Question 1

A patient who developed vomiting has been given 10 mg of prochlorperazine IM. What instructions should you provide to this patient?

Accepted Answer

A) "Your temperature may increase today." 
B) "Call for assistance when getting out of bed." 
C) "Bruising and bleeding at the injection site may occur." 
D) "Avoid eating green, leafy vegetables while taking this drug." 
A) "Your temperature may increase today." 
B) "Call for assistance when getting out of bed." 
C) "Bruising and bleeding at the injection site may occur." 
D) "Avoid eating green, leafy vegetables while taking this drug." B

Question 2

An elderly patient taking a loop diuretic comes in for a routine visit. During your interview with the patient, she informs you that she frequently uses a stimulant laxative. Which of the following problems may arise from frequent laxative use?

Accepted Answer

A) Infection 
B) Duodenal ulcer 
C) Electrolyte imbalance 
D) Inflammatory bowel disorder 
A) Infection 
B) Duodenal ulcer 
C) Electrolyte imbalance 
D) Inflammatory bowel disorder C

Question 3

You are teaching a patient who has been prescribed dronabinol for severe nausea. What information should be included in the patient teaching plan?

Accepted Answer

A) "This drug may turn your urine pink." 
B) "This drug is only available by injection." 
C) "Avoid drinking alcohol while taking this drug." 
D) "Avoid activities that may cause injury and increase risk for bleeding." 
A) "This drug may turn your urine pink." 
B) "This drug is only available by injection." 
C) "Avoid drinking alcohol while taking this drug." 
D) "Avoid activities that may cause injury and increase risk for bleeding." C

Question 4

What types of drugs prevent or control nausea and vomiting?

Accepted Answer

A) Antiemetic drugs 
B) Antimotility drugs 
C) Antidiarrheal drugs 
D) Antipropulsion drugs 
A) Antiemetic drugs 
B) Antimotility drugs 
C) Antidiarrheal drugs 
D) Antipropulsion drugs

Question 5

What problems may a patient with nausea and vomiting be at risk for? (Select all that apply.)

Accepted Answer

A) Weight loss 
B) Constipation 
C) Dehydration 
D) Fluid retention 
E) Electrolyte imbalance
F)Chemoreceptor zone malfunction 
A) Weight loss 
B) Constipation 
C) Dehydration 
D) Fluid retention 
E) Electrolyte imbalance
F)Chemoreceptor zone malfunction

Question 6

Which drug for nausea and vomiting can cause decreased sweating and increased risk for overheating?

Accepted Answer

A) Meclizine (Antivert) 
B) Ondansetron (Zofran) 
C) Trimethobenzamide (Tigan) 
D) Prochlorperazine (Compazine) 
A) Meclizine (Antivert) 
B) Ondansetron (Zofran) 
C) Trimethobenzamide (Tigan) 
D) Prochlorperazine (Compazine)

Question 7

A patient taking metoclopramide (Reglan) for the last 6 months develops uncontrolled rhythmic movement of the face, lip smacking, and rapid or wormlike movements of the tongue. What is your best action?

Accepted Answer

A) Obtain a serum drug level immediately. 
B) Document the findings and contact the prescriber. 
C) Ask if the patient has any drug, pet, or food allergies. 
D) Make arrangements to transfer the patient to the ICU. 
A) Obtain a serum drug level immediately. 
B) Document the findings and contact the prescriber. 
C) Ask if the patient has any drug, pet, or food allergies. 
D) Make arrangements to transfer the patient to the ICU.

Question 8

Which drug classification would you expect a patient who was just diagnosed with a duodenal ulcer to be prescribed?

Accepted Answer

A) A laxative 
B) An antacid 
C) A phenothiazine 
D) A proton pump inhibitor 
A) A laxative 
B) An antacid 
C) A phenothiazine 
D) A proton pump inhibitor

Question 9

A patient has been scheduled for a routine colonoscopy. Which of the following laxatives would be most appropriate to use for preparing the colon for this procedure?

Accepted Answer

A) A bulk-forming laxative 
B) A lubricant laxative 
C) An osmotic laxative 
D) A stimulant laxative 
A) A bulk-forming laxative 
B) A lubricant laxative 
C) An osmotic laxative 
D) A stimulant laxative

Question 10

A patient prescribed metoclopramide (Reglan) reports having difficulty sleeping, difficulty concentrating, tiredness, and feeling hopeless. What is your best action?

Accepted Answer

A) Instruct the patient that these are expected side effects of the drug. 
B) Document these findings as the only action. 
C) Check the patient's chart history of depression. 
D) Hold the drug and notify the prescriber. 
A) Instruct the patient that these are expected side effects of the drug. 
B) Document these findings as the only action. 
C) Check the patient's chart history of depression. 
D) Hold the drug and notify the prescriber.

Question 11

A patient with gastrointestinal upset has been prescribed an antacid. What information regarding this drug classification would be appropriate to provide to the patient?

Accepted Answer

A) "Other drugs should be taken 1 hour before or 2 hours after an antacid." 
B) "Antacids work to relieve GI upset and prevent future attacks." 
C) "Antacids should be taken with meals for maximum benefit." 
D) "Chewable antacids should be taken with a full glass of milk." 
A) "Other drugs should be taken 1 hour before or 2 hours after an antacid." 
B) "Antacids work to relieve GI upset and prevent future attacks." 
C) "Antacids should be taken with meals for maximum benefit." 
D) "Chewable antacids should be taken with a full glass of milk."

Question 12

What specific problem can develop in a patient who has been prescribed both a 5-HT3 receptor antagonist and a phenothiazine?

Accepted Answer

A) Bleeding 
B) Muscular tremors 
C) Serotonin syndrome 
D) Cardiac dysrhythmias 
A) Bleeding 
B) Muscular tremors 
C) Serotonin syndrome 
D) Cardiac dysrhythmias

Question 13

Which statement made by a patient taking a H2-receptor blocker for peptic ulcer disease leads you to suspect the patient needs additional teaching regarding taking this class of drugs?

Accepted Answer

A) "This type of drug may cause dizziness." 
B) "I will avoid smoking while taking this drug." 
C) "I will report any unusual bleeding or signs of infection." 
D) "I will take my daily dose of this drug first think in the morning." 
A) "This type of drug may cause dizziness." 
B) "I will avoid smoking while taking this drug." 
C) "I will report any unusual bleeding or signs of infection." 
D) "I will take my daily dose of this drug first think in the morning."

Question 14

Which antiemetic drug class is reserved for patients with severe nausea and vomiting?

Accepted Answer

A) Cannabinoids 
B) Phenothiazines 
C) Serotonin (5-HT3) receptor antagonists 
D) Substance P/neurokinin1 (NK1) receptor antagonists 
A) Cannabinoids 
B) Phenothiazines 
C) Serotonin (5-HT3) receptor antagonists 
D) Substance P/neurokinin1 (NK1) receptor antagonists

Question 15

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

Accepted Answer

A) Apple juice 
B) Oranges 
C) Bran cereals 
D) Figs 
E) Kiwi 
A) Apple juice 
B) Oranges 
C) Bran cereals 
D) Figs 
E) Kiwi

Question 16

You are providing instruction to a patient about the use of a bulk-forming laxative for the treatment of constipation. Which statement should be included in the teaching plan for this patient?

Accepted Answer

A) "Take this drug with a full glass of water." 
B) "These drugs contain mineral oil and must be swallowed carefully." 
C) "Take this drug with dairy products, such as milk." 
D) "These drugs are used for the rapid relief of constipation." 
A) "Take this drug with a full glass of water." 
B) "These drugs contain mineral oil and must be swallowed carefully." 
C) "Take this drug with dairy products, such as milk." 
D) "These drugs are used for the rapid relief of constipation."

Question 17

You suspect an older adult patient of using excessive amounts of laxatives. Which would be an appropriate intervention for this patient to help reduce chronic laxative use and dependency?

Accepted Answer

A) Advise the patient to take a stool softener plus laxative preparation. 
B) Instruct the patient to use a fleet-type enema instead of a laxative. 
C) Instruct the patient to drink six to eight glasses of water each day. 
D) Advise the patient to take a laxative only once weekly. 
A) Advise the patient to take a stool softener plus laxative preparation. 
B) Instruct the patient to use a fleet-type enema instead of a laxative. 
C) Instruct the patient to drink six to eight glasses of water each day. 
D) Advise the patient to take a laxative only once weekly.

Question 18

You are giving discharge instructions to a patient who will be taking an antacid for gastric problems. Which instructions should be provided to this patient? (Select all that apply.)

Accepted Answer

A) Antacids must be taken with a lower fiber diet. 
B) Antacids must be taken between meals. 
C) Antacids should be taken at bedtime. 
D) Antacids serve as a gastric buffer. 
E) Antacids must be taken with food.
F)Antacids can cause diarrhea. 
A) Antacids must be taken with a lower fiber diet. 
B) Antacids must be taken between meals. 
C) Antacids should be taken at bedtime. 
D) Antacids serve as a gastric buffer. 
E) Antacids must be taken with food.
F)Antacids can cause diarrhea.

Question 19

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

Accepted Answer

A) "Antacids are used to neutralize the acidity in your stomach between meals." 
B) "Antacids will help to neutralize stomach acid and reduce your discomfort." 
C) "All drugs should be taken with an antacid." 
D) "Antacids are also used to treat constipation." 
E) "Antacids will help you digest your food." 
A) "Antacids are used to neutralize the acidity in your stomach between meals." 
B) "Antacids will help to neutralize stomach acid and reduce your discomfort." 
C) "All drugs should be taken with an antacid." 
D) "Antacids are also used to treat constipation." 
E) "Antacids will help you digest your food."

Question 20

You are caring for a patient who is taking a substance P/neurokinin1 (NK1) receptor antagonist. Which laboratory finding would suggest the patient is experiencing an adverse reaction to this class of drugs?

Accepted Answer

A) Decreased magnesium level 
B) Increased blood glucose level 
C) Increased serum creatinine level 
D) Decreased white blood cell count 
A) Decreased magnesium level 
B) Increased blood glucose level 
C) Increased serum creatinine level 
D) Decreased white blood cell count

A patient who developed vomiting has been given 10 mg of prochlorperazine IM. What instructions should you provide to this patient?

An elderly patient taking a loop diuretic comes in for a routine visit. During your interview with the patient, she informs you that she frequently uses a stimulant laxative. Which of the following problems may arise from frequent laxative use?

You are teaching a patient who has been prescribed dronabinol for severe nausea. What information should be included in the patient teaching plan?

What types of drugs prevent or control nausea and vomiting?

What problems may a patient with nausea and vomiting be at risk for? (Select all that apply.)

Which drug for nausea and vomiting can cause decreased sweating and increased risk for overheating?

A patient taking metoclopramide (Reglan) for the last 6 months develops uncontrolled rhythmic movement of the face, lip smacking, and rapid or wormlike movements of the tongue. What is your best action?

Which drug classification would you expect a patient who was just diagnosed with a duodenal ulcer to be prescribed?

A patient has been scheduled for a routine colonoscopy. Which of the following laxatives would be most appropriate to use for preparing the colon for this procedure?

A patient prescribed metoclopramide (Reglan) reports having difficulty sleeping, difficulty concentrating, tiredness, and feeling hopeless. What is your best action?

A patient with gastrointestinal upset has been prescribed an antacid. What information regarding this drug classification would be appropriate to provide to the patient?

What specific problem can develop in a patient who has been prescribed both a 5-HT₃ receptor antagonist and a phenothiazine?

Which statement made by a patient taking a H₂-receptor blocker for peptic ulcer disease leads you to suspect the patient needs additional teaching regarding taking this class of drugs?

Which antiemetic drug class is reserved for patients with severe nausea and vomiting?

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

You are providing instruction to a patient about the use of a bulk-forming laxative for the treatment of constipation. Which statement should be included in the teaching plan for this patient?

You suspect an older adult patient of using excessive amounts of laxatives. Which would be an appropriate intervention for this patient to help reduce chronic laxative use and dependency?

You are giving discharge instructions to a patient who will be taking an antacid for gastric problems. Which instructions should be provided to this patient? (Select all that apply.)

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

You are caring for a patient who is taking a substance P/neurokinin₁ (NK₁) receptor antagonist. Which laboratory finding would suggest the patient is experiencing an adverse reaction to this class of drugs?

Pharmacology and the Nursing Process in Lpn Practice

Legal, Regulatory, and Ethical Aspects of Drug Administration

Principles of Pharmacology

Drug Calculation: Preparing and Giving Drugs

Anti-Infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents

Antivirals and Antiretrovirals

Drugs for Allergy and Respiratory Problems

Drugs Affecting Therenalurinary and Cardiovascular Problems

Drug Therapy for Central Nervous System Problems

Drug Therapy for Mental Health

Drugs for Pain Management

Anti-Inflammatory, Antiarthritis, and Antigout Drugs

Drugs Affecting the Hematologic System

Drugs for Immunization and Immunomodulation

Hormones and Drugs for Osteoporosis

Drug Therapy for Diabetes

Drugs for Ear and Eye Problems

Over-The-Counter Products, Herbal and Alternative Drugs, and Vitamins and Minerals

Filters

Exam 13: Drugs for Gastrointestinal Problems

A patient who developed vomiting has been given 10 mg of prochlorperazine IM. What instructions should you provide to this patient?

An elderly patient taking a loop diuretic comes in for a routine visit. During your interview with the patient, she informs you that she frequently uses a stimulant laxative. Which of the following problems may arise from frequent laxative use?

You are teaching a patient who has been prescribed dronabinol for severe nausea. What information should be included in the patient teaching plan?

What types of drugs prevent or control nausea and vomiting?

What problems may a patient with nausea and vomiting be at risk for? (Select all that apply.)

Which drug for nausea and vomiting can cause decreased sweating and increased risk for overheating?

A patient taking metoclopramide (Reglan) for the last 6 months develops uncontrolled rhythmic movement of the face, lip smacking, and rapid or wormlike movements of the tongue. What is your best action?

Which drug classification would you expect a patient who was just diagnosed with a duodenal ulcer to be prescribed?

A patient has been scheduled for a routine colonoscopy. Which of the following laxatives would be most appropriate to use for preparing the colon for this procedure?

A patient prescribed metoclopramide (Reglan) reports having difficulty sleeping, difficulty concentrating, tiredness, and feeling hopeless. What is your best action?

A patient with gastrointestinal upset has been prescribed an antacid. What information regarding this drug classification would be appropriate to provide to the patient?

What specific problem can develop in a patient who has been prescribed both a 5-HT3 receptor antagonist and a phenothiazine?

Which statement made by a patient taking a H2-receptor blocker for peptic ulcer disease leads you to suspect the patient needs additional teaching regarding taking this class of drugs?

Which antiemetic drug class is reserved for patients with severe nausea and vomiting?

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

You are providing instruction to a patient about the use of a bulk-forming laxative for the treatment of constipation. Which statement should be included in the teaching plan for this patient?

You suspect an older adult patient of using excessive amounts of laxatives. Which would be an appropriate intervention for this patient to help reduce chronic laxative use and dependency?

You are giving discharge instructions to a patient who will be taking an antacid for gastric problems. Which instructions should be provided to this patient? (Select all that apply.)

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

You are caring for a patient who is taking a substance P/neurokinin1 (NK1) receptor antagonist. Which laboratory finding would suggest the patient is experiencing an adverse reaction to this class of drugs?

Pharmacology and the Nursing Process in Lpn Practice

Legal, Regulatory, and Ethical Aspects of Drug Administration

Principles of Pharmacology

Drug Calculation: Preparing and Giving Drugs

Anti-Infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents

Antivirals and Antiretrovirals

Drugs for Allergy and Respiratory Problems

Drugs Affecting Therenalurinary and Cardiovascular Problems

Drug Therapy for Central Nervous System Problems

Drug Therapy for Mental Health

Drugs for Pain Management

Anti-Inflammatory, Antiarthritis, and Antigout Drugs

Drugs Affecting the Hematologic System

Drugs for Immunization and Immunomodulation

Hormones and Drugs for Osteoporosis

Drug Therapy for Diabetes

Drugs for Ear and Eye Problems

Over-The-Counter Products, Herbal and Alternative Drugs, and Vitamins and Minerals

Filters

What specific problem can develop in a patient who has been prescribed both a 5-HT₃ receptor antagonist and a phenothiazine?

Which statement made by a patient taking a H₂-receptor blocker for peptic ulcer disease leads you to suspect the patient needs additional teaching regarding taking this class of drugs?

You are caring for a patient who is taking a substance P/neurokinin₁ (NK₁) receptor antagonist. Which laboratory finding would suggest the patient is experiencing an adverse reaction to this class of drugs?