Nursing 6005 Week 6 Pharm Knowledge Check

NURSING 6005 WEEK 6 PHARM KNOWLEDGE CHECK Question 15. Metoclopramide improves GERD symptoms by: Reducing acid secretion Increasing gastric pH CORRECT Increasing lower esophageal tone Decreasing lower esophageal tone Question 16. Patients who are on chronic long-term PPI therapy require monitoring for: CORRECT Iron deficiency anemia, vitamin B12, and calcium deficiency Folate and magnesium deficiency Elevated uric acid levels leading to gout Hypokalemia and hypocalcemia Question 17. Lifestyle changes are the first step in the treatment of GERD. A food that may aggravate GERD is: Eggs Honey Dew CORRECT Chocolate Chicken Question 18. An acceptable first-line treatment for PUD disease with positive H. pylori test is: Histamine 2 receptor antagonists for four to eight weeks A PPI twice daily (BID) for twelve weeks until healing is complete CORRECT A PPI BID plus clarithromycin plus amoxicillin for fourteen days A PPI BID and levofloxacin for fourteen days Question 19. Antacids treat GERD by: Decreasing lower esophageal tone CORRECT Increasing gastric pH Inhibiting gastric acid secretion Increasing the serum calcium level Question 20. Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide: Can be given to patients of all ages, including infants and children, for viral gastroenteritis CORRECT Slows gastric motility and reduces fluid and electrolyte loss from diarrhea Is the treatment of choice for the diarrhea associated with E. coli 0157 May be used in pregnancy and by lactating women May need Magnesium Carbonate-containing antacids may cause gastrointestinal side effects like flatulence & diarrhea. These side effects are also a result of depletion of vital nutrients mentioned above. Magnesium Hydroxide-containing antacids may cause gastrointestinal side effects like: • Stomach cramps • Upset stomach