Exam #7 - Ch. 41

A nurse conducting a health history with a patient identifies that which health condition places the patient at risk for developing gastroesophageal reflux disease (GERD)? a. Cigarette smoking b. Type II diabetes mellitus c. Obesity d. Alcohol use

c. Obesity

When teaching a patient who is taking twice-daily dosages of an aluminum antacid along with other medications, which instruction should the nurse provide? a. The other medications can be taken with the antacid, as long as it is with meals. b. The antacid should be taken at least 2 hours before or after the other medications. c. The antacid should be taken at least 4-6 hours apart from the other medications. d. The patient will not be able to take the antacid therapy at this time.

b. The antacid should be taken at least 2 hours before or after the other medications.

The nurse should be concerned with which aspect of the health history of a patient who is taking a magnesium-based antacid? a. Peptic ulcer disease b. Renal failure c. Hypertension d. Heart failure

b. Renal failure

a 35-year old male patient has been prescribed omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease. which of the following assessment findings would assist the nurse to determine whether drug therapy has been effective? SATA. a. decreased "gnawing" upper abdominal pain on an empty stomach b. decreased belching c. decreased appetitie d. decreased nausea e. decrease dysphagia

b. decreased belching d. decreased nausea e. decrease dysphagia

A patient asks the nurse why the healthcare provider had advised against use of calcium carbonate as an antacid. What is the nurse's best response? a. Its use may result in kidney stones. b. It causes decreased gastric acid production. c. It often causes severe diarrhea. d. It may result in fluid retention and edema.

a. Its use may result in kidney stones.

A nurse is conducting a health history assessment of a patient and determines which findings as risk factors for development of peptic ulcer disease (PUD)? (Select all that apply.) a. Smoking cigarettes b. Having blood type A c. Drinking caffeinated beverages d. Using NSAIDs e. Having a family history of PUD

a. Smoking cigarettes c. Drinking caffeinated beverages d. Using NSAIDs e. Having a family history of PUD

A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease (GERD). Which information should the nurse emphasize when teaching about this medication? (Select all that apply.) a. The medication should not be taken with alcohol. b. This medication is for long-term therapy. c. The medication can affect kidney function. d. Although rare, blood disorders may occur. e. Common side effects include headache and diarrhea.

a. The medication should not be taken with alcohol d. Although rare, blood disorders may occur. e. Common side effects include headache and diarrhea.

A patient being treated for peptic ulcer disease (PUD) due to Helicobacter pylori asks the nurse why two or more antibiotics need to be taken. What is the nurse's best response? a. They lower the potential for bacterial resistance. b. They decrease the chances of development of duodenal ulcers. c. They completely eliminate redevelopment of gastric ulcers. d. They decrease the cost of future drug therapies.

a. They lower the potential for bacterial resistance.

the nurse is assisting the older adult diagnosed with a gastric ulcer to schedule her medication administration. what would be the most appropriate time for this patient to take her lansoprazole (Prevacid)? a. about 30 minutes before her morning meal b. at night before bed c. after fasting at least 2 hours d. 30 minutes after each meal

a. about 30 minutes before her morning meal

the nurse is caring for a patient with gastroesophageal reflux disease and would question an order for which of the following? a. amoxicillin (Amoxil) b. Rantidine (Zantac) c. Pantoprazole (Protonix) d. calcium carbonate (Tums)

a. amoxicillin (Amoxil)

Simethicone (Gas-X, Mylicon) may be added to some medications or given plain for what therapeutic effect? a. decrease the amount of gas associated with GI disorders b. increase the acid-fighting ability of some medications c. prevent constipation associated with gastrointestinal drugs d. prevent diarrhea associated with gastrointestinal drugs

a. decrease the amount of gas associated with GI disorders

In addition to the use of multiple antibiotics, the nurse should anticipate which medication to be included in the patient's treatment of PUD due to H. pylori infection? a. Antacids b. H2-receptor inhibitors c. Bismuth compounds d. Vitamin E compounds

c. Bismuth compounds

A patient tells the nurse that she has been taking sodium bicarbonate antacid 3-4 times a day for the past 3 weeks to relieve symptoms of GERD. For what should the nurse assess in this patient? a. Constipation b. Respiratory acidosis c. Metabolic alkalosis d. Hypokalemia

c. Metabolic alkalosis

A patient has been using over-the-counter omeprazole (Prilosec) for relief of gastric upset. The nurse should provide which teaching regarding appropriate administration of this medication? a. Drink a full glass of water with administration. b. Do not take the medication with antacids. c. Never crush or chew the medication. d. Take medication 30 minutes after meals.

c. Never crush or chew the medication.

a female patient reports using OTC aluminum hydroxide (alternaGEL) for the relief of gastric upset. she is on renal dialysis 3 times a week. what should the nurse teach this patient? a. continue using the antacids but if she needs to continue them beyond a few months, she should consult the health care provider about different therapies b. take the antacid no longer than for two weeks. if it has not worked by then, it will not be effective c. consult with the health care provider about the appropriate amount and type of antacid d. continue to take the antacid; it is OTC and safe

c. consult with the health care provider about the appropriate amount and type of antacid

In taking a new client's history, the nurse notices that he has been taking omeprazole (Prilosec) consistently over the past 6 months for treatment of epigastric pain. Which recommendation would be the best for the nurse to give this client? a. try switching to a different form of the drug b. try a drug like cimetidine (Tagamet) or famotidine (Pepcid) c. try taking the drug after meals instead of before meals d. check with his health care provider about his continued discomfort

d. check with his health care provider about his continued discomfort