NUR 316 Exam 4
Prostaglandin
inhibit the secretion of gastrin and increase the secretion of the mucous lining of the stomach, providing a buffer.
Use effective contraceptive measures
A 23-year-old female patient is prescribed misoprostol (Cytotec). Which patient teaching intervention is most important?
Infection with H. pylori
A 25-year-old client arrives at the walk-in clinic reporting vomiting and a burning sensation in the midepigastric region. The nurse suspects that the client has peptic ulcer disease. Which is a potential cause of peptic ulcer disease?
PPIs suppress acid more strongly and for a longer time.
A 35-year-old man is at his follow-up visit for GERD. Antacids have not been effective for his reflux, and the physician is prescribing a proton pump inhibitor. Why might the physician prescribe a PPI rather than an H2RA?
Headache
A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is
pork
A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to
Smaller than the average dose
A 75-year-old client is treating his ulcer with antacids. Based on the client's age, the nurse expects the physician to prescribe a dose of antacid that compares with the average prescribed dose in what way?
Proton pump inhibitors
A client is diagnosed with Helicobacter pylori infection. The physician will order amoxicillin and what other type of medication?
With meals and snacks
A client is receiving pancrelipase. The nurse would expect to administer this drug at which time?
30 minutes.
A client is receiving sucralfate. The nurse understands that this drug would begin to act within which time frame?
Rebound acidity
A female client presents to the physician's office with increasing stomach acidity. She self-administers calcium antacids. She notes that she seems to be having more issues with stomach acid, so she has been taking the calcium antacids more frequently. The nurse suspects that this may have caused what to occur in this client?
"Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine."
A female patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which is an appropriate response by the nurse?
Gynecomastia
A male patient is taking misoprostol (Tagamet). Which adverse effect is more likely to occur with cimetidine than with other histamine2 receptor antagonists?
Closely monitor the patient for confusion and dizziness.
A nurse is caring for an elderly patient who has been administered cimetidine. Which intervention should the nurse perform?
Risk for Injury related to drug-induced somnolence, dizziness, confusion, or hallucinations
A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is concerned for the patient's safety. Which of the following would be an appropriate nursing diagnosis?
Omeprazole
A nurse is reviewing information about proton pump inhibitors. The nurse recognizes that which of the following is available as an over-the-counter agent?
"I need to swallow the drug whole."
A nurse is teaching a 47-year-old client about omeprazole, which the physician has prescribed as part of a regimen to treat an H. pylori infection. What statement, made by the client, suggests that the client understands proper use of the drug?
Omeprazole
A patient is diagnosed with peptic ulcer due to H. pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic?
1-2 Weeks
A patient is prescribed a proton pump inhibitor to treat erosive gastritis. How soon will the patient's symptoms be abolished?
Peptic ulcer disease
A patient is taking nonsteroidal anti-inflammatory agents for arthritis of the knees and hips. Which disease is a result of cellular destruction of the gastrointestinal tract from this medication?
Serum phosphate level
A patient who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess:
Quitting smoking will significantly increase the chance that this drug will heal your ulcer."
A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient?
High-fiber Diet
After teaching a client who is receiving sucralfate about the drug, which statement indicates that the teaching has been successful?
Nizatidine
After teaching a group of students about H-2 receptor antagonists, the instructor determines that the teaching was successful when the students identify which drug as most appropriate for a patient with hepatic dysfunction?
Omeprazole
After teaching a group of students about proton pump inhibitors, the instructor determines that the students have understood the information when they identify which agent as the prototype proton pump inhibitor?
Histamine-2 Antagonists
Block the release of hydrochloric acid in response to gastrin.
Imbalanced nutrition: less than body requirements, related to impaired digestion secondary to insufficient pancreatic enzymes
Carter, age 2, is diagnosed with cystic fibrosis; the physician places him on pancrelipase. What would be the most appropriate diagnosis for Carter related to his medication regimen?
False
If a patient is receiving sucralfate and omeprazole, the doses can be taken together.
Two are needed to prevent the emergence of drug-resistant H. pylori organisms.
In treating Helicobacter pylori infection, a physician prescribes two antimicrobials because:
are pregnant.
Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in patients who:
True
Pancrelipase would most likely be used to treat a patient with cystic fibrosis.
interfere with the metabolism of other drugs.
Ranitidine and cimetidine are both H2RAs used in the treatment of peptic ulcer disease. Of the two, ranitidine is preferred in critically ill clients because it is less likely to:
False
Saliva substitute is absorbed systemically.
Drug-to-drug interaction
The nurse instructs the patient to use over-the-counter ranitidine (Zantac) instead of cimetidine (Tagamet). What risk is decreased when using ranitidine over cimetidine?
Impaired Bowel Elimination: Constipation
The nurse is caring for a 45-year-old client who has been prescribed sucralfate for treatment of peptic ulcer disease. Which nursing diagnosis may relate specifically to administration of this medication?
An 83-year-old male with rheumatoid arthritis
The nurse is caring for four patients. Which patient would benefit most from misoprostol, a synthetic prostaglandin E analog?
Constipation
The nurse should warn a patient taking aluminum and calcium-containing antacids about which adverse effects?
Diarrhea
The nurse should warn a patient taking magnesium and sodium containing antacids about which adverse effect?
an hour before meals.
The nursing instructor is teaching students about proper administration of sucralfate. According to the instructor, sucralfate should be administered:
Renal dysfunction
The patient has Maalox ordered for administration before meals. Which of the following conditions is contraindicated with the administration of Maalox?
Alopecia.
When describing the possible adverse effects associated with omeprazole therapy, which of the following would the nurse identify as least common?
Increased fracture risk
Which adverse reaction of proton pump inhibitors is specific to menopausal women with osteoporosis?
Prostaglandin
Which agent would a nurse identify as inhibiting the secretion of gastrin?
Esomeprazole
Which of the following would a nurse expect to administer intravenously?
