HIT-150 MindTap Chapter 16

A client is started on a salicylate drug, what is the condition this medication is used for? a. GERD b. Ulcerative colitis and Crohn's disease c. Peptic and duodenal ulcer diseases d. Upper gastrointestinal bleeding

Answer : B

Over-the-counter antacids should not be taken more than (2,3,4,6) weeks without medical supervision.

2

A client with a history of smoking, daily alcohol consumption, and ingestion of a minimum of ten antacids (Tums) per day is started on a triple therapy ulcer regime for a positive Helicobacter pylori infection. What instructions should be given to the client? a. Take the medication on a regular basis, and avoid abrupt withdrawal to prevent rebound hypersecretion. b. Take Nexium on a full stomach. c. Decrease your smoking to one pack per day. d. Take Tums in conjunction with other medications to enhance the acid protection and promote healing.

Answer : A

A health care practitioner is caring for a client who is not responding to salicylates and has moderate to severe inflammatory disease. The health care practitioner knows the client might be started on which of the following medications? a. Antidiarrheal drugs b. Glucocorticoids c. Antispasmodic drugs d. Antimicrobials

Answer : A

A health care practitioner is instructing a client on how to use a slow-release PPI. Which of the following would he recommend? a. Do not chew or crush PPI tablets. b. Take with a large glass of milk. c. Take in the morning. d. Take for no longer than two weeks.

Answer : A

A health care practitioner is reviewing a reference manual regarding peptic ulcer treatments. He learns that a gastric mucosal agent is a medicine that does which of the following? a. Protects the mucosa from irritant effects b. Decreases the release of histamine in the stomach c. Has an antimicrobial effect d. Decreases the acid level in the stomach

Answer : A

The client is complaining of heartburn and is prescribed to take an over-the-counter antacid. What information does the health care practitioner share with her client? a. Long-term use of antacids containing aluminum may lead to constipation. b. Long-term use of antacids does not have any major side effects. c. Long-term use of antacids containing magnesium can lead to nausea and vomiting. d. Long-term use of antacids can lead to dependency.

Answer : A

The client questions the health care practitioner if there is something that will prevent a reoccurrence of peptic ulcer disease. What might be recommended? a. Administration of antimicrobial therapy b. Administration of an H2-blocker c. Administration of a proton pump inhibitor (PPI) d. Administration of an antacid

Answer : A

A 46-year-old client with irritable bowel syndrome is started on dicyclomine. What pertinent medical history does the health care practitioner need to know regarding contraindication? a. A history of amenorrhea b. A history of glaucoma c. A history of hypoglycemia d. A history of iron deficiency anemia

Answer : B

A client being treated for GERD is instructed to take over-the-counter H2-blocker. Before the health care practitioner recommends the most widely used H2-blocker, what should she ask? a. Are you taking any diuretics? b. Are you taking any other medications? c. Have you tried an antacid first? d. What type of health insurance do you have?

Answer : B

A client with a seizure disorder is on phenytoin. The client has also been diagnosed with gastroesophageal reflux disease (GERD) and has been prescribed an antacid. What should the health care practitioner share with this client regarding these medications? a. Take the antacid with food. b. Separate the dosing of the medications by at least two hours to prevent absorption problems. c. Take the antacid with all your medications to neutralize any stomach acids caused by the other medications. d. Take the antacid prior to other medications to coat the stomach.

Answer : B

A health care practitioner is educating a client regarding the management of GERD. What advice should the health care practitioner share with the client? a. Sleep flat and on the left side to facilitate digestion. b. Stop smoking. c. Eat a small snack at bedtime. d. Eat prior to going to bed.

Answer : B

An older adult client is being treated for erosive esophagitis and has been on lansoprazole (Prevacid) for six months. What concern does the health care practitioner have regarding this client? a. The client may develop a dependency. b. The client may develop neutropenia. c. The client may develop a vitamin B12 deficiency. d. The client may develop postural hypotension.

Answer : C

Which of the following is an appropriate instruction for a client on how to take sucralfate (Carafate) for ulcer disease? a. It can be taken with other medications. b. It should be taken with antacids. c. It should be taken on an empty stomach. d. It should be taken with food.

Answer : C

A health care practitioner is educating a client about misoprostol (Cytotec). The health care practitioner knows that which of the following is a serious side effect of this medication? a. Cardiac arrhythmias b. Blood dyscrasia c. Pulmonary fibrosis d. Spontaneous abortion

Answer : D

An older adult client is status post-cholecystectomy and complaining of nausea. The health care practitioner knows the BEST medication for this condition in older adult clients is which of the following? a. Anticholinergic b. Antidopaminergic c. Dramamine d. Serotonin receptor antagonist

Answer : D

____________________ are living microorganisms that can alter a client's intestinal flora and may provide benefit in numerous GI diseases.

Probiotics

Many over-the-counter laxatives are self-prescribed and a_________ by many people.

abused

To treat symptomatic gastric bloating and postoperative gas pains, over-the-counter _____________________ can be used.

anti-flatulets.

Medications such as meslamine (Asacol) and sulfasalazine (Azulfidine) exhibit ______ _______________ activity in the gastrointestinal tract.

anti-inflammatory

Medications used to prevent or treat nausea, vomiting, or motion sickness are classified as _________________ .

antiemetics (a drug that is effective against vomiting and nausea).

Mineral oil, which can be administered orally or rectally by enema, is considered to be a(n) _________________ laxative.

emollient

Clients with recurrent duodenal ulceration might be infected with __________________________ .

helicobacter pylori

Clostridium difficile is one of the most common causes of ________________ ___________________in the United States.

infectious bacteria

Antacids act by partially _________ gastric hydrochloric acid.

neutralizing

The drug of choice for preoperative preventive antiemetic effect or postoperative treatment for nausea and vomiting is ________________________ .

promethazine

Omeprazole (Prilosec) and esomeprazole (Nexium) are examples of the antiulcer drug classification __________________.

proton-pumped inhibitor

The most familiar type of ____________________ laxative is milk of magnesia.

saline

Histamine2 blockers are used ________ ______ for relief of acid indigestion, heartburn, upper GI bleeding or esophagitis, and gastroesophageal reflux disease.

short term