Week 8: Chapter 23

Question 1

Which drug is a cytoprotective drug?

Answer 1

Sucralfate

Question 2

A pt prescribed a proton pump inhibitor tells that he/ she is experiencing black tarry stools. What S/E does this indicate?

Answer 2

Bleeding

Question 3

A pt prescribed omeprazole tells you that he has persistent abdominal pain. What should you do?

Answer 3

Notify the prescriber

Question 4

When should you teach a patient prescribed lanzoprazole to take the drug?

Answer 4

Before meals in the morning

Question 5

An older adult patient is prescribed famotidine for reflux. Which information and precautions would you teach this family (select all that apply)?

Answer 5

1. The pt may experience dizziness
2. Tell the prescriber if you notice LOC changes such as confusion
3. Be aware that the pt is at increased risk for falls

Question 6

A pt asks you how cytoprotective drugs will help prevent gastric ulcers. What is your response?

Answer 6

It will coat and protect the stomach lining

Question 7

For which common S/E of proton pump inhibitors must you monitor for a pt?

Answer 7

Constipation

Question 8

What must you be sure to do before administering a histamine H2 blocker? (select all that apply)

Answer 8

1. Check the pts LOC
2. Ask the pt about usual bowl movements
3. Ask about bleeding and reflux

Question 9

A pt has been taking OTC histamine H2 blockers for more than 2 weeks and his GERD symptoms have not improved. What must you instruct the patient to do?

Answer 9

Inform his/ her health care provider

Question 10

Which of the following drugs may pass into breast milk and are NOT recommended when a woman is breastfeeding? (select all that apply)

Answer 10

1. ranitidine (Zantac)
2. pantoprazole (Protonix)
3. omeprazole (Prilosec)

Question 11

A patient with __ who is taking the over-the-counter antacid __ should be advised to switch their medication immediately (select all that apply)

Answer 11

1. diarrhea; magnesium salts (Maalox)
2. Alzheimer’s disease; magnesium salts (Maalox)
3. heart failure; sodium bicarbonate (Alka Seltzer)

Question 12

A patient with gastroesophageal reflux disease (GERD) has been admitted to the unit. Which drug types does the nurse expect to be used to treat the patient? (select all that apply)

Answer 12

1, Histamine H2 blockers

2. Proton pump inhibitors
3. Antacids
4. Promotility drugs

Question 13

A newly diagnosed patient with GI ulcers asks the nurse what is the primary factor that causes most GI ulcers? What is the nurse’s best response?

Answer 13

Gastric infection

Question 14

The nurse is admitting a patient diagnosed with peptic ulcer disease (PUD). What condition is a complication of this disease?

Answer 14

Perforation

Question 15

The nurse is discharging a patient with a new prescription for a proton pump inhibitor (PPI) omeprazole (Prilosec). What instruction would you give to this patient?

Answer 15

You may become dizzy while taking this drug.

Question 16

A patient asks the nurse what drug types are used to treat peptic ulcer disease (PUD)? What medications does the nurse tell the patient? (select all that apply)

Answer 16

1. Histamine H2 blockers
2. Proton pump inhibitors
3. Cytoprotective drugs
4. Antibiotics

Question 17

A patient is being discharged with a prescription for a histamine H2 blocker ranitidine (Zantac)? What instructions should the nurse give to this patient? (select all that apply)

Answer 17

1. Take this drug with meals.
2. This drug may cause confusion.
3. Do not smoke while taking this drug.
4. You may experience the side effect of a black tongue.

Question 18

A patient is diagnosed with gastroesophageal reflux disease (GERD). What common symptom do you expect to see in this patient?

Answer 18

Heartburn

Question 19

A newly diagnosed patient with peptic ulcer disease (PUD) asks the nurse what can be done to treat this disease in addition to medication? (select all that apply)

Answer 19

1. Avoid caffeine and alcohol.
2. Avoid tobacco use.
3. Avoid nonsteroidal anti-inflammatory drugs (NSAIDs).
4. Reduce stress.

Question 20

The nurse is caring for a patient with gastroesophageal reflux disease (GERD). The nurse knows that what type of peptic ulcer disease (PUD) is often associated with GERD?

Answer 20

Esophageal ulcer

Question 21

A nurse is discharging a patient who has been diagnosed with gastroesophageal reflux disease (GERD). In addition to medication, what recommended treatments can the nurse tell the patient? (select all that apply)

Answer 21

1. Avoid chocolate
2. Avoid tobacco use
3. Eat smaller, more frequent meals
4. Chew gum after meals

Question 22

Which factors should be included in the assessment of a patient with peptic ulcer disease or GERD? (select all that apply)

Answer 22

1. Baseline vital signs and weight
2. Normal bowel habits
3. Complete list of drugs the patient is taking
4. Appearance of stools

Question 23

A patient reports burning, gnawing pain that occurs between the umbilicus and sternum. What do you suspect?

Answer 23

Peptic ulcer disease (PUD)

Question 24

The nurse is discharging a patient who has a diagnosis of orthostatic hypotension. What are some factors the nurse discusses with the patient and family to help prevent injury from this diagnosis? (select all that apply)

Answer 24

1. Change positions slowly.
2. Use the handrails when going up or down stairs.
3. Use adequate lighting at all times, especially at night.
4. Be sure to drink enough fluids because low blood pressure is worse when you are dehydrated.

Question 25

You are teaching a patient about the use of bismuth subsalicylate (Pepto-Bismol). Which statement made by the patient indicates a need for further instruction?

Answer 25

“I’ll give this drug to my children because it is pink-colored.”

Question 26

A patient with peptic ulcer disease (PUD) asks why sucralfate (Carafate) has been prescribed. What is your best response?

Answer 26

“It coats your ulcer and protects it from gastric acids.”