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Chapter 30: Gastrointestinal Disorder Drugs
12 problems · 0 figuresCase Study 30.3.1 §30.3 source ↗
Read the following clinical scenario to answer the questions that follow.
Mae Belle Smith is a 24-year-old logistics manager. Her job requires long hours of sitting at a desk with few breaks for hydration. Mae Belle presented to her provider with complaints of severe abdominal pain and distention and has not had a bowel movement in 6 days other than occasional leakage of scant amounts of liquid stool. Current medications include over-the-counter ibuprofen for occasional headaches.
The health care provider suspects Mae Belle has a fecal impaction. Which of the following medications should the nurse anticipate will be ordered?- a.Methylcellulose
- b.Sorbitol
- c.Mineral oil
- d.Docusate sodium
| Vital Signs | Physical Examination | |
|---|---|---|
| Temperature: | 99.5°F | • Head, eyes, ears, nose, throat (HEENT): Within normal limits • Cardiovascular: No jugular vein distention; S1, S2 noted • Respiratory: Clear to auscultation bilateral all lung fields • GI: Abdomen distended, lower abdomen firm, hypoactive bowel sounds in all 4 quadrants • Neurological: Within normal limits • Integumentary: No wounds noted; skin appropriate for age. |
| Blood pressure: | 122/68 mm Hg | |
| Heart rate: | 93 beats/min | |
| Respiratory rate: | 20 breaths/min | |
| Oxygen saturation: | 99% on room air | |
| Height: | 5'7" | |
| Weight: | 125 lb | |
Answer
Case Study 30.3.2 §30.3 source ↗
Read the following clinical scenario to answer the questions that follow.
Mae Belle Smith is a 24-year-old logistics manager. Her job requires long hours of sitting at a desk with few breaks for hydration. Mae Belle presented to her provider with complaints of severe abdominal pain and distention and has not had a bowel movement in 6 days other than occasional leakage of scant amounts of liquid stool. Current medications include over-the-counter ibuprofen for occasional headaches.
After the impaction is resolved, which of the following medications should the nurse anticipate the health care provider will order to help promote the client’s natural bowel function?- a.Psyllium
- b.Loperamide
- c.Linaclotide
- d.Ondansetron
| Vital Signs | Physical Examination | |
|---|---|---|
| Temperature: | 99.5°F | • Head, eyes, ears, nose, throat (HEENT): Within normal limits • Cardiovascular: No jugular vein distention; S1, S2 noted • Respiratory: Clear to auscultation bilateral all lung fields • GI: Abdomen distended, lower abdomen firm, hypoactive bowel sounds in all 4 quadrants • Neurological: Within normal limits • Integumentary: No wounds noted; skin appropriate for age. |
| Blood pressure: | 122/68 mm Hg | |
| Heart rate: | 93 beats/min | |
| Respiratory rate: | 20 breaths/min | |
| Oxygen saturation: | 99% on room air | |
| Height: | 5'7" | |
| Weight: | 125 lb | |
Answer
30-1 §30.RQ source ↗
- a.It will take 2 weeks before the full effects of the medication are achieved.
- b.Take the prescribed amount of medication every day, even if your symptoms improve.
- c.Keep some throat lozenges handy as dry mouth is a common side effect of this medication.
- d.This medication will not make you drowsy.
Answer
30-2 §30.RQ source ↗
- a.Have the client lie on their right side with their left knee raised to their chest.
- b.Have the client lie on their left side with their right knee raised to their chest.
- c.Remove the suppository from the refrigerator at least 15 minutes before administration to allow it to soften.
- d.Instruct the client to stand and get dressed immediately after administration.
Answer
30-3 §30.RQ source ↗
- a.Dry mouth
- b.Flu-like symptoms
- c.Increased urination
- d.Diarrhea
Answer
30-4 §30.RQ source ↗
- a.Magnesium citrate
- b.Bisacodyl
- c.Psyllium
- d.Polyethylene glycol
Answer
30-5 §30.RQ source ↗
- a.Photosensitivity
- b.Increased urination
- c.Peripheral edema
- d.Headache
Answer
30-6 §30.RQ source ↗
- a.This medication must be taken at bedtime.
- b.Take the medication with a full glass of water.
- c.This medication must be taken long term for it to be fully effective.
- d.Take the medication on an empty stomach.
Answer
30-7 §30.RQ source ↗
- a.Nausea
- b.Decreased appetite
- c.Changes in stool consistency
- d.Decreased blood pressure
Answer
30-8 §30.RQ source ↗
- a.Bowel obstruction
- b.Irritable bowel syndrome
- c.Chronic idiopathic constipation
- d.Bowel irritation
Answer
30-9 §30.RQ source ↗
- a.Ondansetron
- b.Aprepitant
- c.Meclizine
- d.Prochlorperazine
Answer
30-10 §30.RQ source ↗
- a.“I need to put this on as soon as I start to feel nauseated.”
- b.“One patch should last 3 days.”
- c.“I need to wash my hands after applying the patch.”
- d.“I should not touch the adhesive section when applying the patch.”
Answer
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Problems and answers are adapted from Pharmacology for Nurses by Tina Barbour-Taylor, Leah Mueller (Sabato), Donna Paris and Dorie Weaver, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/pharmacology/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.