Question 1

A client who has gastroesophageal reflux disease (GERD) has been taking proton pump inhibitors (PPIs) for many years. The nurse discusses which potential complication of this long-term therapy?

Accepted Answer

Long-term use of proton pump inhibitors (PPIs) can lead to decreased calcium absorption, which may increase the risk of osteopenia and osteoporosis.

Question 2

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?

Accepted Answer

Bismuth (Pepto-Bismol) is effective in inhibiting bacterial growth and helps prevent bacteria from adhering to the stomach lining, which is beneficial in treating H. pylori infections.

Question 3

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 increases the production of protective mucus in the stomach, which helps prevent and treat ulcers.

Question 4

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 is contraindicated in pregnant women as it can cause uterine contractions and lead to miscarriage. Therefore, it is crucial to confirm that the client is not pregnant before administering the medication.

Question 5

The client receives esomeprazole (Nexium). He asks the nurse why that medication is better than his cimetidine (Tagamet). What is the best response by the nurse?

Accepted Answer

Esomeprazole is a proton pump inhibitor that decreases acid in the stomach better than cimetidine, which is an H2 blocker.

Question 6

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

Accepted Answer

Sucralfate works by forming a protective barrier over ulcers, adhering to the ulcer site and protecting it from stomach acid and enzymes.

Question 7

Peptic ulcer disease is treated primarily with

Accepted Answer

Peptic ulcer disease is primarily treated with a combination of lifestyle changes, such as avoiding NSAIDs and reducing stress, and pharmacotherapy, including proton pump inhibitors or H. pylori eradication therapy if necessary.

Question 8

The nurse planning medication administration instruction for a client receiving antacids should consider including which information?

Accepted Answer

Antacids can interfere with the absorption of other medications, so they should be administered at least 2 hours before or after other oral medications to avoid interactions.

Question 9

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

Accepted Answer

Intrinsic factor is a glycoprotein secreted by the parietal cells of the stomach and is necessary for the absorption of vitamin B₁₂ in the small intestine.

Question 10

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, or black tarry stools, indicates gastrointestinal bleeding, which is a serious complication of peptic ulcer disease and requires immediate medical attention.

Question 11

A client is admitted for treatment of a duodenal ulcer. What will the nurse's admission assessment likely reveal?

Accepted Answer

Duodenal ulcers typically cause burning pain in the upper abdomen that occurs several hours after eating, as the stomach is emptying.

Question 12

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?

Accepted Answer

Omeprazole should not be crushed or chewed as it is a delayed-release medication. It is best taken before meals to maximize its effectiveness in reducing stomach acid production.

Question 13

The physician has ordered combination therapy for the client with peptic ulcer disease (PUD) who tested positive for H. pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

Accepted Answer

Combination therapy for H. pylori in peptic ulcer disease typically includes antibiotics and proton-pump inhibitors to effectively eradicate the bacteria and reduce stomach acid.

Question 14

The pyloric sphincter regulates flow of food into the

Accepted Answer

The answer of The pyloric sphincter regulates flow of food...

Question 15

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?

Accepted Answer

Caffeine can increase stomach acid production, which may worsen peptic ulcer disease, so limiting caffeine is a correct measure.

Question 16

The nurse is aware that antacids containing aluminum can cause

Accepted Answer

Antacids containing aluminum can bind to iron in the gastrointestinal tract, reducing its absorption and leading to low iron levels.

Question 17

An older adult 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?

Accepted Answer

The client's confusion and severe headaches could be related to medication side effects or interactions, especially given his history of PUD. Asking the wife for a list of medications can help identify any potential issues.

Question 18

An erosion of the mucosal layer of the stomach or duodenum describes a

Accepted Answer

A peptic ulcer is an erosion of the mucosal layer of the stomach or duodenum, often caused by factors like H. pylori infection or NSAID use.

Question 19

The nurse is collecting information from a patient who has history of peptic ulcer disease (PUD). The nurse will evaluate that the goals of therapy for PUD have been met when the patient makes which statements?

Accepted Answer

The answer of The nurse is collecting information from a...

Question 20

The primary goal in treatment of gastroesophageal reflux disease is to

Accepted Answer

The primary goal in treating gastroesophageal reflux disease (GERD) is to reduce gastric acid secretions, which helps to alleviate symptoms and prevent damage to the esophagus.

Quiz 41: Drugs for Peptic Ulcer Disease

A client who has gastroesophageal reflux disease (GERD) has been taking proton pump inhibitors (PPIs) for many years. The nurse discusses which potential complication of this long-term therapy?

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?

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 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 esomeprazole (Nexium) . He asks the nurse why that medication is better than his cimetidine (Tagamet) . What is the best response by the nurse?

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

Peptic ulcer disease is treated primarily with

The nurse planning medication administration instruction for a client receiving antacids should consider including which information?

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

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

A client is admitted for treatment of a duodenal ulcer. What will the nurse's admission assessment likely reveal?

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?

The physician has ordered combination therapy for the client with peptic ulcer disease (PUD) who tested positive for H. pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

The pyloric sphincter regulates flow of food into the

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?

The nurse is aware that antacids containing aluminum can cause

An older adult 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?

An erosion of the mucosal layer of the stomach or duodenum describes a

The nurse is collecting information from a patient who has history of peptic ulcer disease (PUD) . The nurse will evaluate that the goals of therapy for PUD have been met when the patient makes which statements?

The primary goal in treatment of gastroesophageal reflux disease is to

Quiz 41: Drugs for Peptic Ulcer Disease

A client who has gastroesophageal reflux disease (GERD) has been taking proton pump inhibitors (PPIs) for many years. The nurse discusses which potential complication of this long-term therapy?

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?

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 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 esomeprazole (Nexium) . He asks the nurse why that medication is better than his cimetidine (Tagamet) . What is the best response by the nurse?

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

Peptic ulcer disease is treated primarily with

The nurse planning medication administration instruction for a client receiving antacids should consider including which information?

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

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

A client is admitted for treatment of a duodenal ulcer. What will the nurse's admission assessment likely reveal?

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?

The physician has ordered combination therapy for the client with peptic ulcer disease (PUD) who tested positive for H. pylori. The nurse plans to do medication education. What will the best plan by the nurse include?

The pyloric sphincter regulates flow of food into the

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?

The nurse is aware that antacids containing aluminum can cause

An older adult 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?

An erosion of the mucosal layer of the stomach or duodenum describes a

The nurse is collecting information from a patient who has history of peptic ulcer disease (PUD) . The nurse will evaluate that the goals of therapy for PUD have been met when the patient makes which statements?

The primary goal in treatment of gastroesophageal reflux disease is to

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