MyLab 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? ANSWER "Long-term use of acid-reducing agents can increase the risk of certain gastrointestinal cancers." "Long-term use of antacids can increase the risk of bone weakness and osteoporosis." "A less acidic environment in the stomach can affect the absorption of some vitamins and other medications." "A less acidic environment in the stomach can increase the risk of gastric infection."
"A less acidic environment in the stomach can affect the absorption of some vitamins and other medications."
The nurse is explaining the actions and effects of ranitidine (Zantac). Which statement should indicate a need for further teaching? ANSWER "I should feel immediate improvement with ranitidine." "This medication isn't effective against Helicobacter pylori bacteria." "I should take this medication once daily, at bedtime." "I should return to the provider's office for periodic laboratory testing."
"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? ANSWER "I won't take this medication with any other medications." "I know that this medication can cause diarrhea." "I should restrict my iron intake while taking this medication." "This medication reduces the amount of acid produced in my stomach."
"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? ANSWER "It raises the pH of stomach acid, helping prevent further damage and erosion." "It inhibits the final pathway involved in acid secretion and inhibits proton pumps." "It inhibits bacterial cell growth, preventing inflammation associated with peptic ulcer disease." "It blocks parietal cells to reduce acid production in early pathways."
"It inhibits the final pathway involved in acid secretion and inhibits proton pumps."
The nurse instructs a patient on the treatment modalities for peptic ulcer disease (PUD). Which patient statement should indicate the need for further teaching? ANSWER "Antacids work by raising the pH of the stomach, which helps neutralize stomach acids." "NSAIDs are used effectively in the treatment of peptic ulcer disease." "H2-receptor antagonists occupy histamine receptors and prevent acid secretion." "Proton pump inhibitors inhibit the secretion of acid, which helps peptic ulcers heal."
"NSAIDs are used effectively in the treatment of peptic ulcer disease."
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? ANSWER "A proton pump inhibitor is taken on an empty stomach to neutralize acid in the stomach before a meal." "Proton pump inhibitors work in the small intestine, so taking the medication 30 minutes before a meal allows it to reach the small intestine." "The proton pump is triggered by food; 20-30 minutes is enough time for the pump to be inhibited before you eat." "A proton pump inhibitor taken on a full stomach can cause nausea and vomiting."
"The proton pump is triggered by food; 20-30 minutes is enough time for the pump to be inhibited before you eat."
A patient being evaluated for peptic ulcer disease (PUD) reports gastric irritation. Which should the nurse suspect as the main reason for this symptom? ANSWER Alcohol consumption in excess of four drinks per day Sedentary lifestyle High-stress job Preference for spicy and highly seasoned foods
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? ANSWER Corticosteroids Proton pump inhibitors Antibiotics Nonsteroidal anti-inflammatory drugs (NSAIDs)
Antibiotics
The nurse is assessing a patient with peptic ulcer disease (PUD). Which symptom should concern the nurse the most? ANSWER Increased abdominal pain when the stomach is empty Nausea Bright-red emesis Black, tarry stools
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? ANSWER Lower abdominal cramping and diarrhea 3 hours after a meal Severe abdominal pain when the stomach is full Burning upper abdominal pain 1-3 hours after a meal Frequent nausea when the stomach is empty
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? ANSWER Increased iron Decreased renal function Abnormal liver enzyme levels Decreased vitamin B12
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? ANSWER Gastric ulcer Gastroesophageal reflux disease Helicobacter pylori infection Duodenal ulcer
Duodenal ulcer
A patient is diagnosed with peptic ulcer disease (PUD). Which should the nurse anticipate being recommended for this patient? ANSWER Eliminating tobacco and alcohol Treating with an anti-infective agent Treating with a proton pump inhibitor Increasing fluid intake
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? ANSWER H. pylori infection Stress Hyperexcretion of hydrochloric acid Insufficient digestive enzymes
H. pylori infection
A patient reports drinking more than four alcoholic beverages per day. Which manifestation of peptic ulcer disease (PUD) should the nurse expect in this patient? ANSWER Nausea and vomiting Constipation Feeling of fullness Increased gastric irritation
Increased gastric irritation
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? ANSWER Ineffective natural defenses Malfunctioning cells that line the stomach and gastrointestinal system Stress and lifestyle choices Genetic anomaly that runs in families
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? ANSWER Neutralize stomach acid by raising the pH of the stomach contents Absorbed into the cells of the stomach Blocks the production of acid Inhibits the proton pump
Neutralize stomach acid by raising the pH of the stomach contents
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? ANSWER Sucralfate (Carafate) Aluminum hydroxide Omeprazole (Prilosec) Famotidine (Pepcid)
Omeprazole (Prilosec)
The nurse is reviewing medications used to treat peptic ulcer disease (PUD). Which medication should the nurse recognize acts by blocking the final pathway involved in gastric acid secretion? ANSWER Ranitidine (Zantac) Omeprazole (Prilosec) Famotidine (Pepcid) Sucralfate (Carafate)
Omeprazole (Prilosec)
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? ANSWER Pepsin Chief Parietal White blood
Parietal
A patient with gastrointestinal burning is prescribed an antibiotic. For which health problem should the nurse assess this patient? ANSWER - Peptic ulcer disease caused by Helicobacter pylori - Ulcerative colitis - Gastroesophageal reflux disease (GERD) - Crohn's disease
Peptic ulcer disease caused by Helicobacter pylori
A patient takes aluminum hydroxide regularly. Which warning should the nurse include when teaching about this medication? ANSWER Possibility of drug interactions Possibility of adverse effects Development of hypersensitivity Development of resistance
Possibility of drug interactions
The nurse is discussing the different types of medications to treat peptic ulcer disease (PUD). Which type of medication should the nurse recognize reduces acid production by binding to the H+, K+-ATPase enzyme? ANSWER Anti-infective medications H2-receptor antagonists Proton pump inhibitors Antacids
Proton pump inhibitors
A patient taking omeprazole (Prilosec) for peptic ulcer disease (PUD) develops severe diarrhea. Which adverse effect should the nurse suspect? ANSWER Worsening of the ulcer Pseudomembranous colitis Hypersensitivity reaction Interaction with another drug
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? ANSWER Bismuth subsalicylate (Kaopectate) Metoclopramide (Reglan) Ranitidine (Zantac) Sucralfate (Carafate)
Ranitidine (Zantac)
A patient with gastroesophageal reflux disease (GERD) asks how the health problem developed. Which should the nurse explain to this patient? ANSWER Relaxation or weakening of the lower esophageal sphincter Scar tissue in the gastrointestinal system Overproduction of gastric acid Helicobacter pylori bacterial infection
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? ANSWER Muscle pain Respiratory congestion and fever Dry mouth Constipation lasting longer than 1 day
Respiratory congestion and fever
A patient is prescribed ranitidine (Zantac). Which should the nurse include when teaching about this medication? ANSWER Activated charcoal is used for an overdose Smoking decreases the effectiveness Give with the prescribed antacid It has no effect on laboratory values
Smoking decreases the effectiveness
A patient is prescribed an H2-receptor antagonist. Which should the nurse include when teaching about this medication? ANSWER Take the drug at bedtime. Take the drug 20-30 minutes before meals. Take the drug first thing in the morning, on an empty stomach. Take the drug with meals.
Take the drug at bedtime.
The nurse is concerned that a patient is at risk for developing peptic ulcer disease (PUD). Which should the nurse identify as the patient's greatest risk factor? ANSWER Eats spicy foods Excessive consumption of caffeine Takes nonsteroidal anti-inflammatory drugs (NSAIDs) Family history of PUD
Takes nonsteroidal anti-inflammatory drugs (NSAIDs)
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)? ANSWER They inhibit the secretion of pepsin, which is needed for digestion. They cause an increase in secretion of stomach acids. They cause direct damage to gastrointestinal mucosal cells. They interact with many medications used to treat peptic ulcer disease.
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? ANSWER They reduce acid secretion by binding to the H+, K+-ATPase enzyme on the surface of parietal cells. They decrease the acidity in the stomach by stimulating the production of pepsin. They reduce the occurrence of peptic ulcers by inhibiting the growth of Helicobacter pylori bacteria in the stomach. They reduce gastric acidity by inhibiting the production of prostaglandin E.
They reduce acid secretion by binding to the H+, K+-ATPase enzyme on the surface of parietal cells.
