GI Pharm Test Bank Questions and Answers 2024 2025 A review A patient is receiving an aluminum containing antacid The nurse will inform the patient to watch for which possible adverse effect correct answer Constipation When reviewing the health history of a patient who will be receiving antacids the nurse recalls that antacids containing magnesium need to be used cautiously in patients with which condition correct answer Renal Failure The nurse is reviewing the medication orders for a patient who will be taking an H2 antagonist Which drug may have an interaction if taken along with the H2 antagonist correct answer Ketoconzaole Nizoral A patient who has been taking cimetidine Tagamet for hyperacidity calls the clinic to say that the medication has not been effective The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug correct answer He smokes two packs of cigarettes a day A patient is taking omeprazole Prilosec for the treatment of gastroesophageal reflux disease GERD The nurse will include which statement in the teaching plan about this medication correct answer The entire capsule must be taken whole not crushed chewed or opened A patient is complaining of excessive and painful gas The nurse checks the patient s medication orders and prepares to administer which drug for this problem correct answer Simethicone Mylicon A 75 year old woman comes into the clinic with complaints of muscle twitching nausea and headache She tells the nurse that she has been taking sodium bicarbonate five or six times a day for the past 3 weeks The GI Pharm Test Bank Questions and Answers 2024 2025 A review nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate correct answer Metabolic Alkalosis A patient will be taking a 2 week course of combination therapy with omeprazole Prilosec and another drug for a peptic ulcer caused by Helicobacter pylori The nurse expects a drug from which class to be ordered with the omeprazole correct answer Antibiotic A patient is asking advice about which over the counter antacid is considered the most safe to use for heartburn The nurse explains that the reason that calcium antacids are not used as frequently as other antacids is for which of these reasons correct answer Their use may result in kidney stones At 0900 the nurse is about to give morning medications and the patient has asked for a dose of antacid for severe heartburn Which schedule for the antacid and medications is correct correct answer Give the medications at 0900 and then the antacid at 1000 During an admission assessment the patient tells the nurse that he has been self treating his heartburn for 1 year with over the counter Prilosec OTC omeprazole a proton pump inhibitor The nurse is aware that this self treatment may have which result correct answer Masked symptoms of serious underlying diseases An older adult patient had gastric surgery due to a gastrointestinal bleed 3 days ago and he has been stable since the surgery This evening his daughter tells the nurse He seems to be more confused this afternoon He s never been like this What could be the problem The nurse reviews the patient s medication record and suspects that which drug could be the cause of the patient s confusion correct answer Cimetidine Tagamet GI Pharm Test Bank Questions and Answers 2024 2025 A review The nurse is teaching a patient who will be taking a proton pump inhibitor as long term therapy about potential adverse effects Which statement is correct correct answer Long term use of these drugs may contribute to osteoporosis It speeds up bone mineral loss A patient in the intensive care unit has a nasogastric tube and is also receiving a proton pump inhibitor PPI The nurse recognizes that the purpose of the PPI is which effect correct answer Prevent stress ulcers The nurse is providing patient teaching about antacids Which statements about antacids are accurate Select all that apply correct answer b Antacids reduce the production of acid in the stomach c Rebound hyperacidity may occur in calcium based antacids e Magnesium based antacids cause diarrhea The nurse is giving oral mineral oil as an ordered laxative dose The nurse will take measures to prevent which potential problem that may occur with mineral oil correct answer Lipid pneumonia because of accidental aspiration When administering a bulk forming laxative the nurse instructs the patient to drink the medication mixed in a full 8 ounce glass of water Which statement best explains the rationale for this instruction correct answer These laxatives may cause esophageal obstruction if taken with insufficient water A patient will be taking bismuth subsalicylate Pepto Bismol to control diarrhea When reviewing the patient s other ordered medications the nurse recognizes that which medication or medication class will interact GI Pharm Test Bank Questions and Answers 2024 2025 A review significantly with the Pepto Bismol correct answer Hypoglycemic drugs A patient is about to undergo a diagnostic bowel procedure The nurse expects which drug to be used to induce total cleansing of the bowel correct answer Polyethylene Glycol While recovering from surgery a 74 year old woman started taking a stimulant laxative senna Senokot to relieve constipation caused by the pain medications Two weeks later at her follow up appointment she tells the nurse that she likes how regular her bowel movements are now that she is taking the laxative Which teaching principle is appropriate for this patient correct answer Long term use of laxatives often results in decreased bowel tone and may lead to dependency A patient asks the nurse about the difference between diphenoxylate with atropine Lomotil and the over the counter drug loperamide Imodium Which response by the nurse is correct correct answer Imodium does not cause physical dependence A patient wants to prevent problems with constipation and asks the nurse for advice about which type of laxative is safe to use for this purpose Which class of laxative is considered safe to use on a long term basis correct answer Bulk forming laxatives When administering mineral oil the nurse recognizes that it can interfere with the absorption of which substance correct answer Fat soluble vitamins The nurse is reviewing the mechanism of action of antidiarrheal drugs Which type of antidiarrheal medication works by decreasing the intestinal muscle GI Pharm Test Bank Questions