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Chapter 19. Gastrointestinal System Medications

Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

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Chapter 19. Gastrointestinal System Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   While counseling a patient who takes bisacodyl (Peri-Colace), the nurse determines further teaching is required by which of the following statements?

A. “I typically need to take it about once or twice a week.”
B. “It bulks up my stool and absorbs water so I have to really increase my fluid intake.”
C. “If I take it at night, my bowels usually move in the morning.”
D. “Taking a stool softener has been helpful since I don’t get around as much with my walker.”

 

 

____     2.   The LPN is assisting in the care of a client who requests a suppository to aid in the passage of constipated stool. Which of the following medications ordered on a prn basis would the nurse provide?

A. Orlistat (Xenical)
B. Polyethylene glycol (MiraLax)
C. Glycerine (Colace)
D. Cimetidine (Tagamet)

 

 

____     3.   The LPN is preparing for a colonoscopy and was given a prescription for polyethylene glycol electrolyte solution (GoLYTELY). The nurse was instructed to remain on clear liquids then start the prep from 10 to 11 a.m., remain NPO after the prep, and report for the procedure at 4 p.m.  She typically takes her morning blood pressure medication and vitamins at 9 a.m. with her breakfast. Which of the following actions is best?

A. Do not take the morning medications until after the procedure.
B. Take the morning medications with a liquid breakfast at 8 a.m. or earlier.
C. Take the morning medications with breakfast at 9 a.m. as usual then start clear liquids with the prep at 10 a.m.
D. Take the blood pressure medication at 9 a.m. but not the vitamins with a clear liquid meal.

 

 

____     4.   The LPN is talking to a client who experiences watery diarrhea frequently with menstruation.  Which of the following is an over-the-counter medication that would be useful for short-term use in this scenario?

A. Loperamide (Imodium)
B. Prochlorperazine (Compazine)
C. Simethicone (Mylanta gas)
D. Phentermine (Zantryl)

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Gastrointestinal System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Medications to Treat Constipation (p. 346–348; 349): Bisacodyl is a stool softener that decreases the consistency of the stool. This type of laxative is typically used routinely for clients with limited mobility. It is not a bulk-forming laxative.

 

  1. ANS:  C                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Gastrointestinal System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Master the Essential Table and Medications to Treat Constipation (p. 346–348; 349): Glycerine is an osmotic laxative given rectally to aid in the evacuation of stool within 15 to 60 minutes. Orlistat is a lipase inhibitor. Polyethylene glycol is a bulk-forming laxative given orally. Cimetidine is an H2-receptor antagonist generally used to treat nausea.

 

  1. ANS:  B                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Gastrointestinal System Medications

KEY:  Application    MSC:  NCLEX Category: Reduction of Risk Potential

NOT:  See Master the Essential Table and Medications to Treat Constipation (p. 346–348; 349–350): Medications taken within 1 hour of the prep may be flushed from the GI tract, so the morning medications should be taken early with a clear liquid breakfast. Skipping the medication or holding it until after the procedure may cause a rise in the client’s blood pressure.

 

  1. ANS:  A                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Gastrointestinal System Medications

KEY:  Application    MSC:  NCLEX Category: Pharmacological Therapies

NOT:   See Master the Essential Table and Medications to Treat Diarrhea (p. 346–348; 350): Loperamide is an antidiarrheal agent that can be purchased over the counter. Prochlorperazine is an anti-emetic; simethicone is an antigas agent; phentermine is an anorexiant.

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