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. If gastrointestinal bleeding does not stop within 2 weeks, consult your practitioner.
B. Although antacids are the mainstay of therapy for peptic ulcers, they must be taken frequently to be effective.
C. If constipation results from magnesium antacids, try switching to aluminum antacids.
D. Antacids interfere with absorption of many medicines, so take them at different times.
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. Give 4-6 glasses of water each day
C. Have bathroom or bedpan access ready for 15 minute onset of action
D. All of the above
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. Give the tablet rectally.
D. Dissolve the tablet and put down the intestinal tube.
The most effective drugs for treating gastric ulcers are:
A. Histamine stimulants
B. Aluminum Antacids
C. Anticholinergics
D. Antibiotics
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
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. Do not take if pregnant.
B. Get out of bed slowly.
C. Do not open capsule before swallowing.
D. Do not crush delayed release beads inside the capsule.
Category X drugs should be avoided in pregnancy. B is almost as safe as you can get. The capsule contains time release beads. It can be opened and mixed with foods such as applesauce for patients who have trouble swallowing tablets, but the beads should not be crushed, as this removes the time release properties of the beads. There are no side effects relating to BP or pulse that would cause dizziness when getting out of bed.
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.
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