Question 1

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?

Accepted Answer

Misoprostol (Cytotec) is used in the treatment of peptic ulcer disease (PUD) because it increases the production of mucus in the stomach. This protective layer of mucus helps to shield the stomach lining from the damaging effects of stomach acid and is a mechanism by which misoprostol aids in the healing and prevention of ulcers.

Question 2

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?

Accepted Answer

Esomeprazole (Nexium) is a proton pump inhibitor that decreases stomach acid production more effectively than cimetidine (Tagamet), which is an H2 receptor antagonist. This makes esomeprazole more effective for certain conditions related to stomach acid.

Question 3

The physician orders misoprostol (Cytotec) for the female client with peptic ulcer disease (PUD). What is a priority question for the nurse to ask the client prior to administration of this medication?

Accepted Answer

Misoprostol (Cytotec) is known to cause miscarriage and is contraindicated in pregnant women or women who may become pregnant. Therefore, it is important for the nurse to first ask if the client is pregnant before administering this medication.

Question 4

The client receives H2 -receptor antagonists for treatment of peptic ulcer disease (PUD). Which assessment finding should be reported immediately to the physician?

Accepted Answer

Melena, which is dark, tarry stools, is a sign of gastrointestinal bleeding that may occur with PUD. This finding should be reported to the physician immediately. Constipation and taking Tums with an H2-receptor antagonist are not urgent concerns. Pain after 24 hours of treatment is not uncommon and may take several days to resolve.

Question 5

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? Select all that apply.

Accepted Answer

Bismuth (Pepto-Bismol) is effective at inhibiting bacterial growth and keeping bacteria from sticking in the stomach. It does not increase stomach acid or prevent side effects of antibiotics. While bismuth may have some mild anti-diarrheal effects, it is not typically used for relieving ulcer-related constipation.

Question 6

The nurse has completed education about peptic ulcer disease (PUD) with the client. The nurse evaluates learning has occurred when the client makes which statement?

Accepted Answer

Limiting intake of caffeine products is a recommended lifestyle change for individuals with PUD. Drinking more milk and taking ibuprofen (Motrin) are not recommended, as milk can actually worsen symptoms and ibuprofen can further irritate the stomach lining. Increasing exercise may have overall health benefits, but it is not specifically indicated for the management of PUD.

Question 7

The nursing instructor teaches the student nurses about intrinsic factor. The instructor evaluates learning has occurred when the students make which response?

Accepted Answer

Intrinsic factor is a glycoprotein secreted by the parietal cells of the stomach that is necessary for the absorption of vitamin B12 in the ileum. Option B is incorrect because vitamin B6 is absorbed in the small intestine without the aid of intrinsic factor. Option C is incorrect because mucus production is not directly related to intrinsic factor. Option D is incorrect because intrinsic factor is secreted by parietal cells, not chief cells.

Question 8

The nurse completes medication education for the client receiving sucralfate (Losec). The nurse evaluates learning has occurred when the client makes which statement?

Accepted Answer

Sucralfate (Losec) works by dissolving into a jelly-like substance that adheres to the ulcer, forming a protective barrier against stomach acid and allowing the ulcer to heal. It does not neutralize acid, inhibit bacterial growth, or decrease the amount of acid in the stomach.

Question 9

What is the correct administration technique for sucralfate (Losec)?

Accepted Answer

Sucralfate (Losec) should be administered before meals to allow it to form a protective barrier over the stomach lining before food is ingested. It should be taken with a full glass of water, but not with milk as this may decrease its effectiveness.

Question 10

The nurse designs a plan of care for the client with peptic ulcer disease (PUD). Who is taking omeprazole (Losec) for the management of his illness. What will the best plan of the nurse include? Select all that apply.

Accepted Answer

The answer of The nurse designs a plan of care...

Question 11

What is the correct administration technique for the client receiving antacids?

Accepted Answer

Antacids should be administered at least two hours before or after other oral medications to prevent interactions and decreased absorption. Administering antacids with antibiotics or H2-receptor medications may decrease their effectiveness, and antacids are generally not recommended to be administered through feeding tubes.

Question 12

The client has gastroesophageal reflux disease (GERD) and has been receiving medication treatment for many years. What are priority assessment findings associated with the medication must the nurse report to the physician?

Accepted Answer

Anemia, fatigue, and weakness can indicate a serious complication from long-term use of proton pump inhibitors (PPIs), a common treatment for GERD. These symptoms may suggest a reduction in the absorption of essential nutrients like iron and vitamin B12, leading to anemia.

Question 13

The client is admitted for treatment of a duodenal ulcer. During the client's admission, what will the best assessment of the nurse reveal?

Accepted Answer

Burning pain several hours after eating a meal is a classic symptom of a duodenal ulcer. Anorexia and weight loss may be present but are not specific to a duodenal ulcer. Nausea and lower right quadrant abdominal pain are not typically associated with a duodenal ulcer. Low back pain radiating down the left leg is not related to a duodenal ulcer.

Question 14

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 of the nurse include?

Accepted Answer

Confusion and severe headaches in a patient with a history of PUD could be related to medication side effects or interactions, so obtaining a list of medications is crucial.

Question 15

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 of the nurse include?

Accepted Answer

Combination therapy for PUD has the best outcomes when antibiotics are used with proton-pump inhibitors (PPIs). PPIs decrease the production of stomach acid, which creates a more favorable environment for healing of the ulcer. Sucralfate (Sulcrate) is also effective in PUD, but it is not typically used as a part of combination therapy with antibiotics. Antacids are not typically used in combination therapy for PUD as they only provide temporary relief of symptoms and do not actually promote healing of the ulcer. Various antibiotics are used to eradicate the bacteria that are responsible for the development of PUD, but the best outcome is achieved when they are used in combination with PPIs.

Quiz 36: Drugs for Peptic Ulcer Disease

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?

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?

The physician orders misoprostol (Cytotec) for the female client with peptic ulcer disease (PUD) . What is a priority question for the nurse to ask the client prior to administration of this medication?

The client receives H2 -receptor antagonists for treatment of peptic ulcer disease (PUD) . Which assessment finding should be reported immediately to the physician?

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? Select all that apply.

The nurse has completed education about peptic ulcer disease (PUD) with the client. The nurse evaluates learning has occurred when the client makes which statement?

The nursing instructor teaches the student nurses about intrinsic factor. The instructor evaluates learning has occurred when the students make which response?

The nurse completes medication education for the client receiving sucralfate (Losec) . The nurse evaluates learning has occurred when the client makes which statement?

What is the correct administration technique for sucralfate (Losec) ?

The nurse designs a plan of care for the client with peptic ulcer disease (PUD) . Who is taking omeprazole (Losec) for the management of his illness. What will the best plan of the nurse include? Select all that apply.

What is the correct administration technique for the client receiving antacids?

The client has gastroesophageal reflux disease (GERD) and has been receiving medication treatment for many years. What are priority assessment findings associated with the medication must the nurse report to the physician?

The client is admitted for treatment of a duodenal ulcer. During the client's admission, what will the best assessment of the nurse reveal?

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 of the nurse include?

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 of the nurse include?