Post 13 GI

The patient is comatose following ingestion of an unknown poison. Staff in the Emergency Room will:

A. Induce vomiting with ondansetron (ZOFRAN)
B. Administer a universal poisoning antidote
C. Insert a stomach tube and give activated charcoal
D. Suppress symptoms with tricyclic antidepressants



Client teaching for someone taking over-the-counter antacids might include which statement?

A. Antacids interfere with absorption of many medicines, so take them at different times.
B. Although antacids are the mainstay of therapy for peptic ulcers, they must be taken frequently to be effective.
C. If gastrointestinal bleeding does not stop within 2 weeks, consult your practitioner.
D. If constipation results from magnesium antacids, try switching to aluminum antacids.



The obesity drug sibutramine (MERIDIA) works by:

A. Decreasing appetite by inhibiting reuptake of serotonin and norepinephrine
B. Blocking fat absorbtion from the gut
C. Blocking adrenergic receptors in the brain
D. Stimulating a craving for low-fat foods



When administering psyllium and bran (METAMUCIL) to treat constipation, it is important to:

A. Allow the solution to sit for 30 minutes before the patient drinks it
B. Minimize the amount of oral water taken (no more than 1/2 glass with the medication and no more than 2 glasses total for the day)
C. Assess for hypersensitivity to psyllium and GI obstruction, both of which are contraindications
D. Verify that the patient has a bowel movement within 30 minutes of administration.



Which of the following combination products would be most likely to treat heartburn (acid indigestion) associated with excessive gas, without side effects of either constipation or diarrhea?

A. GAVISCON (aluminum hydroxide and magnesium carbonate)
B. MYLANTA (aluminum hydroxide, magnesium hydroxide and simethicone)
C. METAMUCIL (psyllium)
D. PHOSPHAJEL CAPS (aluminum phosphate)



A patient has one medium sized tube into the stomach and one small tube into the small intestine. To give sucralfate to this patient:

A. Dissolve the tablet and put down the stomach tube.
B. None of the above. A patient with tubes into the stomach and intestine should not be receiving sucralfate.
C. Dissolve the tablet and put down the intestinal tube.
D. Give the tablet rectally.



The most effective drugs for treating gastric ulcers are:

A. Histamine stimulants
B. Aluminum Antacids
C. Anticholinergics
D. Antibiotics



Vitamin K has been ordered for your patient, most likely because of a problem with:

A. wound healing
B. bleeding
C. numbness and tingling in the extremeties
D. chronic infections



Lansoprazole is a Category B proton pump inhibitor, available in several forms. What precautions should you advise about/monitor for in patients taking this drug?

A. Get out of bed slowly.
B. Do not take if pregnant.
C. Do not crush delayed release beads inside the capsule.
D. Do not open capsule before swallowing.



Which of the following doctor's orders for nausea treatment should be questioned?

A. The patient has postoperative nausea without vomiting (yet). Orders are for prochlorperazine intravenously and ondansetron intravenously if that does not work.
B. The patient is vomiting postoperatively in the recovery room: Orders are to place topical scopolamine patch, and if ineffective give prochlorperazine intravenously.
C. The patient is a diabetic with nerve damage that slows down transit of food in the stomach (gastroparesis): Orders are to give metoclopramide intravenously.
D. The patient will receive chemotherapy in 30 minutes: Oders are to give dexamethasone and granisetron orally now.



If antacids have been unsuccessful in treating gastroesophageal reflux disease (GERD), which drug would be tried next?

A. A stimulant such as bisacodyl (DUCOLAX)
B. A prostaglandin such as misoprostol (CYTOTEC)
C. A proton pump inhibitor such as lansoprazole (PREVACID)
D. An opiate such as diphenoxylate and atropine (LOMOTIL)



Before starting an herbal weight loss product containing ephedra, it is most important to check the patient's:

A. Body mass index
B. Weight
C. Ability to swallow large pills
D. Blood pressure



A client selects cimetidine over-the-counter to treat symptoms of gastro-esophageal reflux disease. Which assessment is most important to make?

A. What other medications is the client taking? There are many drug-drug interactions with cimetidine.
B. What time and how is the drug being taken? It is best taken with food at bedtime.
C. What dose is being used? The recommended OTC dose should be doubled for active symptoms.
D. How long have the symptoms been going on? Cimetidine is only effective in the first 2 weeks of symptoms.


A patient should take pancrelipase:

A. On first awakening in the morning.
B. At bedtime.
C. With meals.
D. 3 hours after meals.




Added 12/15 Thanks Lily!!!!!


Which of the following is tried first in the treatment of gastroesophageal reflux disease?

A. A stimulant such as bisacodyl (DUCOLAX)
B. A prostaglandin such as misoprostol (CYTOTEC)
C. An opiate such as diphenoxylate and atropine (LOMOTIL)
D. An antacid such as MAALOX



The most important vitamins for an alcoholic to take are:

A. D and C
B. The B vitamins
C. Vitamin A and E
D. The fat soluble vitamins



MD orders should be questioned if the drug ordered would be dangerous for the patient to receive, if the patient needs a drug which is not ordered and when multiple drugs are ordered for the same condition when combination therapy is not called for. Which drug order should be questioned?

A. No prescription for a stool softner in a patient on morphine for cancer.
B. Lansoprozole in a hospitalized patient without a prior history of ulcer disease.
C. Metronidazole in a patient who just had open bowel surgery.
D. Metoclopramide in a diabetic patient with nausea from slow peristalsis.



Activated charcoal may be given in the emergency room to:

A. Prevent absorption of phosphate from the gut
B. Assist in the diagnosis of appendicitis
C. Bind and prevent absorption of ingested drugs and toxins
D. Treat nausea associated with intestinal blockage



Which of the following doctor's orders for nausea treatment should be questioned?

A. The patient will receive chemotherapy in 30 minutes: Oders are to give dexamethasone and granisetron orally now.
B. The patient is a diabetic with nerve damage that slows down transit of food in the stomach (gastroparesis): Orders are to give metoclopramide intravenously.
C. The patient has postoperative nausea without vomiting (yet). Orders are for prochlorperazine intravenously and ondansetron intravenously if that does not work.
D. The patient is vomiting postoperatively in the recovery room: Orders are to place topical scopolamine patch, and if ineffective give prochlorperazine intravenously.