NRS 2020 Gastrointestinal / Peptic Ulcer Disease Quiz

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? "Take the antacid 1 hour after the cimetidine [Tagamet]. "Take the antacid 15 minutes before the cimetidine [Tagamet]. "The antacid and cimetidine [Tagamet]should be taken at the same time for better effect." "Stop taking the antacid."

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

A client with a duodenal ulcer is diagnosed with H. pylori infection. The physician prescribed combination therapy with amoxicillin, pantoprazole, and clarithromycin. Which statement made by the nurse correctly explains the purpose of these medications given in combination to treat H. Pylori and duodenal ulcer? "These medicines will stop the acid production and will kill the bacteria". "These medicines will minimize acid production and will coat the ulcer". "These medicines will control the ulcer and motion sickness". "The ulcer will heal because the medications will kill the bacteria".

"These medicines will stop the acid production and will kill the bacteria".

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? A client with Osteoarthritis A client who is pregnant A client with UTI A client who has Kidney stones

A client who is pregnant

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. Proton Pump Inhibitors b. Antacids c. Histamine H2-receptor blockers d. Nonsteroidal antiinflammatory drugs (NSAIDs) e. Antibiotics

A, B, C, E

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following action should the nurse plan to take? Select all that apply. infuse the drug 30 min prior to chemotherapy. b. administer the drug when the client reports nausea. c. Repeat the dose 4 hr after chemotherapy. d. infuse the drug slowly over 15 min. e. administer the drug immediately following chemotherapy.

A, C, D

Which are potentially worrisome adverse effects associated with proton pump inhibitor use in older patients? (Select all that apply.) Osteoporosis b. Gastric cancer c. Vitamin and mineral deficiencies d. Headaches e. Medication interactions

A, C, E

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

A, D, E

A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking famotidine and which of the following over the counter drugs? St. John's wort Antacids Antidiarrheals Ginkgo biloba

Antacids

Which of the following statements best describes the action of antacids? Antacids neutralize gastric acid Antacids enhance the action of acetylcholine Antacids block the production of gastric acid Antacids block dopamine

Antacids neutralize gastric acid

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

Avoid any alcoholic beverages

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) "I will take this medication once a week." b. "I will take this medication as a preventative therapy for stomach ulcers" c. "I will always take this medication on an empty stomach." d. "It is best to take this medication with antacids."

B, C

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

Bowel movement with soft, formed stool

The nurse identifies methylcellulose and psyllium as what type of laxative? Osmotic Surfactant Bulk-forming Stimulant

Bulk-forming

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation which of the following instruction should the nurse include? Select all that apply. avoid activities that require mental alertness b. expect results in 2-4 hours. c. take the drug with 8 ounces of fluid d. urinate every 4 hours e. increase fluid and fiber intake

C, E

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? Counsel the patient on non-drug intervention such as avoiding beverages containing alcohol Ask the provider about ordering an endoscopic examination. Contact the provider to discuss switching to a proton pump inhibitor. Contact the provider to discuss serologic testing and an antibiotic.

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

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? Dry mouth Excessive urination Diaphoresis Pupillary constriction

Dry mouth

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

H2 blockers decrease gastric pH

What statement best describes the action of a proton pump inhibitor? It stimulates receptors in the stomach that release protons into the stomach. It blocks the release of hydrochloric acid in response to the release of gastrin. It coats the stomach to protect the mucosa. It suppresses the secretion of hydrochloric acid into the stomach.

It suppresses the secretion of hydrochloric acid into the stomach.

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? Lactulose (an osmotic laxative) Bisacodyl suppository (a stimulant laxative) Magnesium hydroxide (saline laxative) Psyllium hydrophilic mucilloid (a bulk laxative)

Lactulose (an osmotic laxative)

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? Chronic bronchitis Urinary calculi Metabolic alkalosis Respiratory acidosis

Metabolic alkalosis

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? Decrease the amount of fiber in the diet when taking this medication. Mix the medication with a full glass of water or juice. Mix the medication with applesauce. Decrease fluid intake following administration of the medication.

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

A client has an as-needed prescription for ondansetron. For which condition(s) should the nurse administer this medication? Paralytic ileus Incisional pain Nausea and vomiting Urinary retention

Nausea and vomiting

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? Nausea and vomiting associated with motion sickness Headache Buzzing sound in the ears Chills

Nausea and vomiting associated with motion sickness

Which of the following medications is helpful to relieve symptoms in a case of chronic heartburn? Milk of magnesium Promethazine Omeprazole Cimetidine

Omeprazole

A physician prescribes a Proton-Pump Inhibitor to a patient with a gastric ulcer. Which medication is considered a PPI? Pantoprazole Famotidine Metronidazole Famotidine

Pantoprazole

Which of the following conditions can you safely administer metoclopramide (Reglan)? Patient with bowel obstruction Patients with pheochromocytoma Patient with gastrointestinal hemorrhage Patient undergoing radiation

Patient undergoing radiation

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? Antibiotics Histamine-2 receptor antagonists Proton pump inhibitors Mucosal protectants

Proton pump inhibitors

The nurse recognizes which drug as the most effective for decreasing production of gastric acid? Anticholinergics Histamine blockers Proton pump inhibitors Antacids

Proton pump inhibitors

Which of the following receptors is inhibited by ondansetron (Zofran) to treat nausea following chemotherapy? Serotonin 5-HT receptors Dopamine receptors Muscarinic receptors Nicotinic receptors

Serotonin 5-HT receptors

Which of the following laxative drug belongs to class of osmotic laxatives? Psyllium Sodium phosphate Bisacodyl Docusate sodium

Sodium phosphate

What is the mechanism of action of stimulant laxative? Stimulate intestinal motility, increasing peristalsis Increasing the volume of non-absorbable solid residue Increasing the water content Altering the consistency of the feces

Stimulate intestinal motility, increasing peristalsis

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? Peptic ulcer with melena (bloody stool) Intestinal obstruction Vomiting following cancer chemotherapy Diverticulitis with perforation

Vomiting following cancer chemotherapy

A nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations? cellulitis dry mouth myalgia lethargy

lethargy

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects? reduces gastric acid secretion reduces inflammation prevents diarrhea prevents straining of bowels

prevents straining of bowels

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? Polyethylene Glycol Psyllium sodium phosphate Bisacodyl

sodium phosphate

A nurse is providing instructions about the use of laxatives to a client who has kidney failure. The nurse should tell the client to avoid which of the following laxatives? sodium phosphate Psyllium Docusate. Bisacodyl

sodium phosphate

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instruction should the nurse include? take medication with food swallow the capsule whole dissolve the tablet in water take the medication at bedtime after food

swallow the capsule whole