Chapter 57 Prep-U Questions
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?
Drug interactions
The nurse should be aware that ranitidine achieves a therapeutic effect by which means?
Inhibiting secretion of gastric acid
A client is diagnosed with Helicobacter pylori infection. The health care provider will order amoxicillin and what other type of medication?
Proton pump inhibitors
When should sucralfate be taken?
1 hour before meals and dinner time
How do antacids that contain aluminum salts cause hypophosphatemia?
Aluminum binds dietary phosphates and causes hypophosphatemia
A client is taking an antacid that contains aluminum salts. The nurse would monitor the client for what?
Hypophosphatemia
What should someone on sucralfate add to their diet?
More fiber, they need a high fiber diet
Which antacids would the nurse identify as being contraindicated in clients with heart failure?
Na bicarb
A client is diagnosed with peptic ulcer due to H. pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic?
Omerazole
Why might the provider prescribe a PPI rather than an H2RA?
PPIs suppress acid more strongly and for a longer time
Which disease is a result of cellular destruction of the gastrointestinal tract resulting from regular nonsteroidal anti-inflammatory therapy?
Peptic ulcer disease
A client has a magnesium-based antacid prescribed for administration as needed. Which condition contraindicates the administration of this classification of medications?
Renal dysfunction
The client has Maalox ordered for administration before meals. Which condition is contraindicated with the administration of Maalox?
Renal dysfunction
Which teaching intervention is most important to share with the client prescribed misoprostol?
Use effective contraceptive measures