Deck 41: Drugs for Peptic Ulcer Disease

Question 1

A client asks the nurse why esomeprazole (Nexium) works better than cimetidine (Tagamet). Which response should the nurse provide the client?

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

Answer 1

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

Question 2

Which information should the nurse include in the education of a client prescribed an antacid?

A) Antacids can be safely administered with H2-receptor medications.
B) Antacids can be safely administered with antibiotics.
C) Administer antacids at least 2 hours before other oral medications.
D) Lie down for 30 minutes after taking antacids.

Answer 2

Administer antacids at least 2 hours before other oral medications.

Question 3

Which can be combined with aluminum compounds such as aluminum hydroxide (AlternaGEL) to increase their effectiveness and reduce the potential for constipation?

A) Phosphate
B) Potassium
C) Magnesium
D) Calcium

Answer 3

Magnesium

Question 4

The nurse has provided a client with education about intrinsic factor. Which statement indicates an understanding of the information?
1) "Intrinsic factor is secreted by the chief cells of the stomach."
2) "Intrinsic factor is necessary for absorption of vitamin B6."
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3) "Intrinsic factor aids in the secretion of mucus to protect the stomach."
4) "Intrinsic factor is necessary for absorption of vitamin B1

Question 5

A client asks the nurse how misoprostol (Cytotec) will treat their peptic ulcer disease (PUD)? Which response should the nurse provide the client?

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

Question 6

Which electrolyte should the nurse assess for a client prescribed aluminum hydroxide (AlternaGEL)?

A) Potassium
B) Phosphate
C) Calcium
D) Sodium

Question 7

Where does the pyloric sphincter regulate the flow of food into?

A) Small intestine
B) Stomach
C) Esophagus
D) Rectum

Question 8

A client tells the nurse their "stomach pain is completely relieved after eating and returns a couple hours after the meal." Which condition should the nurse suspect the client is experiencing?

A) Gastric ulcer
B) Crohn's disease
C) Ulcerative colitis
D) Duodenal ulcer

Question 9

A client with a peptic ulcer colonized with H. pylori asks how the prescription of bismuth (Pepto-Bismol) will help them. Which information should the nurse provide the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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

Question 10

Which assessment finding should the nurse be concerned about for the client receiving Ranitidine (Zantac) for treatment of peptic ulcer disease (PUD)?

A) Constipation
B) Pain 24 hours after treatment
C) Increased diarrhea
D) Headache

Question 11

Which should the nurse recognize is a risk factor for gastroesophageal reflux disease (GERD)?

A) Obesity
B) Stress
C) Esophageal ulcers
D) Aging

Question 12

The nurse has provided education about peptic ulcer disease (PUD) for a client. Which statement made by the client indicates an understanding of the information?

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

Question 13

Which clinical condition should the nurse be concerned about for a client prescribed calcium carbonate (Tums)?

A) Anemia
B) Diarrhea
C) Kidney stones
D) Gastroesophageal reflux disease (GERD)

Question 14

Which information should the nurse include in the education for a client with peptic ulcer disease prescribed omeprazole (Prilosec)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Omeprazole (Prilosec) should not be crushed or chewed.
B) Omeprazole (Prilosec) is best taken with yogurt.
C) Omeprazole (Prilosec) is recommended for long-term treatment of peptic ulcer disease.
D) Omeprazole (Prilosec) should be administered before meals.
E) Omeprazole (Prilosec) should be administered after meals.

Question 15

Which condition is characterized by an erosion of the mucosal layer of the stomach or duodenum?

A) Diverticulum
B) Crohn's disease
C) Hiatal hernia
D) Peptic ulcer

Question 16

Which is the primary goal of treatment for gastroesophageal reflux disease (GERD)?

A) Promote ulcer healing
B) Prevent infection
C) Reduce gastric acid secretions
D) Decrease stomach pain

Question 17

A client with peptic ulcer disease and positive for H. pylori asks the nurse why the healthcare provider would like to treat them with a combination therapy. Which information should the nurse provide the client?

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

Question 18

Which clients are at risk for peptic ulcer disease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) A client with decreased intrinsic factor
B) A client with Type O blood
C) A client that smokes
D) A client experiencing excessive psychological stress
E) A client with a low fiber diet

Question 19

Which condition should the nurse identify as a complication for long-term use of proton-pump inhibitors (PPIs)?

A) Anemia
B) Osteoporosis
C) Hypertension
D) Intestinal irritation

Question 20

Which client assessment finding should the nurse associate with a duodenal ulcer?

A) Nausea and lower right quadrant abdominal pain
B) Burning pain several hours after eating a meal
C) Anorexia and weight loss
D) Nausea and vomiting

Question 21

Which information should the nurse provide a client with gastroesophageal reflux disease GERD who is reluctant to make suggested lifestyle changes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "The damage to your esophagus may result in esophagitis."
B) "Long-term exposure to acid increases risk for esophageal cancer."
C) "Without lifestyle changes, the prescriptions are ineffective."
D) "The lifestyle changes will be easier if you adopt them one at a time and institute them gradually."
E) "You will eventually have difficulty with swallowing if this condition is not treated."

Question 22

Which information should the nurse include in the teaching for a client prescribed aluminum hydroxide (AlternaGEL)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) You should expect this medication to take up to 2 days to start taking effect.
B) Take this medication with a glass of milk.
C) You may notice constipation as an effect of this drug.
D) Take this medication at least 2 hours before or after any other medication you are taking.
E) This medication will reduce the acid your stomach produces.

Question 23

The client treated for GERD says, "I seem to have been getting many more colds and coughs." Which statements should the nurse include in the discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Be sure to get your flu shot."
B) "The medicine you are on for GERD changes your gastric pH."
C) "You need to avoid crowds until your GERD is under control."
D) "You may be more susceptible to respiratory infection while taking this medication."
E) "You may be having an allergic reaction to your medicine."

Question 24

Which describes the mechanism of action of proton-pump inhibitors?

A) Neutralize the acid in the stomach
B) Block the enzyme that secretes acid in the stomach
C) Block H2 receptors in the stomach
D) Decrease the amount of Helicobacter pylori

Question 25

Which statements should the nurse include in the education for a client with gastroesophageal reflux disease (GERD)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Eliminate the use of alcohol."
B) "Elevate the head of the bed."
C) "Eliminate the use of caffeine."
D) "Take measures to decrease the stress in your life."
E) "Eat meals at least 3 hours prior to sleeping."

Question 26

Which should the nurse anticipate to be included in the treatment plan for a client suspected to have developed peptic ulcer disease (PUD)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Antibiotic treatment
B) Testing for H. pylori
C) Multiple prescriptions
D) Pharmacotherapy for 4 weeks
E) Lifestyle changes

Question 27

For which clinical conditions should the nurse recognize self-directed antacid use is not recommended? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Decreased calcium levels
B) Diminished renal function
C) Perimenopause
D) Sodium-restricted diets
E) Coronary artery disease

Question 28

A client asks the nurse how metoclopramide (Reglan) will help their peptic ulcer disease. Which mechanism of action should the nurse discuss with the client?

A) Neutralizes the stomach acid
B) Decreases the production of hydrochloric acid
C) Increases emptying time of the stomach
D) Relaxes the muscles of the gastrointestinal tract

Question 29

Which information should the nurse provide a client that asks the nurse how they got H. Pylori?

A) "Your immune system is weak."
B) "The stomach pH is too low."
C) "The bacteria has entered your body somehow."
D) "H. Pylori naturally lives in your gastrointestinal tract."

Question 30

Which information should the nurse include in the teaching for a client with an increased risk for the development a Clostridium difficile infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Report any episode of diarrhea.
B) Treat diarrhea with over-the-counter antidiarrheal drugs.
C) Increase intake of active culture yogurt.
D) Avoid fatty foods.
E) Increase fluid intake.