Chapter 32: Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease Clayton/Willihnganz: Basic Pharmacology for Nurses, 17th Edition

1. Which medication is used in the treatment of gastric reflux esophagitis and diabetic gastroparesis? a. Metoclopramide b. Misoprostol c. Pantoprazole d. Ranitidine ANS: A Metoclopramide is a gastric stimulant used to relieve the symptoms of gastric reflux esophagitis and diabetic gastroparesis, aid in small bowel intubation, and stimulate gastric emptying and intestinal transit of barium after radiologic examination of the upper gastrointestinal (GI) tract. Misoprostol is used to prevent and treat gastric ulcers caused by NSAIDs, including aspirin. Pantoprazole and ranitidine do not treat gastroparesis. DIF: Cognitive Level: Comprehension REF: Page 502 OBJ: 4 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Inflammation; Nutrition 2. The nurse is preparing to administer medications and notes that a patient has sucralfate ordered qid. When is the best time to administer this medication? a. 1 hour before meals b. With meals c. 1 hour after meals d. With a bedtime snack ANS: A This medication should be administered on an empty stomach. Taking the medication with meals, 1 hour after meals, or with a bedtime snack does not allow the medication to form its protective coat of the gastric mucosa. DIF: Cognitive Level: Comprehension REF: Page 501 | Page 502 OBJ: 4 | 5 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Physiological Integrity NOT: CONCEPT(S): Clinical Judgment; Safety: Nutrition 3. Which is a commo