Mastery EAQ Ch. 51

A  Call the health care provider immediately.

B  Stop the medication.

C  Administer diphenhydramine.

D  Reassure the patient that this is an expected side effect of the medication.

A  “Senna takes effect 1 hour after administration.”

B  “Take senna 1 hour before taking other medications.”

C  “Discontinue taking senna; it is not safe to take with antacids.”

D  “Senna is not effective to relieve constipation in elderly patients.”

A  One who is anxious

B  One who is over 55 years old

C  One who has had constipation for 3 days

D  One who is taking opioid medications for pain

A  “Take the cholestyramine only in the morning.”

B  “Take cholestyramine on the same schedule with other medications.”

C  “Take cholestyramine with your biggest meal of the day.”

D  “Take your other medications 2 hours before or after cholestyramine.”

A  Bismuth subsalicylate and aluminum hydroxide

B  Diphenoxylate and hyoscyamine

C  Colestipol and cholestyramine

D  Opium tincture and loperamide

A  Change the route of administration.

B  Stop the medication immediately.

C  Decrease the frequency of administration.

D  Increase fluid intake.

A  “This medication should not be taken with water.”
“You should avoid eating yogurt while taking this medication.”
“This medication changes the color of your stool to black or gray.”

B  “You should properly chew the tablet before swallowing it.”
“This medication should not be taken with water.”
“You should avoid eating yogurt while taking this medication.”

C  “You should not take aspirin while taking this medication.”
“You should properly chew the tablet before swallowing it.”
“This medication changes the color of your stool to black or gray.”

D  “This medication should not be taken with water.”
“You should avoid eating yogurt while taking this medication.”
“You should not take aspirin while taking this medication.”

A  “I need to take medication to prevent nausea with this drug.”
“My urine color may change to red while on this medication.”

B  “I should increase my daily fluid intake.”
“I should look to have regular bowel movements.”

C  “My urine output may decrease while on this medication.”
“I need to take medication to prevent nausea with this drug.”

D  “My urine color may change to red while on this medication.”
“My urine output may decrease while on this medication.”

A  “Always take this medication after an episode of diarrhea.”

B  “Do not take aspirin for headaches while on this medication.”

C  “Do not use ibuprofen while on this medication.”

D  “Avoid chewing these tablets.”

A  “Avoid irritating foods.”, and
“Don’t take over-the-counter laxatives.”

B  “Stool softeners should be used daily.”
“There are no medications for irritable bowel syndrome.”

C  “Daily laxatives are the best treatment for IBS with constipation.”
“Stool softeners should be used daily.”

D  “There are no medications for irritable bowel syndrome.”
“Daily laxatives are the best treatment for IBS with constipation.”

A  “Do you have abdominal pain?”
“Do you have hypertension?”
“Do you have hypotension?”

B  “Do you have hypertension?”
“Do you have hypotension?”
“Do you have nausea?”

C  “Do you have nausea?”
“Do you have abdominal pain?”
“Have you lost weight recently?”

D  “Do you have hypertension?”
“Do you have hypotension?”
“Have you lost weight recently?”

A  Bloody diarrhea, Malaise or lethargy, Severe abdominal pain, Firm or rigid abdomen

B  Bloody diarrhea, Urination every 3 to 4 hours, Severe abdominal pain, Firm or rigid abdomen

C  Bloody diarrhea, Malaise or lethargy, Severe abdominal pain, Urination every 3 to 4 hours

D  Urination every 3 to 4 hours, Malaise or lethargy, Severe abdominal pain, Firm or rigid abdomen

A  Dry mouth, Tachycardia, Blurred vision

B  Joint pain, Bradycardia, Tachycardia

C  Joint pain, Dry mouth, Bradycardia

D  Blurred vision, Joint pain, Bradycardia

A  Bismuth subsalicylate

B  Lactobacillus acidophilus

C  Hyoscyamine

D  Diphenoxylate

A  “I should adhere to the complete medical regimen.”
“I should eat small meals six times a day to manage diarrhea.”
“I should decrease my daily fluid intake while on antidiarrheal drugs.”

B  “I should eat small meals six times a day to manage diarrhea.”
“I should decrease my daily fluid intake while on antidiarrheal drugs.”
“I should avoid caffeine.”

C  “I should avoid caffeine.”
“I should adhere to the complete medical regimen.”
“I should avoid consumption of alcohol while I have diarrhea.”

D  “I should eat small meals six times a day to manage diarrhea.”
“I should avoid consumption of alcohol while I have diarrhea.”
“I should decrease my daily fluid intake while on antidiarrheal drugs.”

A  “I should take the tablets on an empty stomach.”
“I should not drink juice within 1 hour of taking the tablets.”
“I should take the tablets without crushing them into powder.”

B  “I should take the tablets along with antacids.”
“I should take the tablets within 1 hour of drinking milk.”
“I should not drink juice within 1 hour of taking the tablets.”

C  “I should take the tablets on an empty stomach.”
“I should take the tablets along with antacids.”
“I should take the tablets within 1 hour of drinking milk.”

D  “I should take the tablets without crushing them into powder.”
“I should take the tablets along with antacids.”
“I should take the tablets within 1 hour of drinking milk.”

A  “Excessive use can cause electrolyte imbalance.”
“You may have abdominal bloating with the use of this laxative.”

B  “Everyday use is encouraged to remain regular.”
“This laxative is safe to use daily.”

C  “Call the health care provider for rectal pain.”
“Everyday use is encouraged to remain regular.”

D  “This laxative is safe to use daily.”
“Call the health care provider for rectal pain.”

A  “This medication may cause urinary retention.”
“If you feel dizzy, this is a potential side effect.”
“Call the health care provider if you have ringing in the ears.”

B  “This medication may cause urinary retention.”
“Your tongue may darken in color.”
“If you feel dizzy, this is a potential side effect.”

C  “Observe your stools for a change in color.”
“This medication may cause urinary retention.”
“If you feel dizzy, this is a potential side effect.”

D  “Your tongue may darken in color.”
“Observe your stools for a change in color.”
“Call the health care provider if you have ringing in the ears.”

A  Wear gloves or a finger cot while inserting the suppository.
Insert the suppository as far as possible into the rectum.
Place the patient in a supine position for 30 minutes after insertion.

B  Wear gloves or a finger cot while inserting the suppository.
Place the patient on the left side while inserting the suppository.
Lubricate the suppository with water-soluble gel before insertion.

C  Insert the suppository as far as possible into the rectum.
Place the patient in a supine position for 30 minutes after insertion.
Lubricate the suppository with water-soluble gel before insertion.

D  Place the patient on the left side while inserting the suppository.
Insert the suppository as far as possible into the rectum.
Place the patient in a supine position for 30 minutes after insertion.

A  Tell the patient to stop the drug and notify the health care provider.

B  Assess the patient’s fluid intake.

C  Ask the patient about her diet.

D  Assess consistency of stools.

A  Chronic diarrhea, Paralytic ileus, Vitamin K deficiency

B  Paralytic ileus, Myasthenia gravis, Narrow-angle glaucoma

C  Chronic diarrhea, Vitamin K deficiency, Narrow-angle glaucoma

D  Myasthenia gravis, Chronic diarrhea, Vitamin K deficiency

A  Abdominal pain, Flatulence, Recent weight loss

B  Recent weight loss, Flatulence, Nausea and vomiting

C  Flatulence, Rectal bleeding, Recent weight loss

D  Rectal bleeding, Abdominal pain, Nausea and vomiting

A  Hypertension

B  Increased urination

C  Bradycardia

D  Somnolence

A  Decreasing peripheral edema

B  Alleviating galactose intolerance

C  Correcting sodium imbalances

D  Reducing ammonia levels

A  Adsorbents

B  Probiotics

C  Opiates

D  Anticholinergics

A  Increase the surface tension of the fluids present in the colon.

B  Lubricate the inside of the gastrointestinal tract.

C  Increase osmotic pressure and draw water into the colon.

D  Increase electrolyte concentrations in the colon.

A  “Take the medication without water.”

B  “Wait 20 minutes after mixing the medication to drink it.”

C  “Take the medication with liberal amounts of water, immediately after thoroughly stirring.”

D  “Take the medication with a meal.”

A  This medication should work immediately.

B  Report severe constipation to the health care provider

C  If this medication does not work, there is nothing else we can try.

D  This medication should cure your condition.

A  With 6 ounces of water

B  After meals

C  Before meals

D  On an empty stomach

A  Hypothyroidism

B  Diabetes mellitus

C  Hyperlipidemia

D  Bacterial infection

A  “Hold other medications when taking this drug.”

B  “This medication can cause electrolyte and nutrient imbalances.”

C  “Do not take this medication in the morning.”

D  “This medication has to be taken with food.”

A  It cannot be given to teenagers.

B  It has an aspirin base.

C  It is a prescription drug.

D  It cannot be given orally.

A  Bloody stools

B  Abdominal pain

C  Lethargy

D  Dizziness

A  “Take before meals.”

B  “Chew the drug thoroughly and then swallow with water.”

C  “Mix in one glass of water and stir thoroughly.”

D  “Take only every other day.”

A  “Take this medication at bedtime daily.”

B  “You can take up to 500 mg a day.”

C  “This medication will soften your stools.”

D  “This medication may cause diarrhea.”

A  Increases intestinal excretion of water

B  Decreases the reabsorption of water in the bowel

C  Decreases peristalsis in the intestine

D  Increases intestinal motility

A  Adsorbents

B  Opiates

C  Probiotics

D  Anticholinergics

A  Adsorbents

B  Belladonna alkaloids

C  Opiates

D  Probiotics

A  Psyllium

B  Docusate salts (sodium)

C  Polyethylene glycol

D  Senna

A  Nausea

B  Diarrhea lasting 2 days

C  Infection requiring antibiotic therapy

D  Escherichia coli–associated diarrhea

A  Decreased gastrointestinal motility

B  Decreased gastric secretions

C  Binding to bacteria for elimination

D  Increased fluid absorption

A  Increased bleeding time, Constipation, Angina

B  Cramps, Diarrhea, Constipation

C  Increased bleeding time, Nausea, Diarrhea

D  Increased bleeding time, Nausea, Angina

A  Diphenoxylate with atropine

B  Cholestyramine with glipizide

C  Anticholinergics with opiates, such as loperamide

D  Oral anticoagulant warfarin with adsorbents

A  8 ounces

B  10 ounces

C  6 ounces

D  4 ounces

A  Improves the intestinal barrier function

B  Inhibits peristalsis in the intestinal wall

C  Suppresses the growth of pathogenic bacteria

D  Inhibits the growth of intestinal microflora

A  Rectal

B  Oral

C  Intravenous

D  Intramuscular

A  Bisacodyl

B  Docusate sodium

C  Loperamide

D  Senna

A  1.5 mg

B  0.5 mg

C  1.0 mg

D  2.5 mg