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1. Following administration of a dose of metoclopramide (Reglan) to the patient, the nurse determines that the medication has been effective when which of the following is noted? A. Absence of muscle tremors B. Relief of nausea/vomiting C. No further episodes of diarrhea D. Decreased blood pressure 2. The patient receiving chemotherapy rings the call bell and reports onset of nausea. The nurse should prepare a p.r.n. dose of which of the following medications? A. Dexamethasone (Decadron) B. Morphine sulfate C. Ondansetron (Zofran) D. Zolpidem (Ambien) 3. After administering a dose of promethazine (Phenergan) to a patient with nausea and vomiting, the nurse explains that which of the following may be experienced as a common temporary adverse effect of the medication? A. Sensation of falling B. Reduced hearing C. Drowsiness D.Photosensitivity 4. The patient who is admitted with a diagnosis of diverticulitis and has a history of irritable bowel disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 ml PO. The nurse would evaluate its effectiveness by questioning the patient as to whether which of the following symptoms has been resolved? A. Diarrhea B. Heartburn C. Constipation D. Lower abdominal pain 5. The nurse determines that a patient has experienced the beneficial effects of medication therapy with famotidine (Pepcid) when which of the following symptoms is relieved? A. Belching B. Difficulty swallowing C. Nausea D. Epigastric pain 6. A patient reports having dry mouth and asks for some liquid to drink. The nurse reasons that this symptom can most likely be attributed to a common adverse effect of which of the following medications? A. Promethazine (Phenergan) B. Cefotetan (Cefotan) C. Digoxin (Lanoxin) D. Famotidine (Pepcid) 7. The nurse should administer a p.r.n. dose of magnesium hydroxide (MOM) after noting which of the following while reviewing a patient's medical record? A. No bowel movement for 3 days B. Abdominal pain and bloating C. A decrease in appetite by 50% over 24 hours. D. Muscle tremors and other signs of hypomagnesemia 8. The nurse is preparing to administer a dose of bisacodyl (Dulcolax). In explaining the medication to the patient, the nurse would state that it acts in which of the following ways? A. Increases bulk in the stool B. Lubricates the intestinal tract to soften feces C. Increases fluid retention in the intestinal tract D. Increases peristalsis by stimulating enteric nerves 9. The nurse is preparing to administer a scheduled dose of docusate sodium (Colace) when the patient complains of an episode of loose stool and does not want to take the medication. Which of the following is the appropriate action by the nurse? A. Chart the dose as not given on the medical record and explain in the nursing progress notes. B. Withhold the medication at this time and try to administer it later in the day. C. Attempt to have the family convince the patient to take the ordered dose. D. Write an incident report about this untoward event. 10. The nurse would question the use of which of the following cathartic agents in a patient with renal insufficiency? A. Milk of magnesia B. Bisacodyl C. Cascara sagrada D. Lubiprostone 11. A patient who is administering a bisacodyl (Dulcolax) suppository asks the nurse how long it will take to work. The nurse replies that the patient will probably need to use the bedpan or commode within which of the following timeframes after administration? A. B. C. D. 2-5 minutes 15-60 minutes 2-4 hours 6-8 hours 12. The nurse is caring for a postoperative patient with a colostomy. The nurse is preparing to administer a dose of famotidine (Pepcid) when the patient asks why the medication was ordered since the patient does not have a history of heartburn or gastroesophageal reflux disease (GERD). Which of the following would be the most appropriate response by the nurse? A. “The stress of surgery is likely to cause stomach bleeding if you do not receive it.” B. “This will reduce the amount of HCl in the stomach until the nasogastric tube is removed, and you can eat a regular diet again.” C. “This will prevent the heartburn that occurs as a side effect of general anesthesia.” D. “This will prevent air from accumulating in the stomach, causing gas pains.” 13. When administering a dose of metoclopramide (Reglan) a patient complains of nausea. The nurse would teach the patient to report which of the following potential adverse effects? A. Double vision B. Numbness in the fingers and dose C. Tremors D. Constipation