which would be an appropriate medication for this symptom?