Pharm 154 Exam 2 PrepU
The nurse is administering an H-2 receptor antagonist to a client with multiple burn trauma to prevent the development of stress ulcers based on the understanding that the drug: A. provides protection of the stomach lining via acid blockage. B. decreases the acid being regurgitated into the esophagus. C. decreases the overall acid level to promote comfort. D. blocks overproduction of hydrochloric acid in the stomach.
A
The client has Maalox ordered for administration before meals. Which condition is contraindicated with the administration of Maalox? A. Hypertension B. Heart rate of 68 C. Renal dysfunction D. Stress ulcer
C
Pancrelipase would most likely be used to treat a patient with cystic fibrosis. True False
True
A 35-year-old man is at his follow-up visit for GERD. Antacids have not been effective for his reflux, and the health care provider is prescribing a proton pump inhibitor. Why might the provider prescribe a PPI rather than an H2RA? A. PPIs suppress acid more strongly and for a longer time. B. PPIs suppress acid more gently and for a longer time. C. PPIs suppress acid more strongly and for a shorter time. D. PPIs are less expensive.
A
A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac) taken PO at bedtime. Even though few adverse effects are associated with this drug, one common adverse effect that can be severe is: A. headache. B. irritability. C. dry mouth. D. heart palpitations.
A
A 75-year-old client is treating an ulcer with antacids. Based on the client's age, the nurse expects the health care provider to prescribe a dose of antacid that compares with the average prescribed dose in what way? A. Smaller than the average prescribed dose B. Larger than the average prescribed dose C. The same as the average prescribed dose D. No antacids, because they are contraindicated in the elderly
A
A client arrives at the walk-in clinic reporting vomiting and a burning sensation in the midepigastric region. The nurse suspects that the client has peptic ulcer disease. Which is a potential cause of peptic ulcer disease? A. Infection with H. pylori B. Decreased stomach acid secretion C. Excessive worrying D. Overconsumption of spicy foods
A
A client is diagnosed with Helicobacter pylori infection. The health care provider will order amoxicillin and what other type of medication? A. Proton pump inhibitors B. Sucralfate C. H2RAs D. Antacids
A
A client is diagnosed with peptic ulcer due to H. pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic? A. Omeprazole B. Magaldrate C. Sucralfate D. Cimetidine
A
A client is prescribed misoprostol. The nurse would expect to administer this drug by which route? A.Oral B. Subcutaneous C. Transdermal D.Intravenous
A
A client is prescribed ranitidine for the treatment of a peptic ulcer disease and gastric reflux. The dosage of this drug should be reduced if the client has: A. renal disease. B. diabetes mellitus. C. pulmonary disease. D. migraine headaches.
A
A client is taking cimetidine (Tagamet) for increased gastric pain and hypersecretion. Nurses should use caution when administering cimetidine to those with which condition? A. Hepatic disease B. Cancer C. Hypertension D. Diabetes mellitus
A
A group of students are reviewing the signs and symptoms of systemic alkalosis that can occur as a result of using sodium bicarbonate. The students demonstrate a need for additional teaching when they identify which as a possible manifestation? A. Constipation B. Confusion C. Muscle twitching D. Tetany
A
A male client tells the nurse that he takes antacid tablets several times each day. Knowing that the brand of antacid he uses contains calcium carbonate, the nurse cautions the client that overuse could place him at risk for: A. metabolic alkalosis. B. hypocalcemia. C. hypercholesterolemia. D. metabolic acidosis.
A
A nurse in a health care facility is caring for a patient who is administered milk of magnesia to control constipation. Which nursing diagnosis should the care plan for this patient include? A.Risk for imbalanced fluid volume B. Disturbed sensory perception C. Impaired physical mobility D. Ineffective tissue perfusion
A
A nurse is preparing to administer a prostaglandin drug used to reduce the risk of NSAID-induced gastric ulcers in high-risk clients, such as the elderly or the critically ill. Which medication will the client administer? A. Misoprostol B. Ranitidine C. Pantoprazole D. Sucralfate
A
A patient is in the intensive care unit and being administered ranitidine (Zantac) parenterally. How long will it take for ranitidine (Zantac) to reach peak blood levels? A. 15 minutes B. 30 minutes C. 1 hour D. 2 hours
A
A patient is prescribed a proton pump inhibitor to treat erosive gastritis. How soon will the patient's symptoms be abolished? A. 1-2 weeks B. 6 weeks C. 10 weeks D. 12 weeks
A
A woman is prescribed a Histamine-2 (H2) antagonists. What information should the nurse provide the client concerning the use of this class of medication if a pregnancy should occur? A. The safety of these drugs during pregnancy had not been established. B. Most medications in this class have been proven to cause spontaneous abortions. C. These drugs do not pass into breastmilk D. These medications are safe for use during pregnancy and lactation
A
A woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient? A. "Quitting smoking will significantly increase the chance that this drug will heal your ulcer." B. "This drug will help to eliminate the bacteria in your stomach that caused your ulcer." C. "You should eat several small meals each day rather than three larger meals." D. "Take each dose of ranitidine with an antacid of your choice."
A
After teaching a group of students about proton pump inhibitors, the instructor determines that the students have understood the information when they identify which agent as the prototype proton pump inhibitor? A. Omeprazole B. Esomeprazole C. Lansoprazole D. Pantoprazole
A
An 86-year-old client has been prescribed ranitidine (Zantac). The nurse knows that an older adult who takes H2RAs may experience what adverse effect? A. Agitation B. Lethargy C. Hyperplasia D. Hypertension
A
Ms. Law has been taking omeprazole for the last 10 years. What is the risk to the patient from long-term use of omeprazole? A. Increased risk of gastric cancer B. Loss of stomach acid production, resulting in metabolic alkalosis C. Erosion of the esophagus D. Decreased function of the lower esophageal sphincter
A
The nurse is caring for a client who has been prescribed sucralfate for treatment of peptic ulcer disease. Which nursing diagnosis may relate specifically to administration of this medication? A. Impaired Bowel Elimination: Constipation B. Risk for Injury: Bleeding C. Imbalanced Nutrition related to abdominal discomfort D. Deficient Fluid Volume
A
The nurse should warn a client taking aluminum- and calcium-containing antacids about which adverse effects? A. Constipation B. Diarrhea C. Dehydration D. Flatulence
A
The nurse should warn a client taking magnesium- and sodium-containing antacids about which adverse effects? A. Diarrhea B. Constipation C. Dehydration D. Flatulence
A
What is an effect of histamine release that is related to ulcer formation? A. stimulates gastric acid secretion B. stimulates denaturing of gastrin C. initiates pepsin synthesis D. destroys parietal cells
A
What is the rationale for using two antimicrobials when treating a Helicobacter pylori infection? A. Two antimicrobials are needed to prevent the emergence of drug-resistant H. pylori organisms. B. A single antimicrobial is generally not strong enough to eradicate the infection. C. Two different microbes are involved, requiring two different antimicrobials. D. One antimicrobial tends to alter the action of the adjunct medications.
A
When describing proton pump inhibitors, which would be appropriate to include? A. Acid labile B. Slow absorption from the GI tract C. Limited metabolism by the liver D. Excretion primarily in feces
A
Which H-2 antagonist would the nurse identify as most potent? A. Famotidine B. Cimetidine C. Nizatidine D. Ranitidine
A
Which agent would a nurse identify as the prototype histamine-2 receptor antagonist? A. Cimetidine B. Ranitidine C. Famotidine D. Nizatidine
A
Which antacids would the nurse identify as being contraindicated in clients with heart failure? A. Sodium bicarbonate B. Calcium carbonate C. Magnesium hydroxide D. Aluminum hydroxide
A
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? A. Histamine-2 receptor antagonist B. Proton pump inhibitor C. Antacid D. Prostaglandin
A
Which statement by a patient receiving pancrelipase indicates that the patient has understood his instructions? A. "I should take the drug with meals and snacks." B. "I should take the drug 1 hour before I eat." C. "I must take the drug at bedtime for best results." D. "I'll take it first thing in the morning after getting up."
A
Which statement made by a client currently being treated for several medical conditions requires additional medication education by the nurse concerning the use of calcium salts? A. I take an antacid with my morning medications to minimize their effect on my stomach B. The antacids decrease the acidity in my stomach C. The amount of antacids I can take depends on what kind I'm taking D. The antacid I take helps my bones stay strong
A
Which would a nurse anticipate as having antiandrogenic effects? A. Cimetidine B. Famotidine C. Ranitidine D. Nizatidine
A
A nurse is preparing to administer a drug that reduces the secretion of gastric acid by inhibiting the action of histamine at H2 receptors in the stomach. Which medication might the nurse be preparing to administer? Select all that apply. A. Famotidine B. Ranitidine C. Esomeprazole D. Lansoprazole E. Calcium carbonate
A, B
Following an endoscopy, a 66-year-old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which medication will likely be used in an attempt to eradicate the patient's H. pylori infection? (Select all that apply.) A. Antibiotics B. A PPI C. Aluminum hydroxide D. Ondansetron (Zofran) E. Cisapride (Propulsid)
A, B
The nurse is caring for a client diagnosed with cancer. The nurse should perform which assessment(s) for safe administration of the ondansetron? Select all that apply. A. Determine if the client takes any antidepressants or antipsychotic drugs for possible interactions. B. Assess if the client has any nausea or vomiting, and if so the number of episodes and amount of vomitus. C. Obtain baseline vital signs and renal profile with electrolytes at baseline to compare with later labs. D. Check for uncontrolled movements of mouth and tongue, or difficulty with speaking. E. Monitor for adverse effects, including diarrhea, hypotension, and decreased respirations.
A, B, C
In preparing a teaching plan for a patient who is to receive misoprostol, which would the nurse include as possible adverse effects? (Select all that apply.) A. Flatulence B. Excessive vaginal bleeding C. Dyspepsia D. Dysmenorrhea E. Dizziness F. Vertigo
A, B, C, D
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.) A. Eating a high fiber diet B. Ensuring safety precautions C. Taking the drug on an empty stomach D. Encouraging frequent mouth care E. Limiting fluid intake F. Using an antidiarrheal agent
A, B, C, D
When educating a client prescribed a histamine-2 antagonists, which of the following should be avoided? Select all that apply. A.cigarettes B. alcohol C. caffeine D. fibrous foods E. acid stimulating foods
A, B, C, E
Which client is at risk for the development of an acute ulcer? select all that apply. A. A client on a mechanical ventilator for 5 days B. A client with 2nd degree burns over 50% of the body C. A client who eats spicy and acidic foods regularly D. A client who experienced a stroke E. A client who is diagnosed with jaundice
A, B, D, E
A female client comes to the clinic with reports of burning pain in the stomach. She states that she thinks she had a virus 48 hours ago and she vomited many times. She hasn't vomited in 24 hours. She asks the health care provider to give her a prescription for omeprazole because she saw an ad on TV that said it would heal stomach pain. The nurse assists the client in understanding that PPIs are considered drugs of choice for treatment of what conditions? (Select all that apply.) A. Duodenal ulcers B. Esophageal varices C. Zollinger-Ellison syndrome D. Gastric ulcers E. Anaphylactic shock
A, C, D
A client is receiving sodium bicarbonate orally. Which of the following would lead the nurse to suspect that the client is developing systemic alkalosis? (Select all that apply.) A. Headache B. Constipation C. Confusion D. Irritability E. Tetany
A, C, D, E
A nurse educating a client on the antacid calcium carbonate (Mylanta) should warn the client of which of the following adverse reactions? Select all that apply: A. Rebound hyperacidity B. Anorexia C. Headache D. Dehydration E. Confusion
A, C, E
A 32-year-old female executive comes to the clinic with severe heartburn. The health care provider prescribes omeprazole (Prilosec). The client asks the nurse when the pain will go away. What is an appropriate response by the nurse? A. Some clients have taken omeprazole therapy as long as 5 years. B. Recommended time for therapy is usually between 2 and 8 weeks. C. Heartburn pain subsides within a few minutes of the first dose. D. Heartburn will decrease within a couple days of therapy.
B
A client has been prescribed 200 micrograms of misoprostol to be taken 4 times a day orally for the prevention of gastric ulcers. The drug is available in 100 microgram tablets. How many tablets should the nurse administer to the client each time? A. 1 tablet B. 2 tablets C. Half a tablet D. 3 tablets
B
A client 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
A client 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
A client who takes aluminum hydroxide with magnesium hydroxide (Mylanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess: A. blood glucose level. B. serum phosphate level. C. urine specific gravity. D. aspartate transaminase levels.
B
A female client is prescribed ranitidine in addition to the antacid that she already takes for gastric reflux. Which statement made by the client indicates that she understood the teaching provided about taking these medications? A. "I should take both medications in the morning before breakfast." B. "I should take ranitidine 2 hours before or after my antacid dosage." C. "I should take both medications at the same time during the day." D. "The medications do not interact, so I can take them either at the same time or at different times."
B
A female client is self-administering cimetidine. What is the home care nurse's most important assessment of this client? A. Adverse reactions B. Potential drug-drug interactions C. Allergic reactions D. Toxicity
B
A female client presents to the health care provider's office with increasing stomach acidity. She self-administers calcium antacids. She notes that she seems to be having more issues with stomach acid, so she has been taking the calcium antacids more frequently. The nurse suspects that this may have caused what to occur in this client? A. Hypocalcemia B. Rebound acidity C. Gastric reflux D. Hyperactive gastric mucosa
B
A male client has liver disease and is diagnosed with esophageal reflux. He asks the health care provider to prescribe PPIs. The nurse is aware that PPIs given in conjunction with liver disease may result in what issue for this client? A. Decreased absorption of the PPIs B. Transient elevations in liver function tests C. PPI toxicity D. Subtherapeutic levels of PPIs in the bloodstream
B
A nurse is caring for a patient who is prescribed omeprazole for a duodenal ulcer. The patient is also taking benzodiazepines for the management of a seizure disorder. Which of the following should be the effect of the interaction between these two drugs? A. Decreased absorption of the proton pump inhibitor B. Risk for toxic level of benzodiazepines C. Increased risk of respiratory depression D. Increased risk of bleeding
B
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
After teaching a client 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
An older client has been prescribed a proton pump inhibitor. When addressing the medication's effect on nutrient absorption and the resulting risks, which medical condition should the nurse discuss with the client? A. Hypercalcemia B. Pernicious anemia C. Hypermagnesemia D. Scurvy
B
Carter, age 2, is diagnosed with cystic fibrosis; the physician places him on pancrelipase. What would be the most appropriate diagnosis for Carter related to his medication regimen? A. Risk for injury related to the side effects of the drug therapy B. Imbalanced nutrition: less than body requirements, related to impaired digestion secondary to insufficient pancreatic enzymes C. Alterations in elimination related to the disease process D. Alteration in comfort related to the drug therapy and the adverse effect of a headache
B
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: A. cause diarrhea. B. interfere with the metabolism of other drugs. C. result in hypotension. D. cause macular rash and cough.
B
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? A. Tremor B. Headache C. Visual disturbances D. Anxiet
B
The nurse instructs the patient to use over-the-counter ranitidine (Zantac) instead of cimetidine (Tagamet). What risk is decreased when using ranitidine over cimetidine? A. Headache B. Drug-to-drug interaction C. Diarrhea D. Bradycardia
B
The nurse should explain that metoclopramide (Reglan) decreases nausea and vomiting by which of the following actions? A. Decreasing gastric contractions B. Inhibiting stimulation of the vomiting center in the brain C. Decreasing gastric motility D. Increasing gastric emptying time
B
The nursing instructor is discussing the use of histamine2 receptor antagonists in the treatment of peptic ulcer disease. According to the instructor, which is a typical dosing schedule of famotidine during the first few weeks of treatment for gastric ulcer in patients with normal renal function? A. 10 mg bid B. 20 mg bid C. 20 mg at bedtime D. 40 mg q.a.m.
B
Which of the following drugs are commonly used in combination with certain antibiotics in the treatment of H. pylori? Select all that apply: A. Metoclopramide (Reglan) B. Omeprazole (Prilosec) C. Ondansetron (Zofran) D. Lansoprazole (Prevacid) E. Promethazine (Phenergan)
B, D
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 A. ragweed. B. pollen. C. pork. D. shellfish.
C
A 60-year-old man has scheduled a follow-up appointment with his primary care provider stating that the omeprazole (Prilosec) which he was recently prescribed is ineffective. The client states, "I take it as soon as I feel heartburn coming on, but it doesn't seem to help at all." How should the nurse best respond to this client's statement? A. "It could be that Prilosec isn't the right drug for you, so it would be best to talk this over with your care provider." B. "Prilosec won't really decrease the sensation of heartburn, but it is still minimizing the damage to your throat and stomach that can be caused by the problem." C. "Prilosec will help your heartburn but it's not designed to provide immediate relief of specific episodes of heartburn." D. "A better strategy is to take a dose of Prilosec 15 to 30 minutes before meals or drinks that cause you to get heartburn."
C
A 75-year-old client is diagnosed with type 2 diabetes mellitus, hypertension, osteoporosis, and gastric ulcer disease. She is prescribed PPIs. The nurse is aware that long-term (greater than 1 year) administration of PPIs may lead to what problem for this client? A. Increased risk for gastric cancer B. Increased risk for peptic ulcer disease C. Increased risk for hip fractures D. Increased risk for hypercalcemia
C
A clinic nurse is planning care for a 68-year-old man who has been on omeprazole (Prilosec) therapy for heartburn for some time. Regarding the patient's safety, which of the following would be a priority nursing action? A. Teach the patient to take omeprazole 1 hour before meals. B. Emphasize that the drug should not be crushed or chewed. C. Coordinate bone density testing for the patient. D. Monitor the patient for the development of diarrhea.
C
A female client has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which is an appropriate response by the nurse? A. "Sure, you may take an antacid with ranitidine." B. "No, the two drugs will work against each other." C. "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine." D. "I wouldn't advise it. You may experience severe constipation."
C
A female client self-administers magnesium antacids. She presents to the office with symptoms of dizziness and weakness. The nurse knows that these symptoms are secondary to what common adverse effect of magnesium antacids? A. Hypercalcemia B. Hypocalcemia C. Diarrhea D. GERD
C
A nurse is caring for a client experiencing stomach hyperacidity. The health care provider has prescribed aluminum carbonate gel. The nurse would administer this drug cautiously to the client with which condition? A. renal impairment B. pheochromocytoma C. upper GI bleeding D. gastrointestinal obstruction
C
A nurse is caring for an elderly patient who has been administered cimetidine. Which intervention should the nurse perform? A. Monitor the patient for reports of pain or sour taste. B. Monitor the patient for concentrated urine and restlessness. C. Closely monitor the patient for confusion and dizziness. D. Inform the PHCP if the patient exhibits tardive dyskinesia symptoms
C
A nurse is planning care for a 59-year-old woman who is on ranitidine therapy. The nurse is concerned for the client's safety. What would be an appropriate nursing diagnosis? A. Diarrhea related to adverse effects of drug therapy B. Acute Pain related to adverse drug effects, headache C. Risk for Injury related to drug-induced somnolence, dizziness, confusion, or hallucinations D. Potential Complication: Electrolyte Imbalance related to hypophosphatemia, secondary to drug therapy
C
A nurse is teaching a client about omeprazole, which has been prescribed as part of a regimen to treat an H. pylori infection. What statement, made by the client, suggests that the client understands proper use of the drug? A. "I should crush the medication and mix it into apple sauce." B. "It is important that I take the drug after each meal." C. "I need to swallow the drug whole." D. "I'll have to stop using antacids."
C
Mr. Palmer is scheduled to receive ranitidine at 9:00 am this morning. What is a correct explanation of the pharmacodynamics of ranitidine? A. It affects pepsin secretion. B. It has effects on fasting or postprandial serum gastrin secretion. C. It inhibits both daytime and nocturnal basal gastric acid secretions as well as gastric acid secretion. D. It has effects on prolactin levels, gonadotropins, thyroid-stimulating hormone, growth hormone, cortisol, aldosterone, androgen and estrogen levels, and sperm count.
C
The nurse is scheduled to administer sucralfate 1 gram po four times daily to a pregnant client admitted with gastroesophageal reflux disease (GERD). What is the priority teaching that would be provided regarding this medication? A. The drug acts locally and protects the mucosa lining of the stomach. B. The drug may cause constipation, so eat foods high in fiber. C. Take the medicine one hour before meals and at bedtime. D. Report any allergic reaction to your primary care provider.
C
The nursing instructor is teaching students about proper administration of sucralfate. According to the instructor, sucralfate should be administered: A. with meals. B. with an antacid. C. an hour before meals. D. immediately after each meal.
C
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
Which adverse effect is more likely to be caused by cimetidine than by other H2RAs? A. Hypoxia B. Hypertension C. Gynecomastia D. Seizures
C
Which adverse reaction of proton pump inhibitors is specific to menopausal women with osteoporosis? A. Headache B. Abdominal pain C. Increased fracture risk D. Diarrhea
C
Which agent is associated with antiandrogenic effects? A. Ranitidine B. Famotidine C. Cimetidine D. Nizatidine
C
Which instruction would be most important to give to a client who is receiving omeprazole? A."Chew the tablet thoroughly before swallowing." B. "Open the capsule and sprinkle it on applesauce." C. "Swallow the tablet whole with a large glass of water." D. "Take an antacid immediately before taking the drug."
C
Which of the following would a nurse expect as most likely to be used in combination with antibiotics for treatment of Helicobacter pylori infection? A. Famotidine B. Calcium carbonate C. Omeprazole D. Sucralfate
C
A 30-year-old nonpregnant patient is prescribed misoprostol. Which of the following should the nurse instruct the patient as part of the teaching plan? A. Swallow the tablet one hour before eating. B. Administer the drug one hour before travel. C. Do not chew, open, or crush the tablet. D. Use a reliable contraceptive.
D
A client is taking nonsteroidal anti-inflammatory agents for arthritis of the knees and hips. Which disease is a result of cellular destruction of the gastrointestinal tract from this medication? A. Esophageal cancer B. Bowel obstruction C. Liver cancer D. Peptic ulcer disease
D
A common drug regimen for eradication of H. pylori includes a proton pump inhibitor (PPI) and two antibiotics. What is one of the preferred antibiotics? A. Gentamicin B. Ketoconazole C. Vancomycin D. Amoxicillin
D
An antacid has been added to the treatment regimen for a client on multiple medications. When is the best time for the nurse to administer the antacid? A. Before the 10 a.m. medication B. Before breakfast C. Before the evening meal D. At bedtime
D
An older client has been prescribed omeprazole for the treatment of gastroesophageal reflux disease (GERD). What explanation should the nurse provide when asked by the client why they are not being treated with famotidine? A. "Famotidine and omeprazole are both histamine-2 antagonists and could be used interchangeably." B. "Famotidine is more expensive than omeprazole." C. "Omeprazole is taken at bedtime making it easier to remember." D. "Proton pump inhibitors, like omeprazole, produce fewer adverse effects among the older population."
D
Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in clients who: A. have diabetes. B. are hypertensive. C. have arthritis. D. are pregnant.
D
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? A. Eats spicy food at least twice a week. B. Has a stressful job as a air traffic controler. C. Is 15 pounds over ideal weight D. Self medicates with a nonsteroidal anti-inflammatory drug (NSAID) daily.
D
The nurse is caring for four clients. Which client would benefit most from misoprostol, a synthetic prostaglandin E analog? A. A 12-year-old male with obsessive-compulsive disorder B. A 22-year-old pregnant female C. A 46-year-old female with hypertension D. An 83-year-old male with rheumatoid arthritis
D
Which agent would a nurse identify as inhibiting the secretion of gastrin? A. Histamine-2 receptor antagonist B. Proton pump inhibitor C. Antacid D. Prostaglandin
D
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 blockage
D
