Peptic Ulcer Disease Prep U
Ranitidine (Zantac) is preferred over cimetidine (Tagamet) therapy in critically ill clients due to decreased risk of which adverse effect? - Macular rash and cough - Diarrhea - Hypotension - Drug-drug interactions
Drug-drug interactions
When describing the possible adverse effects associated with omeprazole therapy, which of the following would the nurse identify as least common? - Dizziness - Headache - Cough - Alopecia
Alopecia
A nurse should monitor a client taking which of the following drugs for increased adverse effects and toxicity if omeprazole (Prilosec) therapy is initiated. Select all that apply - Ketoconazole (Nizoral) - Digoxin (Lanoxin) - Warfarin (Coumadin) - Phenobarbital (Luminal) - Diazepam (Valium)
Digoxin (Lanoxin) Diazepam (Valium) Warfarin (Coumadin)
Which adverse effect is more likely to be caused by cimetidine than by other H2RAs? - Hypertension - Seizures - Hypoxia - Gynecomastia
Gynecomastia
A male client is receiving morphine sulfate for pain after an accident. The health care provider has also ordered cimetidine IV to assist in preventing a stress ulcer. The nurse will monitor for what effect that is caused by the interaction of these two drugs - Increased nausea and vomiting - Increased symptoms of GERD - Increased incidence of respiratory depression - Increased reports of pain
Increased incidence of respiratory depression
Which of the following would a nurse expect as most likely to be used in combination with antibiotics for treatment of Helicobacter pylori infection? - Calcium carbonate - Sucralfate - Omeprazole - Famotidine
Omeprazole
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 - "Take each dose of ranitidine with an antacid of your choice." - "This drug will help to eliminate the bacteria in your stomach that caused your ulcer." - "You should eat several small meals each day rather than three larger meals." - "Quitting smoking will significantly increase the chance that this drug will heal your ulcer.
Quitting smoking will significantly increase the chance that this drug will heal your ulcer.
A female client is currently taking sucralfate and has been given a prescription for ciprofloxacin for treatment of a urinary tract infection. The nurse will inform the client that she should take her medication in what way - "Take the sucralfate 30 minutes before the ciprofloxacin." - "Both medications should be taken together on an empty stomach." - "Eat breakfast, then take the sucralfate, and then an hour later take the ciprofloxacin." - "Take the ciprofloxacin 2 hours before the sucralfate
Take the ciprofloxacin 2 hours before the sucralfate
The nurse is caring for a 27-year-old female client who has just been prescribed misoprostol. What is a priority teaching point for this client? - The need to use a barrier-type contraceptive - Adverse effects include nausea and diarrhea - It protects the lining of the stomach - A warning against using NSAIDs
The need to use a barrier-type contraceptive
A female client's diagnoses include diabetes mellitus, gastric ulcer disease, and chronic renal disease. When the nurse reviews her medications with her, the nurse discover that she self-administers antacids containing magnesium. What statement is true about antacids containing magnesium? - They are an acceptable treatment for gastric ulcer disease. - They are contraindicated for clients with renal disease. - They may cause hypoglycemia for clients with chronic renal disease and diabetes. - They may cause an exacerbation of her hyperglycemia
They are contraindicated for clients with renal disease.
Because of the possible adverse effects of long-term proton pump inhibitor (PPI) use, the nurse practitioner should focus on what assessment in a 72-year-old client? - dental health - integumentary system - bone density - joint mobility
bone density
An older adult reports chronic abdominal pain and dark, tarry stools. The client has a history of chronic arthritis being treated with naproxen daily. What is the most likely cause of the presenting symptomology? - gastroesophageal reflux disease (GERD) - pyloric stenosis - gastric ulcer - duodenal ulcer
gastric ulcer
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 - dry mouth. - headache - heart palpitations. - irritability
headache
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 - hypocalcemia. - hypercholesterolemia. - metabolic acidosis. - metabolic alkalosis.
metabolic alkalosis.
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 - blood glucose level. - urine specific gravity. - serum phosphate level. - aspartate transaminase levels
serum phosphate level.
