Question 1

A client is diagnosed with a gastric ulcer secondary to NSAID overuse.The nurse would health care provider order?

Accepted Answer

The answer of A client is diagnosed with a gastric...

Question 2

A client with GERD must be cautioned against the overuse of antacids to avoid which syndrome?

Accepted Answer

Overuse of antacids can lead to an accumulation of bicarbonate in the body, resulting in metabolic alkalosis.

Question 3

The nurse is reviewing the medication administration record for a client who is receiving an initial regimen for the eradication of H.pylori.The nurse anticipates the inclusion of which medications for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is reviewing the medication administration...

Question 4

The nurse is performing a head-to-toe assessment on a client taking aluminum hydroxide (AlternaGel).Why must the nurse closely assess for bowel changes?

Accepted Answer

Aluminum hydroxide can cause constipation as a side effect, so the nurse should closely assess for any bowel changes, including a distended abdomen which could indicate constipation. Hypoactive bowel sounds may also be present with constipation. Hyperactive bowel sounds and hematochezia are not typically associated with taking this medication.

Question 5

A client diagnosed with Barrett esophagus might require the most efficient pharmacologic therapy of GERD.This would include the use of which class of drug?

Accepted Answer

Proton pump inhibitors are the most effective pharmacologic therapy for GERD, especially in patients with Barrett esophagus. They are highly effective in reducing acid secretion and can help prevent the progression of Barrett esophagus to esophageal adenocarcinoma. Antacids and magnesium citrate provide only temporary relief of symptoms, while H2-receptor antagonists are not as effective as PPIs in treating GERD.

Question 6

A nurse is ordered to administer lansoprazole to a client on a mechanical soft diet.How should the nurse administer this medication?

Accepted Answer

Lansoprazole is a proton pump inhibitor that comes in the form of granules that are meant to be sprinkled on food. Sprinkling the granules on applesauce or yogurt is a commonly recommended way of administering the medication to patients who have difficulty swallowing pills. Crushing the tablet or asking the client to chew the medication are not appropriate methods of administration for lansoprazole. Giving the medication with a glass of water is not a bad idea, but it is not necessary as long as the client consumes the medication with some type of food.

Question 7

A client is prescribed omeprazole (Prilosec).The nurse prepares to perform client teaching based on the knowledge that omeprazole is a:

Accepted Answer

Omeprazole is a proton pump inhibitor, meaning it blocks the production of acid in the stomach by inhibiting proton pumps in the gastric mucosa.

Question 8

A client with known peptic ulcer disease is placed on a clear-liquid diet pending an endoscopy.What proton pump inhibitor can be given in a liquid form to this client?

Accepted Answer

Lansoprazole (Prevacid) can be given in a liquid form, which is suitable for a client on a clear-liquid diet pending an endoscopy.

Question 9

A client is prescribed an H₂-receptor antagonist.The nurse teaches this client that the purpose of the drug is to:

Accepted Answer

H₂-receptor antagonists, commonly known as H2 receptor antagonists, work by reducing gastric acid secretion in the stomach, which is helpful in conditions like peptic ulcer disease and gastroesophageal reflux disease (GERD).

Question 10

A client brings her mother to the office and states,"I'm worried about Mom; she takes aluminum hydroxide up to three times a day for this pain in her abdomen." Which statement about aluminum hydroxide is true?

Accepted Answer

Antacids like aluminum hydroxide are not meant for long-term use and can actually mask underlying medical conditions. The fact that the client's mother is taking it up to three times a day for abdominal pain raises concern for a potential underlying issue that should be investigated further.

Question 11

A client is prescribed ranitidine (Zantac).The nurse checks the client's BUN and serum creatinine levels prior to administering the drug for the first time.The rationale for checking these labs is:

Accepted Answer

Ranitidine is primarily excreted by the kidneys, so it is important to check BUN and serum creatinine levels to assess renal function and ensure safe and effective drug excretion. Checking these labs can also help identify any underlying kidney dysfunction that may affect the dosage or frequency of ranitidine administration.

Question 12

A client in a long-term care facility is ordered to receive ranitidine (Zantac).When should the nurse administer this medication?

Accepted Answer

The answer of A client in a long-term care facility...

Question 13

A client is prescribed omeprazole,bismuth subsalicylate,and metronidazole for the treatment of H.pylori.The nurse explains that combination therapy will accomplish which outcome?

Accepted Answer

The combination therapy of omeprazole, bismuth subsalicylate, and metronidazole is specifically used to eliminate the population of H. pylori bacteria in the stomach, which is a common cause of gastric ulcers. This treatment regimen is not designed to increase ulcerations or allow H. pylori to adhere to the gastric mucosa, nor will it immediately relieve symptoms of gastric ulceration.

Question 14

Effective client teaching regarding the treatment of H.pylori has been done for a client when the client states:

Accepted Answer

The best choice is B because it demonstrates that the client understands the importance of completing the full course of treatment as prescribed in order to effectively eradicate the H. pylori infection. Choices A, C, and D demonstrate a lack of understanding about proper medication use and could impede the effectiveness of the treatment.

Question 15

The nurse who is planning care for a client with GERD anticipates that the health care provider will order medications from which drug class? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse who is planning care for...

Quiz 59: Pharmacotherapy of Peptic Ulcer Disease

A client is diagnosed with a gastric ulcer secondary to NSAID overuse.The nurse would health care provider order?

A client with GERD must be cautioned against the overuse of antacids to avoid which syndrome?

The nurse is performing a head-to-toe assessment on a client taking aluminum hydroxide (AlternaGel) .Why must the nurse closely assess for bowel changes?

A client diagnosed with Barrett esophagus might require the most efficient pharmacologic therapy of GERD.This would include the use of which class of drug?

A nurse is ordered to administer lansoprazole to a client on a mechanical soft diet.How should the nurse administer this medication?

A client is prescribed omeprazole (Prilosec) .The nurse prepares to perform client teaching based on the knowledge that omeprazole is a:

A client with known peptic ulcer disease is placed on a clear-liquid diet pending an endoscopy.What proton pump inhibitor can be given in a liquid form to this client?

A client is prescribed an H₂-receptor antagonist.The nurse teaches this client that the purpose of the drug is to:

A client brings her mother to the office and states,"I'm worried about Mom; she takes aluminum hydroxide up to three times a day for this pain in her abdomen." Which statement about aluminum hydroxide is true?

A client is prescribed ranitidine (Zantac) .The nurse checks the client's BUN and serum creatinine levels prior to administering the drug for the first time.The rationale for checking these labs is:

A client in a long-term care facility is ordered to receive ranitidine (Zantac) .When should the nurse administer this medication?

A client is prescribed omeprazole,bismuth subsalicylate,and metronidazole for the treatment of H.pylori.The nurse explains that combination therapy will accomplish which outcome?

Effective client teaching regarding the treatment of H.pylori has been done for a client when the client states:

The nurse who is planning care for a client with GERD anticipates that the health care provider will order medications from which drug class? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Quiz 59: Pharmacotherapy of Peptic Ulcer Disease

A client is diagnosed with a gastric ulcer secondary to NSAID overuse.The nurse would health care provider order?

A client with GERD must be cautioned against the overuse of antacids to avoid which syndrome?

The nurse is performing a head-to-toe assessment on a client taking aluminum hydroxide (AlternaGel) .Why must the nurse closely assess for bowel changes?

A client diagnosed with Barrett esophagus might require the most efficient pharmacologic therapy of GERD.This would include the use of which class of drug?

A nurse is ordered to administer lansoprazole to a client on a mechanical soft diet.How should the nurse administer this medication?

A client is prescribed omeprazole (Prilosec) .The nurse prepares to perform client teaching based on the knowledge that omeprazole is a:

A client with known peptic ulcer disease is placed on a clear-liquid diet pending an endoscopy.What proton pump inhibitor can be given in a liquid form to this client?

A client is prescribed an H2-receptor antagonist.The nurse teaches this client that the purpose of the drug is to:

A client brings her mother to the office and states,"I'm worried about Mom; she takes aluminum hydroxide up to three times a day for this pain in her abdomen." Which statement about aluminum hydroxide is true?

A client is prescribed ranitidine (Zantac) .The nurse checks the client's BUN and serum creatinine levels prior to administering the drug for the first time.The rationale for checking these labs is:

A client in a long-term care facility is ordered to receive ranitidine (Zantac) .When should the nurse administer this medication?

A client is prescribed omeprazole,bismuth subsalicylate,and metronidazole for the treatment of H.pylori.The nurse explains that combination therapy will accomplish which outcome?

Effective client teaching regarding the treatment of H.pylori has been done for a client when the client states:

The nurse who is planning care for a client with GERD anticipates that the health care provider will order medications from which drug class? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client is prescribed an H₂-receptor antagonist.The nurse teaches this client that the purpose of the drug is to: