QUESTIONS AND ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
What is the indication for metoclopramide/reglan? - ANS.... -Prevention of
chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - ANS.... -Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan - ANS.... -Tremors
What is the indication xenical (orlistat, Alli) - ANS.... -For PTs with BMI of 30+; LT
weight control
SE of xenical (orlistat or Alli) - ANS.... -Oily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - ANS.... -Ask pt to describe
dietary intake since SE are increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or Alli) - ANS.... -Fiber laxatives
like Metamucil help decrease SE by binding to the fat.
Which type of fluids need plenty of water? - ANS.... -Bulk forming laxatives
,Why do you need plenty of fluids when taking bulk forming laxatives - ANS.... -
Because they can produce esophageal and or intestinal obstruction?
Laxative use assessment - ANS.... -Last BM and characteristics, abdominal pain,
fever and obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - ANS.... -Encourage fluids, fiber and exercise
as tolerated/indicated?
Laxative use and result in - ANS.... -Lack of bowel tone which can lead to
dependency
What is ondansetron (Zofran) - ANS.... -antiemetic?
What is ondansetron (zofran)used for? - ANS.... -Prevention of N/V associated
with chemotherapy and radiation therapy.
Who should you use caution with when giving ondansetron/zofran? - ANS.... -PTs
with liver failure
Drugs for ulcerative colitis and crohns - ANS.... -5 aminosalicylates; mesalamie,
sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? - ANS.... -They
decrease GI inflammation
, Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - ANS.... -Nausea,
rash, arthralgia, hematological disorders
Which drug can cause colitis/c.diff - ANS.... -Linezolid/zyvox
What kind of infection is c.diff - ANS.... -Suprainfection
What is azithromycin/zithromax? - ANS.... -An antibiotic
What does azithromycin/zithromax treat? - ANS.... -STDs such as: gonorrhea and
chlamydia
How much azithromycin/zithromax is usually required? - ANS.... -One dose of 1g
or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does the male need
to be tested? - ANS.... -Yes!
azithromycin/zithromax can cause what? - ANS.... -Hepatotoxicity- elevated liver
enzymes
What is nitrofurantoin/cipro used for? - ANS.... -An antibiotic for UTI
nitrofurantoin/cipro side effect - ANS.... -Hepatotoxicity, skin reactions,
neuropathy