Chapter 57- Drugs affecting GI Secretions

What action does the histamine-2 antagonist administered by the nurse have on the human body that will help to prevent peptic ulcer disease?
A) Destroys Helicobacter pylori
B) Coats and protects the stomach lining
C) Increases the pH of the secreted hydrochloric acid
D) Reduces the amount of hydrochloric acid secreted
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What action does the histamine-2 antagonist administered by the nurse have on the human body that will help to prevent peptic ulcer disease?
A) Destroys Helicobacter pylori
B) Coats and protects the stomach lining
C) Increases the pH of the secreted hydrochloric acid
D) Reduces the amount of hydrochloric acid secreted
Reduces the amount of hydrochloric acid secreted
What classification of drugs does the nurse administer to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the lumen of the stomach?
A) Antipeptic agents
B) Histamine-2 antagonists
C) Proton pump inhibitors
D) Prostaglandins
Proton pump inhibitors
The nurse is caring for a patient requiring digestive enzyme replacement therapy and establishes what appropriate nursing diagnosis for this patient?
A) Acute pain
B) Risk for constipation
C) Risk for imbalanced nutrition
D) Bowel incontinence
Risk for imbalanced nutrition
What nursing interventions are included in the plan of care for a patient receiving antacids to relieve GI discomfort?
A) Administer this drug with other drugs or food.
B) Administer the antacid 1 hour before or 2 hours after other oral medications.
C) Limit fluid intake to decrease dilution of the medication in the stomach.
D) Have the patient swallow the antacid whole and do not crush or chew the tablet.
Administer the antacid 1 hour before or 2 hours after other oral medications.
An adult patient is prescribed cimetidine (Tagamet). A nurse will instruct the patient that an appropriate dosage and frequency of cimetidine is what?
A) 20 mg PO b.i.d
B) 150 mg PO b.i.d
C) 300 mg PO at bedtime
D) 800 mg PO at bedtime
800 mg PO at bedtime
The nurse develops a discharge teaching plan for a patient who was prescribed pancreatic enzyme replacement and includes what important teaching point?
A) Take the enzymes on an empty stomach.
B) Crush the capsules and take with food.
C) Avoid spilling the powder on the skin because it may be irritating.
D) Pancreatin and pancrelipase are interchangeable.
Avoid spilling the powder on the skin because it may be irritating.
A patient comes to the clinic complaining of acid indigestion and tells the nurse he is tired of buying over-the-counter (OTC) antacids and wants a prescription drug to "cure the problem." What would the nurse specifically assess for?
A) Alkalosis
B) Hypocalcemia
C) Hypercholesterolemia
D) Rebound tenderness at McBurney's point
Alkalosis
A patient with a duodenal ulcer is receiving sucralfate for short-term treatment. What will the nurse advise the patient to avoid?
A) Milk of Magnesia
B) Tums
C) Aluminum salts
D) Proton pump inhibitors
Aluminum salts
A patient has been prescribed esomeprazole (Nexium). What statement by the patient does the nurse evaluate as indicating that he or she has a good understanding of his newly prescribed drug?
A) "I should open the capsules and crush the drug into applesauce."
B) "It is important that I take the drug after each meal."
C) "I need to swallow the drug whole and not chew the capsules."
D) "I should always take the drug with an antacid."
I need to swallow the drug whole and not chew the capsules.
Which of these patients would the nurse expect to be the best candidate for misoprostol (Cytotec)?
A) A 12-year-old with obsessive-compulsive disorder
B) A 22-year-old pregnant patient
C) A 46-year-old trial lawyer with hypertension
D) An 83-year-old man with rheumatoid arthritis
An 83-year-old man with rheumatoid arthritis
11. When comparing the histamine-2 antagonists to each other the nurse recognizes that cimetidine (Tagamet) is more likely to cause which adverse effect?\ A) Dizziness B) Headache C) Gynecomastia D) SomnolenceGynecomastia2. What H2 antagonist would the nurse consider the drug of choice for a patient with advanced liver failure? A) Cimetidine B) Nizatidine C) Ranitidine D) FamotidineNizatidine13. When caring for a patient diagnosed with a peptic ulcer, the nurse administers omeprazole (Prilosec) along with what antibiotic to eradicate Helicobacter pylori? A) Gentamicin B) Ketoconazole C) Tetracycline D) AmoxicillinAmoxicillinWhat priority teaching point does the nurse include when instructing patients about the use of antacids? A) Reduce calorie intake to reduce acid production. B) Take before each meal and before bed. C) Be aware of risk of acid rebound with long-term use. D) Consider liquid diet if diarrhea occurs.Be aware of risk of acid rebound with long-term use.15. For treatment of a gastric ulcer, what would the recommended dosing schedule of famotidine (Pepcid) be? A) 10 mg b.i.d B) 20 mg b.i.d C) 60 mg at bedtime D) 40 mg q AM20 mg b.i.dThe 59-year-old patient has peptic ulcer disease and is started on sucralfate (Carafate). What is an appropriate nursing diagnosis related to this medication? A) Risk for constipation related to GI effects B) Risk for injury: bleeding C) Imbalanced nutrition related to nausea D) Deficient fluid volumeRisk for constipation related to GI effects17. The nurse is preparing a patient for discharge with a prescription for sucralfate (Carafate) and teaches the patient to take the medication when? A) With meals B) With an antacid before breakfast C) 1 hour before or 2 hours after meals and at bedtime D) After each meal1 hour before or 2 hours after meals and at bedtimeThe patient will receive ranitidine (Zantac) 150 mg PO at bedtime. Prior to administration, the nurse will inform the patient that common adverse effects related to this medication include what? A) Tremors B) Headache C) Visual disturbances D) AnxietyAnxietyThe nurse administers ranitidine (Zantac) cautiously to patients with evidence of what conditions? A) Renal disease B) Diabetes mellitus C) Pulmonary disease D) Migraine headachesRenal diseaseThe nurse would question an order for misoprostol if the patient was diagnosed with what condition? A) Diabetes B) Hypertension C) Arthritis D) PregnancyPregnancyThe nurse would assess patients with what condition to determine whether there is a need for a saliva substitute? (Select all that apply.) A) Cystic fibrosis B) Stroke C) Cancer receiving chemotherapy or radiation therapy D) Myocardial infarction E) Chronic dry mouthStroke Cancer receiving chemotherapy or radiation therapy Chronic dry mouth22. After providing teaching to a patient prescribed lansoprazole (Prevacid), the nurse evaluates the patient understands the action of this medication when the patient makes what statement? A) "The medication inhibits acid secretions." B) "The medication is an antibiotic." C) "The medication is an analgesic." D) "The medication will promote healing of my ulcer.""The medication inhibits acid secretions."What would the nurse consider an indication for the use of antacids? (Select all that apply.) A) Gastric hyperacidity B) Gastritis C) Peptic esophagitis D) Hiatal hernia E) Duodenal ulcerGastric hyperacidity Gastritis Peptic esophagitis Hiatal herniaA patient presents to the walk-in clinic complaining of vomiting and burning in his or her mid-epigastria. The nurse suspects peptic ulcer disease and knows that to confirm peptic ulcer disease, the physician is likely to order a diagnostic test to detect the possible presence of what? A) Infection with Helicobacter pylori B) Decreased stomach acid secretion C) Gastric irritation caused by nonsteroidal anti-inflammatory drugs (NSAIDs) D) Overconsumption of spicy foodsinfection with Helicobacter pyloriThe nurse is providing education for a patient with peptic ulcer disease resulting from chronic nonsteroidal anti-inflammatory drug (NSAID) use who will begin a prescription of misoprostol (Cytotec). The nurse evaluates that the patient understands the actions of this drug when he or she says it does what? A) Reduces the stomach's volume of hydrochloric acid B) Increases the speed of gastric emptying C) Protects the stomach's lining D) Increases lower esophageal sphincter pressureProtects the stomach's liningWhat drug combination will the nurse normally administer most often to treat a gastric ulcer? A) Antibiotics and histamine-2 antagonists B) H2 antagonists, antibiotics, and bicarbonate salts C) Bicarbonate salts, antibiotics, and ZES D) Antibiotics and proton pump inhibitorsAntibiotics and proton pump inhibitorsThe nurse questions an order for a proton pump inhibitor when the patient is known to take what other medication? A) Theophylline B) Penicillin C) Digoxin D) HeparinTheophyllineWhat histamine-2 antagonist might the nurse administer to a child? A) Cimetidine B) Famotidine C) Nizatidine D) RanitidineFamotidine29. The nurse is caring for a 27-year-old female patient who has just been prescribed misoprostol. What is a priority teaching point for this patient? A) You will need to use a barrier-type contraceptive B) Do not take NSAIDs with this drug C) Adverse effects include nausea and diarrhea D) It protects the lining of the stomachYou will need to use a barrier-type contraceptiveThe clinic nurse is caring for a 78-year-old male patient who is taking a proton pump inhibitor. What condition is this patient at increased risk for developing? A) Sickle cell anemia B) Megaloblastic anemia C) Pernicious anemia D) Iron deficiency anemiaPernicious anemiaThe nurse admits a patient who reports having taken a proton pump inhibitor for more than a decade. What assessment question will the nurse ask this patient? A) "Are you experiencing diarrhea?" B) "Do you experience much abdominal pain?" C) "Have you noticed any blood in your urine?" D) "When is the last time you checked your blood pressure?""Are you experiencing diarrhea?"What symptoms would the nurse find to be consistent with a diagnosis of a peptic ulcer? A) Pain a few hours after eating B) Pain described as sharp and stabbing C) Explosive diarrhea within 1 hour of eating D) Unable to stand comfortably due to abdominal painPain a few hours after eatingThe nurse is caring for a patient with cystic fibrosis who has recently not been taking her pancreatic enzymes recently. What is the primary assessment finding the nurse will see as a result of this noncompliance? A) Constipation B) Diarrhea C) Malnutrition D) Abdominal painMalnutritionThe nurse, caring for a patient with cystic fibrosis, administers pancreatic enzymes on what schedule? A) 1 hour after meals and snacks B) With meals and snacks C) 2 hours before meals and snacks D) In the morning and before bedWith meals and snacks35. The patient prescribed nizatidine (Axid) chooses to take the medication once a day at bedtime. What dosage will the nurse administer? A) 150 to 300 mg B) 100 to 125 mg C) 20 to 40 mg D) 5 to 7.5150 to 300 m