GI/ peptic Ulcer Disease

You are providing discharge teaching to a patient taking Sucralfate (Carafate). Which statement by the patient demonstrates they understand how to take this medication? (Select all that apply) Select one or more: a. "It is best to take this medication with antacids." b. "I will continue to take this medication as a preventative therapy" c. "I will always take this medication on an empty stomach." d. "I will take this medication once a week."

"I will always take this medication on an empty stomach.", "I will continue to take this medication as a preventative therapy"

The nurse determines the client needs further instruction on cimetidine (Tagamet) if which statements were made? Select all that apply. Select one or more: a. "I'll know the medication is working if my diarrhea stops." b. "I will notify my health care provider if I become depressed or anxious." c. "Taking the cimetidine with an antacid will increase its effectiveness." d. "Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation." e. "I will take the cimetidine with my meals." f. "My episodes of heartburn will decrease if the medication is effective."

"I will take the cimetidine with my meals.", "I'll know the medication is working if my diarrhea stops.", "Taking the cimetidine with an antacid will increase its effectiveness."

The nurse is providing education to a patient who has been prescribed both an antacid and a cimetidine [Tagamet]. Which instruction should the nurse give the patient about taking the medications? Select one: a. "The antacid and ranitidine should be taken at the same time for better effect." b. "Take the antacid 15 minutes before the ranitidine." c. "Take the antacid 1 hour after the ranitidine." d. "Take the antacid 30 minutes after the ranitidine."

"Take the antacid 1 hour after the ranitidine."

A patient who has gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PPI) medication. What will the nurse include when teaching the patient about this drug? Select one: a. "The FDA determined that there is a gastric cancer risk with this drug." b. "You should report any fever and cough to your provider." c. "You may experience hypermagnesemia when taking this drug." d. "This drug will be given on a short-term basis only."

"You should report any fever and cough to your provider."

A client with peptic ulcer disease asks the nurse what medications they might be prescribed for this problem. The nurse tells the client that which medications will be prescribed? Select all that apply. Select one or more: a. Histamine H2-receptor blockers b. Antibiotics c. Nonsteroidal antiinflammatory drugs (NSAIDs) d. Proton Pump Inhibitors e. Antacids

Antacids, Proton Pump Inhibitors, Antibiotics, Histamine H2-receptor blockers

When metronidazole [Flagyl] is a component of the H.pylori treatment regimen, the patient must be instructed to do what? Select one: a. Avoid any alcoholic beverages b. Take the drug on an empty stomach. c. Take the drug with food. d. Avoid foods containing tyramine.

Avoid any alcoholic beverages

The nurse has administered a dose of docusate. The nurse evaluates that the medication has been effective if the client experiences which finding? Select one: a. Decreased heartburn b. Relief of sharp abdominal pain c. Decrease in fatty stools d. Bowel movement with soft, formed stool

Bowel movement with soft, formed stool

A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes ranitidine [Zantac] and sucralfate [Carafate]. The patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up. What will the nurse do? Select one: a. Contact the provider to discuss serologic testing and an antibiotic. b. Counsel the patient on non-drug intervention such as avoiding beverages containing alcohol c. Contact the provider to discuss switching to a proton pump inhibitor. d. Ask the provider about ordering an endoscopic examination.

Counsel the patient on non-drug intervention such as avoiding beverages containing alcohol

A client receives a dose of scopolamine for nausea from motion sickness. The nurse determines that which sign or symptom later displayed by the client is a result of medication side and adverse effects? Select one: a. Dry mouth b. Diaphoresis c. Excessive urination d. Pupillary constriction

Dry mouth

Which statement is INCORRECT about Histamine-receptor blockers? Select one: a. "Antacids and H2 blockers should not be given together." b. H2 Blockers absorption is slowed if taken with meals c. "Ranitidine and Famotidine are two types of histamine-receptor blocker medications." d. H2 blockers decrease gastric pH

H2 blockers decrease gastric pH

The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the health care provider's prescriptions will include which medication? Select one: a. Magnesium hydroxide (saline laxative) b. Lactulose (an osmotic laxative) c. Bisacodyl suppository (a stimulant laxative) d. Psyllium hydrophilic mucilloid (a bulk laxative)

Lactulose (an osmotic laxative)

An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole [Prilosec]. What will the nurse teach this patient? Select one: a. The medication will be used until surgery can be performed. b. Long-term therapy may be needed. c. A complete cure is expected with this medication. d. Lifestyle changes can be as effective as medication therapy.

Long-term therapy may be needed.

A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse should monitor the client for which condition that the client is at risk for with long-term frequent use of this medication? Select one: a. Urinary calculi b. Metabolic alkalosis c. Chronic bronchitis d. Respiratory acidosis

Metabolic alkalosis

A patient has a prescription to take a powdered form of psyllium after discharge. The nurse should plan to include which information when teaching the client about this medication? Select one: a. Decrease the amount of fiber in the diet when taking this medication. b. Mix the medication with a full glass of water or juice. c. Decrease fluid intake following administration of the medication. d. Mix the medication with applesauce.

Mix the medication with a full glass of water or juice.

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process? Select one: a. Narrow-angle glaucoma b. Peptic ulcer disease c. Sinus bradycardia d. Biliary colic

Narrow-angle glaucoma

A client has received a dose of dimenhydrinate (Dramamine), The nurse should observe relief of what sign or symptom to evaluate that the medication has been effective? Select one: a. Nausea and vomiting b. Chills c. Headache d. Buzzing sound in the ears

Nausea and vomiting

A physician prescribes a Proton-Pump Inhibitor to a patient with a gastric ulcer. Which medication is considered a PPI? Select one: a. Metronidazole b. Famotidine c. Pantoprazole d. Famotidine

Pantoprazole

A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis asks a nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using which medication? Select one: a. Antibiotics b. Histamine-2 receptor antagonists c. Mucosal protectants d. Proton pump inhibitors

Proton pump inhibitors

A client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition? Select one: a. Peptic ulcer with melena (bloody stool) b. Intestinal obstruction c. Diverticulitis with perforation d. Vomiting following cancer chemotherapy

Vomiting following cancer chemotherapy

A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA) for prevention of cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day and has a glass of wine with dinner 3 or 4 nights per week. The patient eats three meals a day. The nurse will counsel this patient to: Select one: a. change the meal pattern to five or six smaller meals per day b. switch to a decaffeinated coffee and reduce the number of servings. c. discontinue taking aspirin, because it can irritate the stomach.

change the meal pattern to five or six smaller meals per day