Pharm 57

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Question 1 of 1

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174762

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What action does the histamine-2 antagonist administered by the nurse have on the human body that will help to prevent peptic ulcer disease?

Select the correct answer(s).

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Explanation

Histamine-2 antagonists are administered to reduce the amount of hydrochloric acid secreted in the stomach, which helps to prevent peptic ulcer disease. H2 antagonists do not act as an antibiotic to kill bacteria (i.e., H. pylori) coat and protect the sto

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What classification of drugs does the nurse administer to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the lumen of the stomach?

Select the correct answer(s).

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Explanation

Proton pump inhibitors suppress the secretion of hydrochloric acid into the lumen of the stomach. Antipeptic agents coat any injured area in the stomach to prevent further injury. H2 antagonists block the release of hydrochloric acid in response to gastri

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The nurse is caring for a patient requiring digestive enzyme replacement therapy and establishes what appropriate nursing diagnosis for this patient?

Select the correct answer(s).

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Explanation

The nurse would be concerned about the patient's nutritional status because lack of digestive enzymes results in malnutrition. Replacement digestive enzymes help the patient improve digestion and absorption of essential nutrients. Effectiveness of the the

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What nursing interventions are included in the plan of care for a patient receiving antacids to relieve GI discomfort?

Select the correct answer(s).

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Explanation

A patient taking antacids should be advised to take the antacid 1 hour before or 2 hours after other oral medications. These tablets are often chewed to increase effectiveness. Limiting fluid intake can result in rebound fluid retention so that patients s

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An adult patient is prescribed cimetidine (Tagamet). A nurse will instruct the patient that an appropriate dosage and frequency of cimetidine is what?

Select the correct answer(s).

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Explanation

An appropriate dosage and frequency for cimetidine is 800 mg PO at bedtime. Also, 300 mg can be taken q.i.d at meals and at bedtime. Ranitidine is taken 150 mg daily or b.i.d. Famotidine is taken 20 mg PO b.i.d. Nizatidine can be taken 150 to 300 mg PO at

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The nurse develops a discharge teaching plan for a patient who was prescribed pancreatic enzyme replacement and includes what important teaching point?

Select the correct answer(s).

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Explanation

Patients receiving pancreatic enzymes should be taught to avoid spilling the powder on the skin because it can be very irritating. The enzymes should be taken with food and are often in a powder form. Pancreatin and pancrelipase are not interchangeable.

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A patient comes to the clinic complaining of acid indigestion and tells the nurse he is tired of buying over-the-counter (OTC) antacids and wants a prescription drug to “cure the problem.” What would the nurse specifically assess for?

Select the correct answer(s).

(0/0)

Explanation

Prolonged or excessive use of OTC antacids can lead to the development of metabolic alkalosis. Many antacids contain calcium so that low calcium levels would be unlikely. Because metabolic alkalosis is a concern, metabolic acidosis is unlikely. High chole

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A patient with a duodenal ulcer is receiving sucralfate for short-term treatment. What will the nurse advise the patient to avoid?

Select the correct answer(s).

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Explanation

If aluminum salts (AlternaGEL) are taken concurrently with sucralfate, a risk of high aluminum levels and related aluminum toxicity exists. The combination of sucralfate and aluminum salts should be avoided or used with extreme caution. Adverse reactions

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A patient has been prescribed esomeprazole (Nexium). What statement by the patient does the nurse evaluate as indicating that he or she has a good understanding of his newly prescribed drug?

Select the correct answer(s).

(0/0)

Explanation

Esomeprazole must be swallowed whole, not cut, crushed, or chewed, which would interfere with its effectiveness. The drug should not be taken with an antacid, which could interfere with absorption. The drug is taken once a day, not with each meal.

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Which of these patients would the nurse expect to be the best candidate for misoprostol (Cytotec)?

Select the correct answer(s).

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Explanation

The 83-year-old man with rheumatoid arthritis is most likely to be taking nonsteroidal anti-inflammatory drugs (NSAIDs). Misoprostol is indicated for prevention of NSAID induced ulcers in adults at high risk for development of gastric ulcers. The other th

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When comparing the histamine-2 antagonists to each other the nurse recognizes that cimetidine (Tagamet) is more likely to cause which adverse effect?

Select the correct answer(s).

(0/0)

Explanation

Cimetidine was the first drug in this class to be developed. It has been associated with antiandrogenic effects, including gynecomastia and galactorrhea. Dizziness, headache, and somnolence are associated with all histamine-2 antagonists.

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What H2 antagonist would the nurse consider the drug of choice for a patient with advanced liver failure?

Select the correct answer(s).

(0/0)

Explanation

Nizatidine differs from the other three drugs in that it is eliminated by the kidneys, with no first-pass metabolism in the liver. It is the drug of choice for patients with liver disease or dysfunction.

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When caring for a patient diagnosed with a peptic ulcer, the nurse administers omeprazole (Prilosec) along with what antibiotic to eradicate Helicobacter pylori?

Select the correct answer(s).

(0/0)

Explanation

Gastric acid pump or proton pump inhibitors are recommended for the short-term treatment of active duodenal ulcers, gastroesophageal reflux disease, erosive esophagitis, and benign active gastric ulcer; for the long-term treatment of pathologic hypersecre

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What priority teaching point does the nurse include when instructing patients about the use of antacids?

Select the correct answer(s).

(0/0)

Explanation

Repeated use of antacids can result in rebound acid production because more gastrin is produced when pH of acid level decreases. Patients should be taught that long-term use of antacids requires follow-up care. Calorie and fluid intake does not need to be

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For treatment of a gastric ulcer, what would the recommended dosing schedule of famotidine (Pepcid) be?

Select the correct answer(s).

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Explanation

Famotidine should be administered 40 mg every day at bedtime or 20 mg b.i.d for treatment of a gastric ulcer. Options A, C, and D are not correct.

Pharm 57

Question 1 of 1

Time Left

What action does the histamine-2 antagonist administered by the nurse have on the human body that will help to prevent peptic ulcer disease?

Select the correct answer(s).

(0/0)

Explanation

What classification of drugs does the nurse administer to treat peptic ulcers by suppressing the secretion of hydrochloric acid into the lumen of the stomach?

Select the correct answer(s).

(0/0)

Explanation

The nurse is caring for a patient requiring digestive enzyme replacement therapy and establishes what appropriate nursing diagnosis for this patient?

Select the correct answer(s).

(0/0)

Explanation

What nursing interventions are included in the plan of care for a patient receiving antacids to relieve GI discomfort?

Select the correct answer(s).

(0/0)

Explanation

An adult patient is prescribed cimetidine (Tagamet). A nurse will instruct the patient that an appropriate dosage and frequency of cimetidine is what?

Select the correct answer(s).

(0/0)

Explanation

The nurse develops a discharge teaching plan for a patient who was prescribed pancreatic enzyme replacement and includes what important teaching point?

Select the correct answer(s).

(0/0)

Explanation

A patient comes to the clinic complaining of acid indigestion and tells the nurse he is tired of buying over-the-counter (OTC) antacids and wants a prescription drug to “cure the problem.” What would the nurse specifically assess for?

Select the correct answer(s).

(0/0)

Explanation

A patient with a duodenal ulcer is receiving sucralfate for short-term treatment. What will the nurse advise the patient to avoid?

Select the correct answer(s).

(0/0)

Explanation

A patient has been prescribed esomeprazole (Nexium). What statement by the patient does the nurse evaluate as indicating that he or she has a good understanding of his newly prescribed drug?

Select the correct answer(s).

(0/0)

Explanation

Which of these patients would the nurse expect to be the best candidate for misoprostol (Cytotec)?

Select the correct answer(s).

(0/0)

Explanation

When comparing the histamine-2 antagonists to each other the nurse recognizes that cimetidine (Tagamet) is more likely to cause which adverse effect?

Select the correct answer(s).

(0/0)

Explanation

What H2 antagonist would the nurse consider the drug of choice for a patient with advanced liver failure?

Select the correct answer(s).

(0/0)

Explanation

When caring for a patient diagnosed with a peptic ulcer, the nurse administers omeprazole (Prilosec) along with what antibiotic to eradicate Helicobacter pylori?

Select the correct answer(s).

(0/0)

Explanation

What priority teaching point does the nurse include when instructing patients about the use of antacids?

Select the correct answer(s).

(0/0)

Explanation

For treatment of a gastric ulcer, what would the recommended dosing schedule of famotidine (Pepcid) be?

Select the correct answer(s).

(0/0)

Explanation

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