Chapter 38: Upper Gastrointestinal System Drugs Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a gastrointestinal stimulant? a. Ranitidine b. Misoprostol c. Omeprazole d. Metoclopramide Answer: D Rationale: Metoclopramide is classified as a gastrointestinal stimulant. Ranitidine is a histamine H2 receptor antagonist. Omeprazole is a proton pump inhibitor. Misoprostol is a miscellaneous acid reducer. Question format: Multiple Choice Chapter: 38 Learning Objective: 1 Cognitive Level: Remember Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 505, Summary Drug Table 2. A nurse has administered trimethobenzamide to a client reporting nausea and vomiting. Which adverse reaction should the nurse prioritize on ongoing assessment? a. Acid rebound b. Neurotoxicity c. Blurred vision d. Bone softening Answer: C Rationale: The nurse should monitor the client for blurred vision as an adverse reaction to the trimethobenzamide. Acid rebound is an adverse reaction to calcium carbonate. Neurotoxicity and bone softening are adverse reactions to aluminum carbonate gel. Question format: Multiple Choice Chapter: 38 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 505, Summary Drug Table 3. A nurse is preparing a teaching plan for a client with an acute peptic ulcer who is prescribed aluminum carbonate gel. Which instructions should the nurse prioritize for this client? a. Take the drug hourly for the first 2 weeks. b. The drug should be taken early in the morning before breakfast. c. Dissolve the drug in 40 mL of apple juice. d. Take the drug before meals and at bedtime. Answer: A Rationale: The drug should be administered hourly for the first 2 weeks when treating an acute peptic ulcer. The nurse instructs the client to administer the drug 1–2 hours after meals and at bedtime after the first 2 weeks. The drug should not be taken before meals or with food as it will interfere in the absorption of the food in the stomach. Question format: Multiple Choice Chapter: 38 Learning Objective: 4 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 502, Antacids 4. A 30-year-old female client is prescribed misoprostol. Which instruction should the nurse prioritize in the teaching session for this client? a. Swallow the tablet 1 hour before eating. b. Administer the drug 1 hour before travel. c. Do not chew, open, or crush the tablet. d. Use a reliable contraceptive method. Answer: D Rationale: The nurse should instruct the client to use a reliable contraceptive method to avoid pregnancy during the course of treatment as it can cause spontaneous abortion. The nurse should instruct the client taking proton pump inhibitors not to chew, open, or crush the tablet and to swallow the tablet whole at least 1 hour before eating. The nurse needs to inform the client taking a drug for motion sickness to administer it about 1 hour before travel. Question format: Multiple Choice Chapter: 38 Learning Objective: 4 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 503, Educating the Client and Family 5. A client is brought to the emergency department for a drug overdose. The nurse concludes the emetic is safe to give to the client if which client assessment finding is noted? a. Mental status is intact b. History of severe hypertension c. History of convulsions d. Existing condition of hemorrhagic diathesis