Prep Quiz #9 GI/Peptic Ulcer Disease

You are providing discharge teaching to a patient taking Sucralfate (Carafate). Which statement by the patient demonstrates they understand how to take this medication? (Select all that apply) Select one or more: a. "I will always take this medication on an empty stomach." b. "It is best to take this medication with antacids." c. "I will take this medication once a week." d. "I will continue to take this medication as a preventative therapy"

a. "I will always take this medication on an empty stomach." d. "I will continue to take this medication as a preventative therapy"

The nurse is providing education to a patient who has been prescribed both an antacid and a cimetidine [Tagamet]. Which instruction should the nurse give the patient about taking the medications? Select one: a. "Take the antacid 1 hour after the cimetidine [Tagamet]. b. "The antacid and cimetidine [Tagamet]should be taken at the same time for better effect." c. "Take the antacid 15 minutes before the cimetidine [Tagamet]. d. "Stop taking the antacid."

a. "Take the antacid 1 hour after the cimetidine [Tagamet].

A client with peptic ulcer disease asks the nurse what medications they might be prescribed for this problem. The nurse tells the client that which medications will be prescribed? Select all that apply. Select one or more: a. Antibiotics b. Antacids c. Nonsteroidal antiinflammatory drugs (NSAIDs) d. Proton Pump Inhibitors e. Histamine H2-receptor blockers

a. Antibiotics b. Antacids d. Proton Pump Inhibitors e. Histamine H2-receptor blockers

When metronidazole [Flagyl] is a component of the H.pylori treatment regimen, the patient must be instructed to do what? Select one: a. Avoid any alcoholic beverages b. Take the drug on an empty stomach. c. Take the drug with food. d. Avoid foods containing tyramine.

a. Avoid any alcoholic beverages

A client has received a dose of dimenhydrinate (Dramamine), The nurse should observe relief of what sign or symptom to evaluate that the medication has been effective? Select one: a. Nausea and vomiting b. Headache c. Chills d. Buzzing sound in the ears

a. Nausea and vomiting

A client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition? Select one: a. Vomiting following cancer chemotherapy b. Diverticulitis with perforation c. Peptic ulcer with melena (bloody stool) d. Intestinal obstruction

a. Vomiting following cancer chemotherapy

A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client to avoid which of the following laxatives? Select one: a. sodium phosphate b. Polyethylene Glycol c. Bisacodyl d. Psyllium

a. sodium phosphate

The nurse determines the client needs further instruction on cimetidine (Tagamet) if which statements were made? Select all that apply. Select one or more: a. "My episodes of heartburn will decrease if the medication is effective." b. "I will take the cimetidine with my meals." c. "I'll know the medication is working if my diarrhea stops." d. "Taking the cimetidine with an antacid will increase its effectiveness." e. "Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation." f. "I will notify my health care provider if I become depressed or anxious."

b. "I will take the cimetidine with my meals." c. "I'll know the medication is working if my diarrhea stops." d. "Taking the cimetidine with an antacid will increase its effectiveness."

A nurse is caring for four clients who have peptic ulcer disease. The nurse should identify misoprostol is contraindicated for which of the following clients? Select one: a. A client with Osteoarthritis b. A client who is pregnant c. A client with UTI d. A client who has Kidney stones

b. A client who is pregnant

Which statement is INCORRECT about Histamine-receptor blockers? Select one: a. "Antacids and H2 blockers should not be given together." b. H2 blockers decrease gastric pH c. H2 Blockers absorption is slowed if taken with meals d. "Ranitidine and Famotidine are two types of histamine-receptor blocker medications."

b. H2 blockers decrease gastric pH

The nurse has administered a dose of docusate. The nurse evaluates that the medication has been effective if the client experiences which finding? Select one: a. Relief of sharp abdominal pain b. Decreased heartburn c. Bowel movement with soft, formed stool d. Decrease in fatty stools

c. Bowel movement with soft, formed stool

A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes ranitidine [Zantac] and sucralfate [Carafate]. The patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up. What will the nurse do? Select one: a. Contact the provider to discuss switching to a proton pump inhibitor. b. Ask the provider about ordering an endoscopic examination. c. Counsel the patient on non-drug intervention such as avoiding beverages containing alcohol d. Contact the provider to discuss serologic testing and an antibiotic.

c. Counsel the patient on non-drug intervention such as avoiding beverages containing alcohol

The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the health care provider's prescriptions will include which medication? Select one: a. Psyllium hydrophilic mucilloid (a bulk laxative) b. Bisacodyl suppository (a stimulant laxative) c. Lactulose (an osmotic laxative) d. Magnesium hydroxide (saline laxative)

c. Lactulose (an osmotic laxative)

A patient has a prescription to take a powdered form of psyllium after discharge. The nurse should plan to include which information when teaching the client about this medication? Select one: a. Decrease fluid intake following administration of the medication. b. Decrease the amount of fiber in the diet when taking this medication. c. Mix the medication with a full glass of water or juice. d. Mix the medication with applesauce.

c. Mix the medication with a full glass of water or juice.

A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis asks a nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using which medication? Select one: a. Mucosal protectants b. Antibiotics c. Proton pump inhibitors d. Histamine-2 receptor antagonists

c. Proton pump inhibitors

A nurse is planning to administer ondansetron(Zofran) to a client. For which of the following adverse effects of Ondansetron should the nurse monitor? a. hyperglycemia b. shortened PR interval c. diarrhea d. headache e. prolonged QT interval

c. diarrhea d. headache e. prolonged QT interval

Think back on the neuro content to answer this GI question... A client receives a dose of scopolamine for nausea from motion sickness. The nurse determines that which sign or symptom later displayed by the client is a result of medication side and adverse effects? Select one: a. Pupillary constriction b. Diaphoresis c. Excessive urination d. Dry mouth

d. Dry mouth

A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse should monitor the client for which condition that the client is at risk for with long-term frequent use of this medication? Select one: a. Respiratory acidosis b. Urinary calculi c. Chronic bronchitis d. Metabolic alkalosis

d. Metabolic alkalosis

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process? Select one: a. Sinus bradycardia b. Biliary colic c. Peptic ulcer disease d. Narrow-angle glaucoma

d. Narrow-angle glaucoma

A physician prescribes a Proton-Pump Inhibitor to a patient with a gastric ulcer. Which medication is considered a PPI? Select one: a. Famotidine b. Metronidazole c. Famotidine d. Pantoprazole

d. Pantoprazole