A patient has been diagnosed with IBS and tells the primary care NP that symptoms of diarrhea and cramping are worsening. The patient asks about possible drug therapy to treat the symptoms. The NP should prescribe:
a. mesalamine (Asacol).
b. dicyclomine (Bentyl).
c. simethicone (Phazyme).
d. metoclopramide (Reglan).
B
Dicyclomine has indirect and direct effects on the smooth muscle of the gastrointestinal (GI) tract. Both actions help to relieve smooth muscle spasm. Mesalamine is used to treat ulcerative colitis. Simethicone acts locally to treat symptoms of trapped air and gas. Metoclopramide is used to increase motility.
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A client asks, "What can I do to help decrease the amount of pain with labor?" The nurse's best response should be:
a. "Nothing, that is the way God intended it to be." b. "By trying to relax the contractions will be more efficient and the pain may be less." c. "We can give you medications to help with the pain." d. "You should not worry about the pain; leave that concern up to the staff."
"The newborn will maintain a patent airway as evidenced by regular, unlabored respirations with no cyanosis or pallor." The nurse recognizes this to be which step of the nursing process?
a. Assessment b. Planning c. Implementation d. Evaluation
The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication
The patient will begin taking cefaclor for treatment of an acute infection. The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect? a. Decreased effectiveness of cefaclor. b. Increased effectiveness of cefaclor. c. Decreased effectiveness of erythromycin. d. Increased effectiveness of erythromycin.
A woman and her husband are speaking with the nurse about sterilization. The woman is scheduled to have a laparoscopy. Which of the following signs should the nurse alert this patient to watch for after the procedure is completed?
1. Pain, dizziness, and fatigue 2. Urinary retention, infection, and hemorrhage 3. Syncope, hemorrhage, and orthostatic hypotension 4. Pain, bowel perforation, and hemorrhage