mylab 41
Which describes the mechanism of action of proton-pump inhibitors? A. Block the enzyme that secretes acid in the stomach B. Neutralize the acid in the stomach C. Block H2 receptors in the stomach D. Decrease the amount of Helicobacter pylori
A. Block the enzyme that secretes acid in the stomach
A client tells the nurse their "stomach pain is completely relieved after eating and returns a couple hours after the meal." Which condition should the nurse suspect the client is experiencing? A. Duodenal ulcer B. Ulcerative colitis C. Gastric ulcer D. Crohn's disease
A. Duodenal ulcer
A client asks the nurse how metoclopramide (Reglan) will help their peptic ulcer disease. Which mechanism of action should the nurse discuss with the client? A. Increased emptying time of the stomach B. Relaxes the muscles of the gastrointestinal tract C. Neutralizes the stomach acid D. Decreased the production of hydrochloric acid
A. Increased emptying time of the stomach
Which information should the nurse include in the education for a client with peptic ulcer disease prescribed omeprazole (Prilosec)? Select all that apply. A. Omeprazole (Prilosec) should not be crushed or chewed. B. Omeprazole (Prilosec) is best taken with yogurt. C. Omeprazole (Prilosec) is recommended for long-term treatment of peptic ulcer disease. D. Omeprazole (Prilosec) should be administered before meals. E. Omeprazole (Prilosec) should be administered after meals.
A. Omeprazole (Prilosec) should not be crushed or chewed. D. Omeprazole (Prilosec) should be administered before meals.
Which statements should the nurse include in the education for a client with gastroesophageal reflux disease (GERD)? Select all that apply. A. "Eliminate the use of alcohol." B. "Elevate the head of the bed." C. "Eliminate the use of caffeine." D. "Take measures to decrease the stress in your life." E. "Eat meals at least 3 hours prior to sleeping."
A. "Eliminate the use of alcohol." B. "Elevate the head of the bed." E. "Eat meals at least 3 hours prior to sleeping."
A client asks the nurse how misoprostol (Cytotec) will treat their peptic ulcer disease (PUD)? Which response should the nurse provide the client? A. "It increases mucus production in your stomach." B. "It neutralizes stomach acid." C. "It dissolves into a gel and sticks to your ulcer." D. "It inhibits bacterial growth."
A. "It increases mucus production in your stomach."
Which information should the nurse provide a client with gastroesophageal reflux disease GERD who is reluctant to make suggested lifestyle changes? Select all that apply. A. "The damage to your esophagus may result in esophagitis." B. "Long-term exposure to acid increases risk for esophageal cancer." C. "Without lifestyle changes, the prescriptions are ineffective." D. "The lifestyle changes will be easier if you adopt them one at a time and institute them gradually." E. "You will eventually have difficulty with swallowing if this condition is not treated."
A. "The damage to your esophagus may result in esophagitis." B. "Long-term exposure to acid increases risk for esophageal cancer."
Which clients are at risk for peptic ulcer disease? Select all that apply. A. A client with decreased intrinsic factor B. A client with Type O blood C. A client that smokes D. A client experiencing excessive psychological stress E. A client with a low fiber diet
B. A client with Type O blood C. A client that smokes D. A client experiencing excessive psychological stress
Which information should the nurse include in the education of a client prescribed an antacid? A. Antacids can be safely administered with H2-receptor medications. B. Administer antacids at least 2 hours before other oral medications. C. Antacids can be safely administered with antibiotics. D. Lie down for 30 minutes after taking antacids.
B. Administer antacids at least 2 hours before other oral medications.
For which clinical conditions should the nurse recognize self-directed antacid use is not recommended? Select all that apply. A. Decreased calcium levels. B. Diminished renal function. C. Perimenopause. D. Sodium-restricted diets. E. Coronary artery disease.
B. Diminished renal function. D. Sodium-restricted diets.
Which condition should the nurse identify as a complication for long-term use of proton-pump inhibitors (PPIs)? A. Intestinal irritation B. Osteoporosis C. Hypertension D. Anemia
B. Osteoporosis
Which should the nurse anticipate to be included in the treatment plan for a client suspected to have developed peptic ulcer disease (PUD)? Select all that apply. A. Antibiotic treatment B. Testing for H. pylori C. Multiple prescriptions D. Pharmacotherapy for 4 weeks E. Lifestyle changes
B. Testing for H. pylori C. Multiple prescriptions D. Pharmacotherapy for 4 weeks E. Lifestyle changes
Which information should the nurse include in the teaching for a client with an increased risk for the development a Clostridium difficile infection? Select all that apply. A. Report any episode of diarrhea. B. Treat diarrhea with over-the-counter antidiarrheal drugs. C. Increase intake of active culture yogurt. D. Avoid fatty foods. E. Increase fluid intake.
B. Treat diarrhea with over-the-counter antidiarrheal drugs. C. Increase intake of active culture yogurt.
The nurse has provided education about peptic ulcer disease (PUD) for a client. Which statement made by the client indicates an understanding of the information? A. "I will take ibuprofen (Motrin) for my headaches." B. "I will limit my intake of caffeine products." C. "I will drink more milk and limit spicy foods." D. "I will join a gym and increase my exercise."
B. "I will limit my intake of caffeine products."
A client asks the nurse why esomeprazole (Nexium) works better than cimetidine (Tagamet). Which response should the nurse provide the client? A. "It is about the same but has fewer side effects than your cimetidine (Tagamet)." B. "It decreases acid in your stomach better than cimetidine (Tagamet)." C. "It is about the same but a lot cheaper than your cimetidine (Tagamet)." D. "It is not as effective as cimetidine (Tagamet) but kills bacteria better."
B. "It decreases acid in your stomach better than cimetidine (Tagamet)."
The client treated for GERD says, "I seem to have been getting many more colds and coughs." Which statements should the nurse include in the discussion? Select all that apply. A. "Be sure to get your flu shot." B. "The medicine you are on for GERD changes your gastric pH." C. "You need to avoid crowds until your GERD is under control." D. "You may be more susceptible to respiratory infection while taking this medication." E. "You may be having an allergic reaction to your medicine."
B. "The medicine you are on for GERD changes your gastric pH." D. "You may be more susceptible to respiratory infection while taking this medication."
Which client assessment finding should the nurse associated with a duodenal ulcer? A. Anorexia and weight loss B. Nausea and lower right quadrant abdominal pain C. Nausea and vomiting D. Burning pain several hours after eating a meal
D. Burning pain several hours after eating a meal
Which assessment finding should the nurse be concerned about for the client receiving Ranitidine (Zantac) for treatment of peptic ulcer disease (PUD)? A. Constipation B. Headache C. Pain 24 hours after treatment D. Increased diarrhea
D. Increased diarrhea
Which can be combined with Aluminum compounds such as Aluminum Hydroxide (AlternaGEL) to increase their effectiveness and reduce the potential for constipation? A. Potassium B. Calcium C. Phosphate D. Magnesium
D. Magnesium
Which condition is characterized by an erosion of the mucosal layer of the stomach or duodenum? A. Crohn's disease B. Hiatal hernia C. Diverticulum D. Peptic ulcer
D. Peptic ulcer
Which is the primary goal of treatment for gastroesophageal reflux disease (GERD)? A. Decrease stomach pain B. Promote ulcer healing C. Prevent infection D. Reduce gastric acid secretions
D. Reduce gastric acid secretions
The nurse has provided a client with education about intrinsic factor. Which statement indicates an understanding of the information? A. "Intrinsic factor is necessary for absorption of vitamin B6." B. "Intrinsic factor aids in the secretion of mucus to protect the stomach." C. "Intrinsic factor is secreted by the chief cells of the stomach." D. "Intrinsic factor is necessary for absorption of vitamin B12."
D. "Intrinsic factor is necessary for absorption of vitamin B12."
Which information should the nurse provide a client that asks the nurse how they got H. Pylori? A. "The stomach pH is too low." B. "H. Pylori naturally lives in your gastrointestinal tract." C. "Your immune system is weak." D. "The bacteria has entered your body somehow."
D. "The bacteria has entered your body somehow."
Which electrolyte should the nurse assess for a client prescribed aluminum hydroxide (AlternaGEL)? A. Potassium B. Calcium C. Phosphate D. Sodium
C. Phosphate
Where does the pyloric sphincter regulate the flow of food into? A. Rectum B. Esophagus C. Small intestine D. Stomach
C. Small intestine
Which information should the nurse include in the teaching for a client prescribed aluminum hydroxide (AlternaGEL)? Select all that apply. A. You should expect this medication to take up to 2 days to start taking effect. B. Take this medication with a glass of milk. C. You may notice constipation as an effect of this drug. D. Take this medication at least 2 hours before or after any other medication you are taking. E. This medication will reduce the acid your stomach produces.
C. You may notice constipation as an effect of this drug. D. Take this medication at least 2 hours before or after any other medication you are taking.
A client with a peptic ulcer colonized with H. pylori asks how the prescription of bismuth (Pepto-Bismol) will help them. Which information should the nurse provide the client? Select all that apply. A. "Bismuth (Pepto-Bismol) increases stomach acid to help kill bacteria." B. "Bismuth (Pepto-Bismol) helps prevent the side effects of antibiotics." C. "Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth." D. "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach." E. "Bismuth (Pepto-Bismol) helps relieve ulcer-related constipation."
C. "Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth." D. "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach."
A client with peptic ulcer disease and positive for H. pylori asks the nurse why the healthcare provider would like to treat them with a combination therapy. Which information should the nurse provide the client? A. Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors. B. The use of sucralfate (Carafate) along with antibiotics is the best combination therapy for peptic ulcer disease (PUD). C. Combination therapy has the best outcomes when antibiotics are used with antacids. D. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease (PUD).
A. Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors.
