Pharm chapter 57 paper
A patient is receiving sodium bicarbonate orally. Which of the following would lead the nurse to suspect that the patient is developing systemic alkalosis? Select all that apply. a. headache b. constipation c. confusion d. irritability
A,C,D,E
Which agent would a nurse identify as the prototype histamine-2 receptor antagonist? a. cimetidine b. ranitidine c. famotidine d. nizatidine
a. cimetidine
Which of the following would a nurse expect to administer intravenously? a. esomoeprazole b. omeprazole c. rabeprazole d. dexlansoprazole
a. esomeprazole
A patient is receiving sucralfate. The nurse understands that this drug would begin to act within which time frame? a. 15 minutes b. 30 minutes c. 45 minutes d. 60 minutes
b. 30 minutes
After teaching a patient who is receiving sucralfate about the drug, which statement indicates that the teaching has been successful? a. I need to limit my fluid intake b. I should eat a high fiber diet c. I may need something to control diarrhea d. I need to avoid sugarless lozenges
b. I should eat high fiber diet
A nurse is reviewing information about proton pump inhibitors. The nurse recognizes that which of the following is available as an over the counter agent? a. lansoprazole b. omeprazole c. rabeprazole d. esomeprazole
b. omeprazole
A patient is receiving pancrelipase. The nurse would expect to administer this drug at which time? a. 1 hour before meals b. with meals and snacks c. at bedtime d. first thing on arising
b. with meals and snacks
When describing the possible adverse effects associated with omeprazole therapy, which of the following would the nurse identify as least common? a. dizziness b. headache c. alopecia d. cough
c. alopecia
Which agent is associated with antiandrogenic affects? a. ranitidine b. ramotidine c. cimetidine d. nizatidine
c. cimetidine
Which of the following would a nurse expect as most likely to be used in combination with antibiotics for treatment of helicobactter pylori infection? a. famotidine b. calcium carbonate c. omepraxole d. sucralfate
c. omeprazole
Which instruction would be most important to give to a patient who is receiving omeprazole? a. chew the table thoroughly before swallowing b. open the capsule and sprinkle it on applesauce c. swallow that table whole with a large glass of water d. take an antacid immediately before taking the drug
c. swallow that table whole with a large glass of water
A patient is taking an antacid that contains aluminum salts. The nurse would monitor the patient for which of the following? a. diarrhea b. hypercalcemia c. acid rebound d. hypophosphatemia
d. hypophosphatemia
A patient has a history of liver dysfunction. Which histamine-2 receptor antagonist would the nurse expect to be prescribed? a. cimetidine b. famotidine c. ranitidine d. nizatidine
d. nizatidine
Which agent would a nurse identify as inhibiting the secretion of gastrin? a. histamine-w receptor antagonist b. proton pump inhibitor c. antacid d. prostaglandin
d. prostaglandin
Which of the following best reflects the rationale for using histamine-2 receptor antagonists for stress ulcer prophylaxis? a. reduces the overall acid level, promoting healing and comfort b. blocks the overproduction of hydrochloric acid c. decreases the acid being regurgitated into the esophagus d. protects the stomach lining via acid block-age
d. protects the stomach lining via acid blockage