Deck 48: Antiulcer Drugs

Question 1

A patient who takes propantheline bromine (Pro-Banthine)and omeprazole (Prilosec)for an ulcer will begin taking an antacid.The nurse will give which instruction to the patient regarding how to take the antacid?

A)Take the antacid 2 hours after taking the propantheline.
B)Take the antacid along with a meal.
C)Take the antacid with milk.
D)Take the antacid with the propantheline bromine.

Answer 1

Take the antacid 2 hours after taking the propantheline.

Question 2

A patient who has symptoms of peptic ulcer disease will undergo a test that requires drinking a liquid containing 13C urea and breathing into a container.The nurse will explain to the patient that this test is performed to

A)assess the level of hydrochloric acid.
B)detect H.pylori antibodies.
C)measure the pH of gastric secretions.
D)test for the presence of 13CO?.

Answer 2

test for the presence of 13CO?.

Question 3

A male patient who has been taking a histamine? blocker for several months reports decreased libido and breast swelling.What will the nurse do?

A)Contact the provider to report possible drug toxicity.
B)Reassure the patient that these symptoms will stop when the drug is discontinued.
C)Request an order for serum hormone levels.
D)Suggest that the patient see an endocrinologist.

Answer 3

Reassure the patient that these symptoms will stop when the drug is discontinued.

Question 4

A patient with a peptic ulcer has been diagnosed with H.pylori.The provider has ordered lansoprazole (Prevacid),clarithromycin (Biaxin),and metronidazole (Flagyl).The patient asks the nurse why two antibiotics are needed.The nurse will explain that two antibiotics

A)allow for less toxic dosing.
B)combat bacterial resistance.
C)have synergistic effects.
D)improve acid suppression.

Question 5

A patient who recently began having mild symptoms of GERD is reluctant to take medication.What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply. )

A)Avoiding hot,spicy foods
B)Avoiding tobacco products
C)Drinking a glass of red wine with dinner
D)Eating a snack before bedtime
E)Taking ibuprofen with food
F)Using a small pillow for sleeping
G)Wearing well-fitted clothing

Question 6

The nurse is caring for a patient who will begin taking omeprazole (Prevacid)20 mg per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis.The nurse learns that the patient takes digoxin.The nurse will contact the provider for orders to

A)decrease the dose of omeprazole.
B)increase the dose of digoxin.
C)increase the omeprazole to 60 mg per day.
D)monitor for digoxin toxicity.

Question 7

A patient has been taking famotidine (Pepcid)20 mg bid to treat an ulcer but continues to have pain.The provider has ordered lansoprazole (Prevacid)15 mg per day.The patient asks why the new drug is necessary,since it is more expensive.The nurse will explain that lansoprazole

A)can be used for long-term therapy.
B)does not interact with other drugs.
C)has fewer medication side effects.
D)is more potent than famotidine.

Question 8

An elderly patient reports using Maalox frequently to treat acid reflux.The nurse should notify the patient's provider to request an order for which laboratory tests?

A)Liver enzymes and serum calcium
B)Liver enzymes and serum magnesium
C)Renal function tests and serum calcium
D)Renal function tests and serum magnesium

Question 9

The nurse is caring for a patient who has Zollinger-Ellison syndrome.Which medication order would the nurse question for this patient?

A)Cimetadine (Tagamet)
B)Pantoprazole (Protonix)
C)Rabeprazole (Aciphex)
D)Ranitidine (Zantac)

Question 10

A patient who has been instructed to use a liquid antacid medication to treat gastrointestinal upset asks the nurse about how to take this medication.What information will the nurse include when teaching this patient?

A)Take a laxative if constipation occurs.
B)Take 60 minutes after meals and at bedtime.
C)Take with at least 8 ounces of water to improve absorption.
D)Take with milk to improve effectiveness.

Question 11

Which antacid is likely to cause acid rebound?

A)Aluminum hydroxide
B)Calcium carbonate
C)Magnesium hydroxide
D)Magnesium trisilicate

Question 12

A patient is taking esomeprazole (Nexium)15 mg per day to treat a duodenal ulcer.After 10 days of treatment,the patient reports that the pain has subsided.The nurse will counsel the patient to

A)continue the medication for 4 more weeks.
B)reduce the medication dose by half.
C)stop taking the medication.
D)take the medication every other day.

Question 13

A patient who has been taking ranitidine (Zantac)continues to have pain associated with peptic ulcer.A noninvasive breath test is negative.Which treatment does the nurse expect the provider to order for this patient?

A)Adding an over-the-counter antacid to the patient's drug regimen
B)A dual drug therapy regimen
C)Amoxicillin (Amoxil),clarithromycin (Biaxin),and omeprazole (Prilosec)
D)Lansoprazole (Prevacid)instead of ranitidine

Question 14

A patient who is diagnosed with peptic ulcer disease has been started on a regimen that includes ranitidine (Zantac)300 mg daily at bedtime.The patient calls the clinic 1 week later to report no relief from discomfort.What action will the nurse take?

A)Contact the provider to discuss changing to cimetidine (Tagamet).
B)Notify the provider to discuss increasing the dose.
C)Reassure the patient that the drug may take 1 to 2 weeks to be effective.
D)Suggest that the patient split the medication into twice daily dosing.

Question 15

A patient reports experiencing flatulence and abdominal distension to the nurse.Which over-the-counter medication will the nurse recommend?

A)Alka-Seltzer
B)Maalox
C)Mylicon
D)Tums