Digestive & Gastrointestinal System Disorders | NCLEX Quiz 75

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1. Sucralfate (Carafate) achieves a therapeutic effect by:

Explanation

Sucralfate has a local effect only on the gastric mucosa. It forms a paste-like substance in the stomach. which adheres to the gastric lining. protecting against adverse effects related to gastric acid. It also stimulates healing of any ulcerated areas of the gastric mucosa.

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Digestive & Gastrointestinal System Disorders | NCLEX Quiz 75 - Quiz

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2. Which of the following nursing diagnoses is appropriate for a patient receiving famotidine (Pepcid)?

Explanation

A serious side effect of famotidine is thrombocytopenia. which is manifested by a decrease in platelet count and an increased risk of bleeding.

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3. Side effects of loperamide (Imodium) include all of the following except?

Explanation

Side effects associated with loperamide include CNS fatigue and dizziness. epigastric pain. abdominal cramps. nausea. dry mouth. vomiting. and anorexia. Diarrhea is an indication. not a side effect.

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4. To avoid fecal impaction. psyllium (Metamucil) should be administered with at least how many ounces of fluid?

Explanation

Bulk-forming laxatives must be given with at least 8 ounces of liquid plus additional liquid each day to prevent intestinal obstruction.

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5. When administering sucralfate (Carafate) to a patient with a nasogastric tube. it is important to:

Explanation

It is important to give sucralfate on an empty stomach so that it may dissolve and form a protective barrier over the gastric mucosa. The tablet form will not dissolve in water when crushed; it must be left whole and allowed to dissolve. Crushing the medication so that it will not dissolve could lead to clogging of the nasogastric tube and decreased effectiveness of the drug.

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6. Histamine2-receptor antagonists:

Explanation

Histamine receptor blocking agents decrease gastric acid by competing with histamine for binding sites on the parietal cells.

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7. . The mechanism of action of diphenoxylate (Lotomil) is:

Explanation

Diphenoxylate acts on the smooth muscle of the intestinal tract to inhibit GI motility and excessive propulsion of the GI tract (peristalsis).

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8. A patient unable to tolerate oral medications may be prescribed which of the following proton pump inhibitors to be administered intravenously?

Explanation

Pantoprazole is the only proton pump inhibitor that is available for intravenous administration. The other medications in this category may only be administered orally.

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9. Proton pump inhibitors:

Explanation

Because the proton pump inhibitors stop the final step of acid secretion. they can block up to 90% of acid secretion. leading to achlorhydria (without acid).

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10. During the assessment of a client's mouth. the nurse notes the absence of saliva. The client is also complaining of pain near the area of the ear. The client has been NPO for several days because of the insertion of a NG tube. Based on these findings. the nurse suspects that the client is developing which of the following mouth conditions?

Explanation

Absorbent antidiarrheal medications bind to diarrhea-causing bacteria to form a nonabsorbable complex. which is then excreted in the stool.

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Sucralfate (Carafate) achieves a therapeutic effect by:
Which of the following nursing diagnoses is appropriate for a patient...
Side effects of loperamide (Imodium) include all of the following...
To avoid fecal impaction. psyllium (Metamucil) should be administered...
When administering sucralfate (Carafate) to a patient with a...
Histamine2-receptor antagonists:
. The mechanism of action of diphenoxylate (Lotomil) is:
A patient unable to tolerate oral medications may be prescribed which...
Proton pump inhibitors:
During the assessment of a client's mouth. the nurse notes the absence...
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