Deck 40: Drugs for Peptic Ulcer Disease

Question 1

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 by the nurse include?
1)Ask the client if he has experienced any head injuries recently.
2)Obtain a complete blood count (CBC),chemistry profile,and urine drug screen.
3)Ask the client's wife for a list of medications that the client has taken.
4)Obtain a magnetic resonance imaging (MRI)exam to assess if the client has experienced a stroke.

Answer 1

3

Question 2

The nursing instructor teaches the student nurses about intrinsic factor.The instructor evaluates that learning has occurred when the students make which response?
1)"Intrinsic factor is secreted by the chief cells of the stomach."
2)"Intrinsic factor is necessary for absorption of vitamin B₆."
3)"Intrinsic factor aids in the secretion of mucus to protect the stomach."
4)"Intrinsic factor is necessary for absorption of vitamin B₁₂."

Answer 2

4

Question 3

The pyloric sphincter regulates flow of food into the
1)small intestine.
2)stomach.
3)esophagus.
4)rectum.

Answer 3

1

Question 4

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?
1)"It is about the same,but a lot cheaper than your cimetidine (Tagamet)."
2)"It decreases acid in your stomach,better than cimetidine (Tagamet)."
3)"It is about the same,but has fewer side effects than your cimetidine (Tagamet)."
4)"It is not as effective as cimetidine (Tagamet),but kills bacteria better."

Question 5

The nurse completes medication education for the client receiving sucralfate (Carafate).The nurse evaluates that learning has occurred when the client makes which statement?
1)"This works by inhibiting bacterial growth in my stomach."
2)"This works by dissolving into a jelly and sticking to my ulcer."
3)"This works by decreasing the amount of acid in my stomach."
4)"This works by neutralizing the acid in my stomach."

Question 6

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 by the nurse include?
1)Combination therapy has the best outcomes when antibiotics are used with antacids.
2)Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors.
3)The use of sucralfate (Carafate)along with antibiotics is the best combination therapy for peptic ulcer disease (PUD).
4)Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease (PUD).

Question 7

The nurse has completed education about peptic ulcer disease (PUD)with the client.The nurse evaluates that learning has occurred when the client makes which statement?
1)"I will limit my intake of caffeine products."
2)"I will take ibuprofen (Motrin)for my headaches."
3)"I will drink more milk and limit spicy foods."
4)"I will join a gym and increase my exercise."

Question 8

The nurse planning medication administration instruction for a client receiving antacids should consider including which information?
1)Antacids can be safely administered with H₂-receptor medications.
2)Antacids can be safely administered with antibiotics.
3)Administer antacids at least 2 hours before other oral medications.
4)Lay down for 30 minutes after taking antacids.

Question 9

The physician orders misoprostol (Cytotec)for the female client with peptic ulcer disease (PUD).What is a priority for the nurse to ask the client prior to administration of this medication?
1)"Do you plan on becoming pregnant?"
2)"Are you sexually active?"
3)"Are you pregnant?"
4)"Are your menstrual cycles irregular?"

Question 10

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?
1)"It dissolves into a gel and sticks to your ulcer."
2)"It increases mucus production in your stomach."
3)"It inhibits bacterial growth."
4)"It neutralizes stomach acid."

Question 11

A client is admitted for treatment of a duodenal ulcer.What will the nurse's admission assessment likely reveal?
1)Nausea and lower right quadrant abdominal pain
2)Burning pain several hours after eating a meal
3)Anorexia and weight loss
4)Low back pain radiating down the left leg

Question 12

The client has gastroesophageal reflux disease (GERD)and has been receiving medication treatment for many years.What priority assessment findings associated with the medication must the nurse report to the physician?
1)Vomiting and mild upper mid-epigastric pain
2)Anemia,fatigue,and weakness
3)Hypotension and tachycardia
4)Diarrhea and soft stools

Question 13

An erosion of the mucosal layer of the stomach or duodenum describes a
1)diverticulum.
2)Crohn's lesion.
3)hiatal hernia.
4)Peptic ulcer.

Question 14

The nurse is aware that antacids containing magnesium and aluminum can cause
1)diarrhea.
2)abdominal pain.
3)constipation.
4)indigestion.

Question 15

The client receives H₂-receptor antagonists for treatment of peptic ulcer disease (PUD).Which assessment finding should be reported immediately to the physician?
1)The client reports he is constipated.
2)The client reports pain after 24 hours of treatment.
3)The client reports episodes of melana.
4)The client reports he took the antacid Tums with his H₂-receptor antagonist.

Question 16

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? Credit will be given only if all correct choices and no incorrect choices are selected.
1)"Bismuth (Pepto-Bismol)increases stomach acid to help kill bacteria."
2)"Bismuth (Pepto-Bismol)helps prevent the side effects of antibiotics."
3)"Bismuth (Pepto-Bismol)is effective for inhibiting bacterial growth."
4)"Bismuth (Pepto-Bismol)keeps bacteria from sticking in your stomach."
5)"Bismuth (Pepto-Bismol)helps relieve ulcer-related constipation."

Question 17

The primary goal in treatment of gastroesophageal reflux disease is to
1)promote ulcer healing.
2)prevent infection.
3)reduce gastric acid secretions.
4)decrease stomach pain.

Question 18

What is the correct administration technique for sucralfate (Carafate)?
1)Administer it after meals.
2)Administer it prior to meals.
3)Administer the drug once daily.
4)Administer it with milk.

Question 19

The nurse designs a plan of care for the client with peptic ulcer disease (PUD)who is taking omeprazole (Prilosec)for the management of his illness.What will the best plan by the nurse include? Credit will be given only if all correct choices and no incorrect choices are selected.
1)Omeprazole (Prilosec)should not be crushed or chewed.
2)Omeprazole (Prilosec)is best taken with yogurt.
3)Omeprazole (Prilosec)is recommended for long-term treatment of peptic ulcer disease (PUD).
4)Omeprazole (Prilosec)should be administered before meals.
5)Omeprazole (Prilosec)should be administered after meals.

Question 20

Peptic ulcer disease is treated primarily with
1)pharmacotherapy.
2)exercise.
3)a combination of lifestyle changes and pharmacotherapy.
4)diet.

Question 21

It is suspected that a client has developed peptic ulcer disease (PUD).Which information should the nurse provide this client regarding projected course of treatment? Credit will be given only if all correct choices and no incorrect choices are selected.
1)You will be started on an antibiotic.
2)You will be tested for the presence of H.pylori.
3)You may be directed to take Pepto-Bismol along with your other medications.
4)You should plan on taking medication for 4 to 8 weeks.
5)There are some lifestyle changes you can take to make therapy more successful.

Question 22

A client has been prescribed ranitidine (Zantac).The nurse plans to include which information in the teaching plan for this client? Credit will be given only if all correct choices and no incorrect choices are selected.
1)You should experience symptom relief in 10 to 15 minutes after taking this drug.
2)Take this medication after your meal.
3)Take this medication first thing in the morning,before breakfast.
4)This drug will not work as well if you continue smoking.
5)If you experience confusion,discontinue the drug and call for an appointment.

Question 23

The mechanism of action of proton pump inhibitors is to
1)neutralize acid.
2)reduce acid secretion in the stomach.
3)block H₂ receptors in the stomach.
4)decrease infection.

Question 24

A client comes to the clinic with report of intermittent epigastric pain that is associated with meals.The nurse would review the client's medical record and assess for the presence of which risk factors for peptic ulcer disease (PUD)? Credit will be given only if all correct choices and no incorrect choices are selected.
1)The client reports that his mother and grandfather both had ulcers.
2)The client has type AB blood.
3)The client reports drinking several cups of coffee every morning.
4)The client reports mild to moderate job and family stress.
5)The client tested positive for influenza A.

Question 25

A client has been prescribed aluminum hydroxide (AlternaGEL)for the treatment of heartburn.Which information should the nurse plan to teach this client? Credit will be given only if all correct choices and no incorrect choices are selected.
1)You should expect this medication to take up to two days to start taking effect.
2)Take this medication with a glass of milk.
3)You may notice constipation as an effect of this drug.
4)Take this medication at least 2 hours before or after any other medication you are taking.
5)This medication will reduce the acid your stomach produces.