Question 1

The client has been started on a regimen that includes ranitidine. She complains to the nurse of experiencing depression. The highest priority nursing intervention is to call the physician because this is _______ the medication.

A) an adverse reaction to
B) indicative of a toxic dose of
C) indicative of an anaphylactic reaction to
D) an expected side effect of

an expected side effect of

Accepted Answer

Depression is an expected side effect of ranitidine that should be treated if it occurs.

Question 2

The client has been started on a treatment regimen that includes Amphojel to treat hyperphosphatemia. The nurse plans a dosage schedule of ________ meals.&#10;A) 2 to 3 times daily between&#10;B) 2 to 3 times daily with&#10;C) 3 to 4 daily between&#10;D) 3 to 4 times daily with

Accepted Answer

When used to treat hyperphosphatemia, Amphojel should be given 3 to 4 times daily with meals.

Question 3

The client has been started on a treatment regimen that includes Amphojel as an antacid. The nurse plans what dosage schedule?&#10;A) 7:00 AM, 11:00 AM, 4:00 PM, and 9:00 PM&#10;B) 8:00 AM, 12:00 noon, 5:00 PM, and 10:00 PM&#10;C) 9:00 AM, 1:00 PM, 6:00 PM, and 9:00 PM&#10;D) 10:00 AM, 2:00 PM, 7:00 PM, and 12:00 midnight

Accepted Answer

When used as an antacid, Amphojel should be given after each meal and at bedtime.

Question 4

The client has been ordered treatment with lansoprazole. The client is being treated for a duodenal ulcer. Because the drug is being used to treat this condition, the nurse anticipates that the client will be ordered:

A) 15 mg daily as maintenance.
B) 30 mg daily for 8 weeks.
C) 15 mg daily for 4 weeks.
D) 30 mg twice daily for 2 weeks.

Accepted Answer

The combination of lansoprazole and theophylline will result in a decrease in the level of theophylline.

Question 5

The nurse is preparing to administer a dose of Tagamet IV. The nurse should plan to prepare the drug by diluting it in _____ mL of solution.&#10;A) 25&#10;B) 50&#10;C) 100&#10;D) 250

Accepted Answer

Tagamet should be administered IV by diluting it in 50 mL of solution.

Question 6

When administering Mylanta II and ranitidine (Zantac), when does the most optimal administration of both drugs take place?&#10;A) At regular intervals&#10;B) 1 to 2 hours apart&#10;C) At the same time&#10;D) 12 hours apart

Accepted Answer

This is the classic dosing of these medications, such that the antacids do not interfere with the absorption of the ranitidine.

Question 7

The client is being treated with a histamine₂ blocker medication. In implementing diet planning, the nurse should instruct the client to consume a diet that is rich in vitamin: A) A. B) B₁₂. C) C. D) D.

Accepted Answer

The client may become deficient in vitamin B₁₂ as a result of treatment with a histamine₂ blocker medication.

Question 8

A client is ordered to receive Mylanta II. The nurse is aware that the ideal timing for taking this medication is:&#10;A) with each meal.&#10;B) 1 half-hour before meals.&#10;C) 1 to 3 hours after meals.&#10;D) upon arising and at bedtime.

Accepted Answer

Antacids are best absorbed when the stomach is empty.

Question 9

A client took Amphojel (aluminum hydroxide). The nurse will instruct the client to monitor for what type of GI disturbance?&#10;A) Nausea and vomiting&#10;B) Anorexia&#10;C) Diarrhea&#10;D) Constipation

Accepted Answer

Aluminum causes constipation.

Question 10

The client is being treated with cimetidine as well as with Coumadin. The nurse anticipates that the action of the two drugs will produce a(n) _____ in the level of _____.&#10;A) increase; cimetidine&#10;B) decrease; cimetidine&#10;C) increase; Coumadin&#10;D) decrease; Coumadin

Accepted Answer

The combination of the two drugs can produce an increase in the level of oral anticoagulants.

Question 11

A client is ordered to receive a magnesium-based antacid. The nurse should monitor most closely for:&#10;A) diarrhea.&#10;B) constipation.&#10;C) flatulence.&#10;D) belching.

Accepted Answer

The answer of A client is ordered to receive a...

Question 12

The client has been ordered treatment with lansoprazole. The client is being treated for a duodenal ulcer. Because the drug is being used to treat this condition, the nurse anticipates that the client will be ordered:

A) 15 mg daily as maintenance.
B) 30 mg daily for 8 weeks.
C) 15 mg daily for 4 weeks.
D) 30 mg twice daily for 2 weeks.

Accepted Answer

The answer of The client has been ordered treatment with...

Question 13

The client asks the nurse if she needs to change her diet now that she is being treated with antacids. The nurse instructs her that because of her treatment regimen she should avoid drinking:&#10;A) apple juice.&#10;B) grape juice.&#10;C) milk.&#10;D) orange juice.

Accepted Answer

The answer of The client asks the nurse if she...

Question 14

The client is being treated with cimetidine. The nurse anticipates a change in the client's laboratory values of increased:&#10;A) magnesium and phosphorus.&#10;B) calcium and sodium.&#10;C) BUN and creatinine.&#10;D) glucose and cholesterol.

Accepted Answer

The answer of The client is being treated with cimetidine....

Question 15

A client complains of flatulence, belching, and abdominal distention. What is the most appropriate drug to use to treat these symptoms?&#10;A) Promethazine (Phenergan)&#10;B) Ondansetron (Zofran)&#10;C) Ranitidine (Zantac)&#10;D) Simethicone (Mylicon)

Accepted Answer

The answer of A client complains of flatulence, belching, and...

Question 16

The client has been ordered to be treated with belladonna tincture. Which aspect of the client's history would cause the nurse to contact the physician?&#10;A) Urinary retention&#10;B) Anxiety&#10;C) Pancreatitis&#10;D) Peptic ulcer

Accepted Answer

The answer of The client has been ordered to be...

Question 17

Ranitidine's (Zantac's) half-life is 8 to 12 hours. The most appropriate dosing schedule is _____ day.&#10;A) once a&#10;B) twice a&#10;C) four times a&#10;D) every other

Accepted Answer

The answer of Ranitidine's (Zantac's) half-life is 8 to 12...

Question 18

The client has been ordered treatment with lansoprazole. The client is being treated for a duodenal ulcer. Because the drug is being used to treat this condition, the nurse anticipates that the client will be ordered:

A) 15 mg daily as maintenance.
B) 30 mg daily for 8 weeks.
C) 15 mg daily for 4 weeks.
D) 30 mg twice daily for 2 weeks.

Accepted Answer

The answer of The client has been ordered treatment with...

Deck 48: Antiulcer Drugs