Pharmacology Unit 7 Ch. 37

The health care provider has prescribed sucralfate for a client with a gastric ulcer. The client asks how long he must take this medication. What is the nurse's best response to this client?

"You will need to take this medication for 4 to 8 weeks to ensure healing has occurred."

The nursing instructor is teaching a class illustrating the action of various GI medications. The instructor determines the class is successful when the students correctly choose which medication(s) that exert their action by reducing gastric motility and decreasing the amount of secreted acid in the stomach? Select all that apply. -Sucralfate -Omeprazole -Glycopyrrolate -Ranitidine -Propantheline

-Glycopyrrolate -Propantheline

A group of nursing students are analyzing the various categories of upper gastrointestinal system drugs. The instructor determines the session is successful when the students correctly choose which drug(s) as an example of a proton pump inhibitor? -Misoprostol -Nizatidine -Omeprazole -Esomeprazole -Sucralfate

-Omeprazole -Esomeprazole

A nurse is teaching a client about prescribed lansoprazole. The nurse instructs the client to take the drug at which time?

1 hour before eating

The nurse is preparing for discharge a client who has a prescription for sucralfate. When does the nurse instruct the client to take the medication?

1 hour before or 2 hours after meals and at bedtime

When describing the possible adverse effects associated with omeprazole therapy, which of the following would the nurse identify as least common?

Alopecia

The health care provider has prescribed ranitidine for a hospitalized client on a unit. Prior to administering the drug for the first time, which adverse effects should the nurse mention to the client?

Headache

The nurse is preparing to administer ranitidine to a client who is currently receiving warfarin. Which assessment finding should the nurse prioritize for this client?

Increased bleeding

A client presents to the walk-in clinic reporting vomiting and burning in the mid-epigastria. The nurse suspects peptic ulcer disease and knows that to confirm peptic ulcer disease, the provider is likely to order a diagnostic test to detect the possible presence of what?

Infection with Helicobacter pylori

Which of the following would a nurse expect as most likely to be used in combination with antibiotics for treatment of Helicobacter pylori infection?

Omeprazole

What symptoms would the nurse find to be consistent with a diagnosis of a peptic ulcer?

Pain a few hours after eating

Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in clients who:

are pregnant.

A client is prescribed cimetidine for the treatment of a peptic ulcer disease and gastric reflux. The dosage of this drug should be reduced if the client has:

renal disease.

The nurse administers ranitidine cautiously to clients with evidence of what condition?

renal disease.

A client, with recent abdominal pain and a 40-pack per year smoking history, is prescribed a treatment regimen for a diagnosis of duodenal ulcer. What important teaching would the nurse include in relation to treatment?

smoking effects on the healing of ulcers