PrepU Pharm Assignment 25
The physician has prescribed ranitidine for a patient in your unit. Prior to administering the drug for the first time, which adverse effects should the nurse mention to the patient?
Headache
A client taking ginger for motion sickness complains of heartburn. What is the nurse's best response?
"Adverse effects are rare, but heartburn has been reported by some individuals taking ginger."
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?
"I need to swallow the drug whole."
Ms. Kime is prescribed ranitidine in addition to the antacid that she already takes for gastric reflux. Which statement made by the patient indicates that she understood the teaching provided about taking these medications?
"I should take ranitidine 2 hours before or after my antacid dosage."
The physician at your clinic has prescribed a chewable antacid to a patient with peptic ulcer disease. Which of the following instructions should you offer the patient regarding use of the drug?
"Take the antacid two hours before or after other oral medications."
A nurse is teaching a patient who has just been prescribed lansoprazole (Prevacid). What statement would indicate that the patient correctly understands the action of this medication?
"The medication inhibits acid secretions."
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?
"Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine."
A patient has been prescribed 200 micrograms of misoprostol to be taken 4 times a day orally for the prevention of gastric ulcers. The drug is available in 100 microgram tablets. How many tablets should the nurse administer to the patient each time?
2 tablets
Which of the following patients would be most likely to benefit from treatment with ondansetron (Zofran)?
A woman who is receiving chemotherapy for the treatment of colon cancer
A patient's GI discomfort is prescribed antacids. Nursing interventions associated with this prescription should include:
Administer the antacid 1 hour before or 2 hours after other oral medications.
What is currently the most commonly used therapy for peptic ulcers?
Antibiotics and proton pump inhibitors
A patient has been prescribed chlorpromazine hydrochloride for nausea. What assessment should the nurse perform before the drug is administered to the patient?
Assess signs of fluid and electrolyte imbalances
The nurse is teaching a 31-year-old patient about lansoprazole, which the physician has prescribed for treatment of gastric ulcer. By what mechanism of action does lansoprazole help treat the disease?
By inhibiting acid secretion
The nurse should explain that metoclopramide (Reglan) decreases nausea and vomiting by which of the following actions?
Inhibiting stimulation of the vomiting center in the brain
The nurse should warn a patient taking aluminum and calcium-containing antacids about which adverse effects?
Constipation
A patient has been prescribed rabeprazole (Aciphex). It will be important for the nurse to assess the patient's drug history to determine if the patient is taking which of the following drugs?
Digoxin
Which of the following herbal products have been used as a homeopathic remedy for GI problems, including motion sickness, nausea, vomiting, and digestion? (Choose one)
Ginger
Which adverse reaction of proton pump inhibitors is specific to menopausal women with osteoporosis?
Increased fracture risk
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?
Infection with H. pylori
Mr. Barnes, age 45, has had type 1 diabetes since age 4. During a routine follow-up visit, he reports to the nurse that in the past 3 months he has experienced nausea, heartburn, and a persistent fullness after meals. He states that his blood sugar levels have been stable and his hemoglobin A1C level that morning was 6.8%. After seeing the physician, Mr. Barnes is diagnosed with gastroparesis. Which medication would the physician most likely prescribe to treat this condition?
Metoclopramide
A patient is prescribed misoprostol. The nurse would expect to administer this drug by which route?
Oral
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?
PPIs suppress acid more strongly and for a longer time.
Misoprostol is contraindicated for patients with what condition?
Pregnancy
The nurse is talking with nursing students about the drugs that affect the gastrointestinal secretions. What group of drugs would the nurse tell the students is used to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the lumen of the stomach?
Proton pump inhibitors
Ranitidine (Zantac) should be cautiously administered to individuals with evidence of which of the following conditions?
Renal disease
The patient has Maalox ordered for administration before meals. Which of the following conditions is contraindicated with the administration of Maalox?
Renal dysfunction
Patient teaching should include what instruction about antacids?
Take antacid 1 hour before other medications.
A 23-year-old female patient is prescribed misoprostol (Cytotec). Which patient teaching intervention is most important?
Use effective contraceptive measures
The patient will receive ranitidine (Zantac) 150 mg PO at bedtime. Prior to administration, the nurse should inform the patient that common side effects related to this medication include:
headache
A patient presents to the walk-in clinic reporting vomiting and burning in their mid-epigastria. The nurse suspects peptic ulcer disease and knows that to confirm peptic ulcer disease, the physician is likely to order a diagnostic test to detect the possible presence of:
infection with Helicobacter pylori.
The nurse is administering an H-2 receptor antagonist to a patient with multiple burn trauma to prevent the development of stress ulcers based on the understanding that the drug:
provides protection of the stomach lining via acid blockage.
