Deck 43: Antiulcer Drugs

Question 1

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 2 days 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 it may take 1 to 2 weeks to notice an improvement in symptoms.
D) Suggest that the patient split the medication into twice daily dosing.

Answer 1

Reassure the patient that it may take 1 to 2 weeks to notice an improvement in symptoms.

Question 2

A patient who has been taking ranitidine (Zantac) continues to have pain associated with a 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

Answer 2

Lansoprazole (Prevacid) instead of ranitidine

Question 3

A patient is taking rabeprazole (Aciphex) 20 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 up to 4-8 total weeks of treatment.
B) reduce the medication dose by half.
C) stop taking the medication.
D) take the medication every other day.

Answer 3

continue the medication for up to 4-8 total weeks of treatment.

Question 4

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 H. pylori.

Question 5

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 6

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 7

A female patient with a peptic ulcer asks the nurse if misoprostol would be a good option for her because it works well for her mother. Upon review of her medication list it is noted that she takes a prenatal vitamin daily. What will the nurse do?

A) Recommend use of misoprostol since it works well for her mother.
B) Explain to the patient that misoprostol is contraindicated during pregnancy and for women of childbearing age.
C) Tell the patient to purchase misoprostol over the counter.
D) Tell her that misoprostol is just another PPI and that she should just purchase a PPI that is available over the counter.

Question 8

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) Simethicone
D) Tums

Question 9

Which antacid is most likely to cause acid rebound?

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

Question 10

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 11

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

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

Question 12

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.

Question 13

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 14

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.