Pham Chpt 57

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?

"Quitting smoking will significantly increase the chance that this drug will heal your ulcer."

The nurse is caring for a male patient who is prescribed esomeprazole magnesium (Nexium) for the treatment of diarrhea. The patient informs the nurse that he is also taking sucralfate for GI distress. What effects of interaction between the two drugs should the nurse inform the patient about?

Decreased absorption of the esomeprazole magnesium

If a patient is receiving sucralfate and omeprazole, the doses can be taken together.

False

Mr. Palmer is scheduled to receive ranitidine at 9:00 am this morning. What is a correct explanation of the pharmacodynamics of ranitidine?

It inhibits both daytime and nocturnal basal gastric acid secretions as well as gastric acid secretion.

A patient is diagnosed with peptic ulcer due to H. pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic?

Omeprazole

Which of the following best reflects the rationale for using histamine-2 receptor antagonists for stress ulcer prophylaxis?

Protects the stomach lining via acid blockage

In treating Helicobacter pylori infection, a physician prescribes two antimicrobials because:

Two are needed to prevent the emergence of drug-resistant H. pylori organisms.

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.