Chapter 57 practice questions- PrepU Drugs Affecting GI Secretions

Ranitidine is a histamine2 receptor antagonist (H2RA) prescribed for treatment of peptic ulcer disease and gastric reflux. Dosage of ranitidine must be reduced in patients with what condition? Diabetes mellitus Renal disease Pulmonary disease Migraine headaches

Renal disease

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? Risk for imbalanced fluid volume Disturbed sensory perception Impaired physical mobility Ineffective tissue perfusion

Risk for imbalanced fluid volume

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: interfere with the metabolism of other drugs. result in hypotension. cause macular rash and cough. cause diarrhea.

interfere with the metabolism of other drugs.

A nurse is caring for an elderly patient who has been administered cimetidine. Which intervention should the nurse perform? Closely monitor the patient for confusion and dizziness. Monitor the patient for concentrated urine and restlessness. Inform the PHCP if the patient exhibits tardive dyskinesia symptoms. Monitor the patient for reports of pain or sour taste.

Closely monitor the patient for confusion and dizziness.

The nurse should warn a patient taking aluminum and calcium-containing antacids about which adverse effects? Dehydration Flatulence Constipation Diarrhea

Constipation

Which adverse effect is more likely to be caused by cimetidine than by other H2RAs? Hypertension Gynecomastia Seizures Hypoxia

Gynecomastia (man boobs)

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? Alterations in elimination related to the disease process Imbalanced nutrition: less than body requirements, related to impaired digestion secondary to insufficient pancreatic enzymes Risk for injury related to the side effects of the drug therapy Alteration in comfort related to the drug therapy and the adverse effect of a headache

Imbalanced nutrition: less than body requirements, related to impaired digestion secondary to insufficient pancreatic enzymes

A 25-year-old 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? Overconsumption of spicy foods Excessive worrying Infection with H. pylori Decreased stomach acid secretion

Infection with H. pylori

The nurse is caring for a 45-year-old client who has been prescribed sucralfate for treatment of peptic ulcer disease. Which nursing diagnosis may relate specifically to administration of this medication? Deficient Fluid Volume Imbalanced Nutrition related to abdominal discomfort Risk for Injury: Bleeding Impaired Bowel Elimination: Constipation

Impaired Bowel Elimination: Constipation

Which adverse reaction of proton pump inhibitors is specific to menopausal women with osteoporosis? Headache Abdominal pain Increased fracture risk Diarrhea

Increased fracture risk

Why would we only give laxatives on a short term basis?

It's only a temporary measure. We should encourage 8-9 glasses of water per day, eat right.

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? Esomeprazole Rabeprazole Omeprazole Lansoprazole

Omeprazole

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? Esomeprazole Omeprazole Lansoprazole Pantoprazole

Omeprazole

A patient is prescribed misoprostol. The nurse would expect to administer this drug by which route? Intravenous Subcutaneous Transdermal Oral

Oral

A patient 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? Peptic ulcer disease Esophageal cancer Liver cancer Bowel obstruction

Peptic ulcer disease

A client is diagnosed with Helicobacter pylori infection. The physician will order amoxicillin and what other type of medication? H2RAs Antacids Proton pump inhibitors Sucralfate

Proton pump inhibitors

A female client presents to the physician'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? Gastric reflux Hypocalcemia Hyperactive gastric mucosa Rebound acidity

Rebound acidity

A 32-year-old female executive comes to the clinic with severe heartburn. The physician prescribes omeprazole (Prilosec). The patient asks the nurse when the pain will go away. What is an appropriate response by the nurse? Some patients have taken omeprazole therapy as long as 5 years. Recommended time for therapy is usually between 2 and 8 weeks. Heartburn will decrease within a couple days of therapy. Heartburn pain subsides within a few minutes of the first dose.

Recommended time for therapy is usually between 2 and 8 weeks.

The patient has Maalox ordered for administration before meals. Which of the following conditions is contraindicated with the administration of Maalox? Heart rate of 68 Stress ulcer Renal dysfunction Hypertension

Renal dysfunction

Pancrelipase would most likely be used to treat a patient with cystic fibrosis. True False

True

The use of calcium carbonate is associated with the development of acid rebound. True False

True

The nursing instructor is teaching students about proper administration of sucralfate. According to the instructor, sucralfate should be administered: with meals. an hour before meals. with an antacid. immediately after each meal.

an hour before meals.

Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in patients who: are pregnant. are hypertensive. have arthritis. have diabetes.

are pregnant.

Three types of patients that need help with digestive

cystic fibrosis- stroke- neurological damage

adrenergic effects

gynecomastia- man boobs

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 pollen. ragweed. pork. shellfish.

pork