Mastery EAQ Ch. 51

A  Administer diphenhydramine.

B  Stop the medication.

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

D  Call the health care provider immediately.

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

B  “Senna takes effect 1 hour after administration.”

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

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 is taking opioid medications for pain

D  One who has had constipation for 3 days

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

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

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

D  “Take the cholestyramine only in the morning.”

A  Diphenoxylate and hyoscyamine

B  Colestipol and cholestyramine

C  Bismuth subsalicylate and aluminum hydroxide

D  Opium tincture and loperamide

A  Decrease the frequency of administration.

B  Stop the medication immediately.

C  Change the route of administration.

D  Increase fluid intake.

A  “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.”

B  “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.”

C  “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.”

D  “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.”

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

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

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

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

A  “Avoid chewing these tablets.”

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

A  Joint pain, Bradycardia, Tachycardia

B  Blurred vision, Joint pain, Bradycardia

C  Dry mouth, Tachycardia, Blurred vision

D  Joint pain, Dry mouth, Bradycardia

A  Bismuth subsalicylate

B  Hyoscyamine

C  Diphenoxylate

D  Lactobacillus acidophilus

A  “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.”

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 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.”

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

C  “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.”

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  “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.”

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

A  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.

B  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.

C  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.

D  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.

A  Assess the patient’s fluid intake.

B  Ask the patient about her diet.

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

D  Assess consistency of stools.

A  Myasthenia gravis, Chronic diarrhea, Vitamin K deficiency

B  Paralytic ileus, Myasthenia gravis, Narrow-angle glaucoma

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

D  Chronic diarrhea, Paralytic ileus, Vitamin K deficiency

A  Abdominal pain, Flatulence, Recent weight loss

B  Rectal bleeding, Abdominal pain, Nausea and vomiting

C  Flatulence, Rectal bleeding, Recent weight loss

D  Recent weight loss, Flatulence, Nausea and vomiting

A  Increased urination

B  Hypertension

C  Bradycardia

D  Somnolence

A  Reducing ammonia levels

B  Alleviating galactose intolerance

C  Decreasing peripheral edema

D  Correcting sodium imbalances

A  Adsorbents

B  Anticholinergics

C  Opiates

D  Probiotics

A  Increase electrolyte concentrations in the colon.

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

C  Increase osmotic pressure and draw water into the colon.

D  Lubricate the inside of the gastrointestinal tract.

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

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

C  “Take the medication with a meal.”

D  “Take the medication without water.”

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

B  This medication should cure your condition.

C  Report severe constipation to the health care provider

D  This medication should work immediately.

A  Before meals

B  After meals

C  On an empty stomach

D  With 6 ounces of water

A  Bacterial infection

B  Hypothyroidism

C  Diabetes mellitus

D  Hyperlipidemia

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

B  “Hold other medications when taking this drug.”

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

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

A  It is a prescription drug.

B  It cannot be given orally.

C  It has an aspirin base.

D  It cannot be given to teenagers.

A  Lethargy

B  Dizziness

C  Bloody stools

D  Abdominal pain

A  “Take before meals.”

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

C  “Take only every other day.”

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

A  “You can take up to 500 mg a day.”

B  “This medication will soften your stools.”

C  “This medication may cause diarrhea.”

D  “Take this medication at bedtime daily.”

A  Increases intestinal excretion of water

B  Decreases peristalsis in the intestine

C  Increases intestinal motility

D  Decreases the reabsorption of water in the bowel

A  Anticholinergics

B  Probiotics

C  Opiates

D  Adsorbents

A  Opiates

B  Belladonna alkaloids

C  Probiotics

D  Adsorbents

A  Polyethylene glycol

B  Psyllium

C  Docusate salts (sodium)

D  Senna

A  Nausea

B  Diarrhea lasting 2 days

C  Infection requiring antibiotic therapy

D  Escherichia coli–associated diarrhea

A  Decreased gastrointestinal motility

B  Increased fluid absorption

C  Decreased gastric secretions

D  Binding to bacteria for elimination

A  Increased bleeding time, Nausea, Diarrhea

B  Cramps, Diarrhea, Constipation

C  Increased bleeding time, Constipation, Angina

D  Increased bleeding time, Nausea, Angina

A  Diphenoxylate with atropine

B  Oral anticoagulant warfarin with adsorbents

C  Anticholinergics with opiates, such as loperamide

D  Cholestyramine with glipizide

A  4 ounces

B  6 ounces

C  8 ounces

D  10 ounces

A  Improves the intestinal barrier function

B  Inhibits the growth of intestinal microflora

C  Suppresses the growth of pathogenic bacteria

D  Inhibits peristalsis in the intestinal wall

A  Rectal

B  Intramuscular

C  Oral

D  Intravenous

A  Senna

B  Docusate sodium

C  Bisacodyl

D  Loperamide

A  2.5 mg

B  0.5 mg

C  1.5 mg

D  1.0 mg