Pharmacology Chapter 57 GI Secretion Drugs 1-4

Constipation

An older adult has been taking a calcium-based antacid on an increasingly frequent basis. When teaching this client, the nurse should include suggestions for the prevention of which adverse effect? Constipation Urinary frequency Fatty stools Nausea

"Proton pump inhibitors, like omeprazole, produce fewer adverse effects among the older population."

An older client has been prescribed omeprazole for the treatment of gastresophageal reflux disease (GERD). What explanation should the nurse provide when asked by the client why they are not being treated with famotidine? "Famotidine and omeprazole are both histamine-2 antagonists and could be used interchangeably." "Famotidine is more expensive than omeprazole." "Omeprazole is taken at bedtime making it easier to remember." "Proton pump inhibitors, like omeprazole, produce fewer adverse effects among the older population."

interfere with the metabolism of other drugs.

Ranitidine and cimetidine are both H2RAs used in the treatment of peptic ulcer disease. Of the two, ranitidine is preferred in critically ill clients because it is less likely to: cause diarrhea. interfere with the metabolism of other drugs. result in hypotension. cause macular rash and cough.

headache.

The client will receive cimetidine 800 mg PO at bedtime. Prior to administration, the nurse should inform the client that common side effects related to this medication include: tremors. headache. visual disturbances. anxiety.

decreases production of gastric secretions

What is the benefit of adding proton pump inhibitors (PPIs) to the treatment regime treating an H. pylori bacterial infection? protects ulcer craters decreases pepsin production assists in eliminating the bacteria decreases production of gastric secretions

Histamine-2 receptor antagonist

Which of the following would a nurse expect to administer if the goal of therapy is to block the release of hydrochloric acid in the stomach? Histamine-2 receptor antagonist Proton pump inhibitor Antacid Prostaglandin

pork

A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to ragweed. pollen. pork. shellfish.

Nizatidine Nizatidine is the drug of choice for clients with liver dysfunction because it does not undergo first-pass metabolism in the liver like the other histamine-2 receptor antagonists such as cimetidine, famotidine, or ranitidine.

A client has a history of liver dysfunction. Which histamine-2 receptor antagonist would the nurse expect to be prescribed? Cimetidine Famotidine Ranitidine Nizatidine

15 minutes

A client is in the intensive care unit and being administered ranitidine parenterally. How long will it take for ranitidine to reach peak blood levels? 30 minutes 15 minutes 1 hour 2 hours

1 to 2 weeks

A client is prescribed a proton pump inhibitor to treat erosive gastritis. How soon will the client's symptoms be resolved? 1 to 2 weeks 6 weeks 10 weeks 12 weeks

Antacids Antacids decrease the effects of sucralfate, and people should not take them within 30 minutes before or after administration of sucralfate.

A client with a diagnosis of peptic ulcer disease has begun taking sucralfate. The nurse should caution the client against the concurrent use of which classification of medications? Antacids NSAIDs Acetaminophen Probiotics

metoclopramide Tardive dyskinesia (nonreversible, involuntary muscle spasms), which is typically associated with conventional antipsychotics, is known to occur with long-term use (12 weeks or more) of metoclopramide.

A nurse assesses a client for signs and symptoms of tardive dyskinesia when the client is receiving which drug? metoclopramide ondansetron famotidine lansoprazole

Self medicates with a nonsteroidal anti-inflammatory drug (NSAID) daily.

The following data identified during a nursing assessment and interview. When considering risks for the development of a peptic ulcer, which situation should the nurse discuss with the client? Eats spicy food at least twice a week. Self medicates with a nonsteroidal anti-inflammatory drug (NSAID) daily. Has a stressful job as a air traffic controller. Is 15 pounds over ideal weight

Headache

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? Tremor Headache Visual disturbances Anxiety

Eating a high fiber diet Ensuring safety precautions Taking the drug on an empty stomach Encouraging frequent mouth care Constipation is the number 1 side effect of sucralfate.

The nurse is preparing a teaching plan for a patient who is receiving sucralfate. Which would the nurse need to address? (Select all that apply.) Eating a high fiber diet Limiting fluid intake Ensuring safety precautions Taking the drug on an empty stomach Encouraging frequent mouth care Using an antidiarrheal agent

an hour before meals.

The nursing instructor is teaching students about proper administration of sucralfate. According to the instructor, sucralfate should be administered: with meals. with an antacid. an hour before meals. immediately after each meal.