Response Feedback : Lactulose is used to reduce serum ammonia levels by pulling water into the colon. In this case, frequent, loose bowel movements are an expected outcome. A patient with hepatic coma or hepatic encephalopathy would not normally be expected to express an understanding of his or her drug regimen. The goal of treatment is not the relief of constipation. Bowel movements would not be formed. Question 29 1 out of 1 points A 60-year-old man has scheduled a follow-up appointment with his
primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The patient states, “I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all.” How should the nurse best respond to this patient's statement? Response Feedback: Optimal efficacy requires that omeprazole is taken daily, not just when the patient is symptomatic. A lack of immediate symptomatic relief does not necessarily indicate that the drug is ineffective. Question 30 1 out of 1 points A teenage boy has undergone a diagnostic workup following several months of persistent, bloody diarrhea that appears to lack an infectious etiology. The boy has also experienced intermittent abdominal pain and has lost almost 15 pounds this year. Which of the following medications is most likely to treat this boy's diagnosis? Response Feedback : This patient's history and presentation are strongly suggestive of ulcerative colitis, a disease for which mesalamine is an approved treatment. Lubiprostone is used for the treatment of constipation and docusate is a stool softener. Bismuth subsalicylate is an antidiarrheal but is not effective in the management of ulcerative colitis. Question 31 1 out of 1 points A patient is taking cholestyramine. The nurse will assess for which of the following common adverse effects of the drug? Response Feedback: Constipation is the most common adverse effect of cholestyramine. Abdominal pain, headache, and indigestion are less frequently experienced adverse effects of the drug. Question 32 1 out of 1 points A nurse is providing patient education for a patient who has been prescribed diphenoxylate HCl with atropine sulfate. Which of the following instructions would be important for self-administration of this drug? Response Feedback: The patient should decrease the dosage when the number of stools decreases and should not wait until the physician discontinues the therapy. The drug does not
need to be taken with food or juice. Question 33 1 out of 1 points A 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)?
- Summer '15
- Pharmacology, Irritable bowel syndrome, Ulcerative colitis