GI Pharma exam

Anna, a 68-year-old woman, has been scheduled for a colonoscopy. The physician has prescribed polyethylene glycol powder for bowel preparation.

What is a crucial nursing implication for patients using polyethylene glycol powder for colonoscopy prep?

Maria, a 38-year-old woman with chronic constipation, is keen to try a fiber supplement. She inquires about Psyllium.
Which of the following conditions would make Psyllium contraindicated for Maria?

Ms. Caroline, a 72-year-old woman, is admitted to the geriatric ward post hip replacement surgery. She has a history of chronic constipation and is prescribed Bisacodyl to aid bowel movements.
Which of the following nursing interventions is most appropriate when administering Bisacodyl to Ms. Caroline?

Mr. Thompson, an 82-year-old man, is prescribed cimetidine for his condition.

Which of the following is a potential side effect of cimetidine, especially in this client?

Josephine, a 56-year-old woman, visits the outpatient clinic and expresses concern to the nurse about her bowel movements. She mentions that she typically has a bowel movement only every 4 days and inquires about the possibility of using a laxative.
What is the most appropriate initial response by the nurse?

Carlos, a 59-year-old man, presents to the outpatient clinic with complaints of fatigue, abdominal swelling, and mild jaundice. On further questioning, he mentions a history of excessive alcohol consumption for over 20 years.
He has recently noticed easy bruising and edema in his legs.
Blood tests show elevated liver enzymes, a low platelet count, and hypoalbuminemia.
An abdominal ultrasound reveals a nodular liver surface, splenomegaly, and signs of portal hypertension. Lactulose 20 g q 1 hr has been ordered.

Complete the diagram below by dragging from the choice below what condition the client is most likely experiencing, two actions the nurse would take to address that condition, and two parameters the nurse would monitor to assess the progression and management of the client. 

John, a 50-year-old with Crohn's disease, visits the gastroenterology clinic for his regular checkup. He has been prescribed budesonide to control inflammation and symptoms.
Which of the following should the nurse monitor closely while John is on budesonide?

David, a 52-year-old man with a history of epigastric pain worsened by food intake, started therapy with Sucralfate.
What is the most important precaution to communicate to David?

Maria, a 34-year-old undergoing chemotherapy for breast cancer, presents to the oncology clinic. She mentioned severe nausea following her last chemotherapy session. The oncologist prescribes ondansetron to alleviate her symptoms.
As a nurse, which of the following actions is most important when administering ondansetron?

Sophia, a 7-year-old girl, is brought to the pediatric clinic by her mother, complaining of mild diarrhea and stomach upset after eating questionable food at a school event. The mother asks if she can give Sophia an over-the-counter remedy she has at home, bismuth subsalicylate.
What should the nurse caution against when discussing the use of this medication in children?

Complete the following sentences by using the list of options

Patient: Mr. James Rodriguez/ Age: 55 years
Chief Complaint: Persistent heartburn and acid reflux.

Mr. Rodriguez presents to the clinic complaining of a particularly post meals, and a sour taste in his mouth for the past 6 months. He has tried over-the-counter antacids with minimal relief.
He denies weight loss, difficulty swallowing, or black stools.
He has a history of and occasional . Based on the clinical findings and an upper endoscopy, was suspected.
The physician prescribed a   for symptom relief and to prevent potential complications.
Appropriate Nursing Care for a Patient

1. Monitoring: Regularly assess for potential side effects such as diarrhea, nausea, or headache. Long-term use may be associated with . 

Patient: Maria Rodriguez
Age: 28 years
Setting: Outpatient Gastroenterology Clinic
Chief Complaint: Persistent epigastric pain for several months.

Based on the laboratory results, which value for Maria, who has recently been prescribed misoprostol for peptic ulcer disease, would require immediate action by the nurse?

Patient: Mrs. Jones
Age: 34 years
Setting: Urgent Care Clinic
Chief Complaint: Diarrhea for the past 3 days after consuming street food while on vacation.

Based on the information provided, what is the most appropriate nursing intervention and education for Mrs. Jones regarding the use of loperamide?

Patient: Mr. Samuel Thompson/ Age: 58 years
Chief Complaint: Malnutrition and difficulty eating due to severe oral ulcers from chemotherapy.

Mr. Thompson, who recently underwent chemotherapy for oral cancer, is on total parenteral nutrition (TPN) containing insulin because he is unable to consume food orally. He was started on TPN three days ago. This morning, he complained of feeling "shaky and dizzy." The nurse is preparing to assess him.
Based on the given scenario, which assessment findings would alert the nurse to potential adverse effects for Mr. Thompson who is receiving total parenteral nutrition (TPN) containing insulin? Select all that apply.

Sasha, a 48-year-old diabetic patient, presents to the outpatient clinic complaining of frequent episodes of nausea and vomiting, especially after eating. She describes a feeling of fullness even after consuming a small amount of food. The physician considers prescribing metoclopramide.

Which of the following is the most likely reason for prescribing metoclopramide in Sasha's case?

David, a 35-year-old man, visits his primary care physician seeking a prescription for weight loss. His BMI is 31. The physician considers prescribing phentermine. However, after reviewing David's medical history, there's a significant contraindication.

Which of the following could be a contraindication for prescribing phentermine to David?

Mr. Anderson, a 45-year-old male with Crohn's disease, started treatment with vedolizumab.

Which of the following patients would have the highest risk when starting vedolizumab?

Mr. Rodriguez, a 58-year-old patient with advanced cancer, is prescribed dronabinol to help manage his symptoms. After taking the medication, he reports some unusual sensations.
Which of the following is a potential neurologic side effect of dronabinol?

Complete the following sentences by using the list of options

John, a 60-year-old man with chronic gastritis, frequently takes aluminum-based antacids for relief from stomach acidity.

Among the side effects should the nurse educate John about when using aluminum-based antacids are  and

Laura, a 56-year-old woman with a recent cholecystectomy, is prescribed bile acid replacement therapy.
What should the nurse monitor Laura for after the initiation of bile acid replacement therapy?