Deck 36: Drugs for Peptic Ulcer Disease

Question 1

The client receives misoprostol (Cytotec) for treatment of peptic ulcer disease (PUD). The client asks the nurse why he is receiving this medication. What is the best response by the nurse?

A) "It dissolves into a gel and sticks to your ulcer."
B) "It inhibits bacterial growth."
C) "It increases mucus production in your stomach."
D) "It neutralizes stomach acid."

Answer 1

"It increases mucus production in your stomach."

Question 2

The client receives esomeprazole (Nexium). He asks the nurse why that little purple pill is better than his cimetidine (Tagamet). What is the best response by the nurse?

A) "It is not as effective as cimetidine (Tagamet), but kills bacteria better."
B) "It is about the same, but a lot cheaper than your cimetidine (Tagamet)."
C) "It is about the same, but has fewer side effects than your cimetidine (Tagamet)."
D) "It decreases acid in your stomach, better than cimetidine (Tagamet)."

Answer 2

"It decreases acid in your stomach, better than cimetidine (Tagamet)."

Question 3

The physician orders misoprostol (Cytotec) for the female client with peptic ulcer disease (PUD). What is a priority question for the nurse to ask the client prior to administration of this medication?

A) "Are you pregnant?"
B) "Are you sexually active?"
C) "Do you plan on becoming pregnant?"
D) "Are your menstrual cycles irregular?"

Answer 3

"Are you pregnant?"

Question 4

The client receives H2 -receptor antagonists for treatment of peptic ulcer disease (PUD). Which assessment finding should be reported immediately to the physician?

A) The client reports he is constipated.
B) The client reports pain after 24 hours of treatment.
C) The client reports he took Tums with his H2 -receptor antagonist.
D) The client reports episodes of melana.

Question 5

The physician has ordered bismuth (Pepto -Bismol) for the client with a peptic ulcer who is colonized with H. Pylori. The client asks the nurse why he is receiving this drug. What is the best response by the nurse? Select all that apply.

A) "Bismuth (Pepto -Bismol) is effective with inhibiting bacterial growth."
B) "Bismuth (Pepto -Bismol) increases stomach acid to help kill bacteria."
C) "Bismuth (Pepto -Bismol) helps prevent the side effects of antibiotics."
D) "Bismuth (Pepto -Bismol) keeps bacteria from sticking in your stomach."
E) "Bismuth (Pepto -Bismol) helps relieve ulcer -related constipation."

Question 6

The nurse has completed education about peptic ulcer disease (PUD) with the client. The nurse evaluates learning has occurred when the client makes which statement?

A) "I will drink more milk and limit spicy foods."
B) "I will limit my intake of caffeine products."
C) "I will join a gym and increase my exercise."
D) "I will take ibuprofen (Motrin) for my headaches."

Question 7

The nursing instructor teaches the student nurses about intrinsic factor. The instructor evaluates learning has occurred when the students make which response?

A) "Intrinsic factor is necessary for absorption of vitamin B12."
B) "Intrinsic factor is necessary for absorption of vitamin B6."
C) "Intrinsic factor aids in the secretion of mucus to protect the stomach."
D) "Intrinsic factor is secreted by the chief cells of the stomach."

Question 8

The nurse completes medication education for the client receiving sucralfate (Losec). The nurse evaluates learning has occurred when the client makes which statement?

A) "This works by neutralizing the acid in my stomach."
B) "This works by dissolving into a jelly and sticking to my ulcer."
C) "This works by inhibiting bacterial growth in my stomach."
D) "This works by decreasing the amount of acid in my stomach."

Question 9

What is the correct administration technique for sucralfate (Losec)?

A) Administer it after meals.
B) Administer it prior to meals.
C) Administer it with 240 ml of water.
D) Administer it with milk.

Question 10

The nurse designs a plan of care for the client with peptic ulcer disease (PUD). Who is taking omeprazole (Losec) for the management of his illness. What will the best plan of the nurse include? Select all that apply.

A) Omeprazole (Losec) should be administered before meals.
B) Omeprazole (Losec) is recommended for long -term treatment of peptic ulcer disease (PUD).
C) Omeprazole (Losec) should not be crushed or chewed.
D) Omeprazole (Losec) is best augmented with yogurt, but not at the same time.
E) Omeprazole (Losec) should be administered after meals.

Question 11

What is the correct administration technique for the client receiving antacids?

A) Antacids can be safely administered with antibiotics.
B) Antacids cannot be administered through a feeding tube.
C) Antacids should be administered two hours before other oral medications.
D) Antacids can be safely administered with H2 -receptor medications.

Question 12

The client has gastroesophageal reflux disease (GERD) and has been receiving medication treatment for many years. What are priority assessment findings associated with the medication must the nurse report to the physician?

A) anemia, fatigue, and weakness
B) hypotension and tachycardia
C) diarrhea and soft stools
D) vomiting and mild upper mid -epigastric pain

Question 13

The client is admitted for treatment of a duodenal ulcer. During the client's admission, what will the best assessment of the nurse reveal?

A) Anorexia and weight loss.
B) Nausea and lower right quadrant abdominal pain.
C) Low back pain radiating down the left leg.
D) Burning pain several hours after eating a meal.

Question 14

An elderly client comes to the emergency department with his wife. He has a history of peptic ulcer disease (PUD), and is currently experiencing confusion and severe headaches. What does the best plan of the nurse include?

A) Obtain a magnetic resonance imaging (MRI) exam to assess if the client has experienced a stroke.
B) Ask the client's wife for a list of medications that the client has taken.
C) Ask the client if he has experienced any head injuries recently.
D) Obtain a complete blood count (CBC), chemistry profile, and urine drug screen.

Question 15

The physician has ordered combination therapy for the client with peptic ulcer disease (PUD). The nurse plans to do medication education. What will the best plan of the nurse include?

A) Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease (PUD).
B) The use of sucralfate (Sulcrate) along with antibiotics is the best combination therapy for peptic ulcer disease (PUD).
C) Combination therapy has the best outcomes when antibiotics are used with antacids.
D) Combination therapy has the best outcomes when antibiotics are used with proton -pump inhibitors.