Chapter 16: Gastrointestinal Medications

Chapter 16: Gastrointestinal Medications

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient comes into the clinic complaining of severe abdominal pain that occurs approximately 45 to 60 minutes after eating. The pain also wakes him up at night. When he eats or drinks some milk, he feels better. When he eats Mexican food or drinks alcohol, it feels worse. The physician plans to order some x-ray films. Before the tests are completed, the nurse anticipates the physician will probably ask the patient to take which medication?

ANS:  C

An antacid acts to neutralize or reduce acidity of gastric contents and the histamine H₂-receptor antagonists.

DIF:    Cognitive Level: Apply                   REF:   p. 324             OBJ:   1

TOP:   GI Medications                               KEY:  Nursing Process Step: Diagnosis

MSC:  NCLEX: Safe, Effective Care Environment: Coordinated Care

2. A patient is diagnosed as having a duodenal ulcer. Which medication does the nurse anticipate the physician will order?

ANS:  D

Proton pump inhibitors are used in the short-term treatment of active duodenal ulcers, usually after adequate courses of H₂-receptor antagonists have not been successful.

DIF:    Cognitive Level: Apply                   REF:   p. 326             OBJ:   1

TOP:   Proton Pump Inhibitors                    KEY:  Nursing Process Step: Diagnosis

MSC:  NCLEX: Physiological Integrity

3. An older patient has been diagnosed with having laxative dependency due to chronic laxative use. The nurse plans to educate the patient on nonpharmacologic measures to prevent constipation. What should the nurse’s education plan include?

ANS:  C

Nonpharmacologic interventions for treatment of constipation include increasing fluid intake to 6 to 8 glasses of water each day if permitted and tolerated and a regular exercise routine, such as a daily walk or active and passive exercise for bedridden patients.

DIF:    Cognitive Level: Apply                   REF:   p. 335             OBJ:   3

TOP:   Laxatives       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

4. A patient complains to her physician of abdominal bloating and discomfort. She is a known alcoholic and has been treated recently for pancreatitis. Which medications may be used to reduce abdominal discomfort resulting from intestinal spasm, increased motility, and acid production?

ANS:  B

Anticholinergic-antispasmodic preparations are parasympatholytic drugs that act with antacids in prolonging the therapeutic benefits of both drug categories.

DIF:    Cognitive Level: Apply                   REF:   p. 331             OBJ:   2

TOP:   Anticholinergic-Antispasmodics      KEY:  Nursing Process Step: Diagnosis

MSC:  NCLEX: Physiological Integrity