M 41: Drugs for Peptic Ulcer Disease

A patient asks whether long-term use of acid-reducing medications has any adverse effects. Which information should the nurse include in the response?

"A less acidic environment in the stomach can affect the absorption of some vitamins and other medications."

The nurse instructs a patient on the treatment modalities for peptic ulcer disease (PUD). Which patient statement should indicate the need for further teaching?

"NSAIDs are used effectively in the treatment of peptic ulcer disease."

A patient being evaluated for peptic ulcer disease (PUD) reports gastric irritation. Which should the nurse suspect as the main reason for this symptom?

Alcohol consumption in excess of four drinks per day

A patient is diagnosed with peptic ulcer disease (PUD) caused by Helicobacter pylori. For which medication should the nurse prepare teaching for this patient?

Antibiotics

The nurse is assessing a patient with peptic ulcer disease (PUD). Which symptom should concern the nurse the most?

Bright-red emesis

The nurse is asked how the symptoms of a duodenal ulcer differ from those of a gastric ulcer. Which symptom of duodenal ulcers should the nurse include in response?

Burning upper abdominal pain 1-3 hours after a meal

The nurse reviews the laboratory results for a patient taking ranitidine (Zantac). Which should the nurse identify as being caused by the medication?

Decreased vitamin B12

A patient reports burning, gnawing upper abdominal pain that occurs about 1-3 hours after eating. Which gastrointestinal disorder should the nurse suspect?

Duodenal ulcer

A patient with peptic ulcer disease (PUD) asks why the stomach is secreting too much acid. Which should the nurse identify as the cause of PUD in response?

Ineffective natural defenses

The nurse is asked how aluminum hydroxide inhibits gastric acidity. Which should the nurse include about the mechanism of action in the response?

Neutralize stomach acid by raising the pH of the stomach contents

The nurse is reviewing drugs prescribed for the management of peptic ulcer disease (PUD) with a group of new colleagues. Which cell should the nurse explain is inhibited by drugs used to reduce gastric acid secretion?

Parietal

A patient takes aluminum hydroxide regularly. Which warning should the nurse include when teaching about this medication?

Possibility of drug interactions

A patient taking omeprazole (Prilosec) for peptic ulcer disease (PUD) develops severe diarrhea. Which adverse effect should the nurse suspect?

Pseudomembranous colitis

The nurse notes that a patient has a decreased vitamin B12 level. Which medication should the nurse suspect is most likely causing this level?

Ranitidine (Zantac)

The nurse is explaining the actions and effects of ranitidine (Zantac). Which statement should indicate a need for further teaching?

"I should feel immediate improvement with ranitidine."

A patient receives a new prescription for aluminum hydroxide. Which statement should indicate to the nurse that teaching about this medication was successful?

"I won't take this medication with any other medications."

The nurse is discussing the medication omeprazole (Prilosec) with a colleague. Which should the nurse describe as the mechanism of action for this medication?

"It inhibits the final pathway involved in acid secretion and inhibits proton pumps."

A patient asks why proton pump inhibitors (PPIs) should be taken 20-30 minutes before a meal. Which should the nurse include in the response?

"The proton pump is triggered by food; 20-30 minutes is enough time for the pump to be inhibited before you eat."

A patient is diagnosed with peptic ulcer disease (PUD). Which should the nurse anticipate being recommended for this patient?

Eliminating tobacco and alcohol

A patient is being tested for peptic ulcer disease (PUD). Which should the nurse recall as the primary reason for this disorder?

H. pylori infection

A patient being treated for peptic ulcer disease (PUD) reports respiratory congestion and fever. Which medication should the nurse suspect as a contributor to these symptoms?

Omeprazole (Prilosec)

A patient with gastroesophageal reflux disease (GERD) asks how the health problem developed. Which should the nurse explain to this patient?

Relaxation or weakening of the lower esophageal sphincter

A patient has a new prescription for omeprazole (Prilosec). Which adverse effect should the nurse instruct the patient to report immediately?

Respiratory congestion and fever

A patient is prescribed ranitidine (Zantac). Which should the nurse include when teaching about this medication?

Smoking decreases the effectiveness

A patient is prescribed an H2-receptor antagonist. Which should the nurse include when teaching about this medication?

Take the drug at bedtime.

A patient is diagnosed with peptic ulcer disease (PUD). For which reason should the patient be instructed to stop taking nonsteroidal anti-inflammatory drugs (NSAIDs)?

They cause direct damage to gastrointestinal mucosal cells.

The nurse is reviewing types of medications prescribed for the treatment of peptic ulcer disease. Which mechanism of action should the nurse identify for proton pump inhibitors?

They reduce acid secretion by binding to the H+, K+-ATPase enzyme on the surface of parietal cells.