Pharm Chap 40 NCLEX
a nurse is preparing to administer which of the following, which is prostaglandin drug used to reduce the risk of NSAID-induced gastric ulcers in high-risk patients, such as the elderly or the critically ill a) Misoprostol (Cytotec) b) Ranitidine (Zantac) c) Panoprazole (Protonix) d) Sucralfate (Carafate)
a) Misoprostol (Cytotec)
which of the following drugs treats heartburn by neutralizing the acidity of the stomach by combining with hydrochloric acid (HCL) and increasing the pH of the stomach acid a) aluminum hydroxide (Amphojel) b) Famotidine (Pepcid) c) Metoclopramide (Reglan) d) Omeprazole (Prilosec)
a) aluminum hydroxide (Amphojel)
which of the following herbal products has been used as a homeopathic remedy for GI problems, including motion sickness, nausea, vomiting, and digestion a) ginger b) ma huang c) ginseng d) gingko biloba
a) ginger
a client is receiving a liquid antacid. which of the following would the nurse instruct the client to do a) shake the antacid thoroughly before using b) take sips of fluid at frequent intervals c) remove any items with strong smells or odors d) drink a full glass of water after taking the drug
a) shake the antacid thoroughly before using
a nurse assesses a client for signs and symptoms of tar dive dyskinesia when the client is receiving which drug a) Odanestron b) Metoclopramide c) Famotidine d) Lansoprazole
b) Metoclopramide
the nurse would administer cimetidine (Tagamet) cautiously to a patient with a history of which of the following a) hypertension b) diabetes c) asthma d) hyperlipidemia
b) diabetes
which antacids would the nurse identify as being contraindicated in clients with heart failure a) calcium carbonate (tums) b) sodium bicarbonate (Bell/ans) c) aluminum hydroxide (ALternaGEL) d) magnesium hydroxide (Milk of Magnesia)
b) sodium bicarbonate (Bell/ans)
a nurse is teaching a client about his prescribed lansoprazole. the nurse instructs the client to take the drug at what time a) 2 hours after a meal b) first thing on arising c) 1 hour before eating d) at bedtime
c) 1 hour before eating
which of the following reduce the secretion of gastric acid by inhibition of the hydrogen-potassium adenosine triphosphate (ATPase) enzyme system of the gastric parietal cells (Select all that apply) a) Famotidine (Pepcid) b) Ranitidine (Zantac) c) Lansoprazole (Prevacid) d) Esomeprazole (Nexium) e) Calcium carbonate (Tums)
c) Lansoprazole (Prevacid) d) Esomeprazole (Nexium)
a nurse is preparing to administer a drug that reduces the secretion of gastric acid by inhibiting the action of histamine at H2 receptors in the stomach. which of the following might the nurse be preparing to administer (select all that apply) a) Lansoprazole (Prevacid) b) Esomeprazoe (Nexium) c) Ranitidine (Zantac) d) Famotidine (Pepcid) e) Calcium carbonate (Tums)
c) Ranitidine (Zantac) d) Famotidine (Pepcid)
the nurse is caring for a patient who is prescribed esomeprazole. the patient informs the nurse that he is also taking sucralfate. the nurse would anticipate which of the following as a possibility when these two drugs are administered a) decreased effectiveness of sucralfate b) increased risk of hypertensive episode c) decreased absorption of the esomeprazole d) increased risk of sedation
c) decreased absorption of the esomeprazole
a nurse is caring for a client experiencing stomach hyperacidity. the physician has prescribed aluminum carbonate gel. the nurse would administer this drug cautiously to the client if the client has which of the following a) gastrointestinal obstruction b) renal impairment c) upper GI bleeding d) pheochromocytoma
c) upper GI bleeding
the nurse should warn a patient taking aluminum-and calcium- containing antacids about which of the following adverse effect a) diarrhea b) dehydration c) flatulence d) constipation
d) constipation
the nurse should warn a patient taking magnesium- and sodium-containing antacids about which of the following adverse effects a) constipation b) flatulence c) dehydration d) diarrhea
d) diarrhea
administering an antacid to a patient taking which of the following medications will decrease the absorption of the medication and result in a decreased drug effect a) quinidine b) dextroamphetamine c) simvastatin d) digoxin
d) digoxin
