Pharm Lilley Ch 50
1. A patient is receiving an aluminum-containing antacid. The nurse will inform the patient to
watch for which possible adverse effect?
a. Diarrhea
b. Constipation
c. Nausea
d. Abdominal cramping - ANSANS: B
Aluminum-based antacids have a constipating effect as well as an acid-neutralizing capacity.
The other options are incorrect.
DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: p. 803
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. When reviewing the health history of a patient who will be receiving antacids, the nurse
recalls that antacids containing magnesium need to be used cautiously in patients with which
condition?
a. Peptic ulcer disease
b. Renal failure
c. Hypertension
d. Heart failure - ANSANS: B
Both calcium- and magnesium-based antacids are more likely to accumulate to toxic levels in
patients with renal disease and are commonly avoided in this patient group. The other options
are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 805
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
3. The nurse is reviewing the medication orders for a patient who will be taking an H2
antagonist. Which drug may have an interaction if taken along with the H2 antagonist?
a. Ibuprofen (Motrin)
b. Ranitidine (Zantac)
c. Tetracycline (Doryx)
d. Ketoconazole (Nizoral) - ANSANS: D
All H2 receptor antagonists may inhibit the absorption of certain drugs, such as the antifungal
ketoconazole, that require an acidic gastrointestinal environment for gastric absorption. The
other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 806
TOP: NURSING PROCESS: Assessment
, MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to say that
the medication has not been effective. The nurse reviews his history and notes that which factor
may be influencing the effectiveness of this drug?
a. He takes the cimetidine with meals.
b. He smokes two packs of cigarettes a day.
c. He drinks a glass of water with each dose.
d. He takes an antacid 3 hours after the cimetidine dose. - ANSANS: B
Smoking may impair the absorption of H2 antagonists. The other factors are correct
interventions for this medication.
DIF: COGNITIVE LEVEL: Analyzing (Analysis) REF: p. 806
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease
(GERD). The nurse will include which statement in the teaching plan about this medication?
a. "Take this medication once a day after breakfast."
b. "You will be on this medication for only 2 weeks for treatment of the reflux disease."
c. "The medication may be dissolved in a liquid for better absorption."
d. "The entire capsule must be taken whole, not crushed, chewed, or opened." - ANSANS: D
Omeprazole needs to be taken before meals, and an entire capsule must be taken whole, not
crushed, chewed, opened, or dissolved in liquid when treating GERD. This medication is used
on a long-term basis to maintain healing.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 811
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. A patient is complaining of excessive and painful gas. The nurse checks the patient's
medication orders and prepares to administer which drug for this problem?
a. Famotidine (Pepcid)
b. Aluminum hydroxide and magnesium hydroxide (Maalox or Mylanta)
c. Calcium carbonate (Tums)
d. Simethicone (Mylicon) - ANSANS: D
Simethicone alters the elasticity of mucus-coated bubbles, causing them to break, and is an
over-the-counter antiflatulent. The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 809
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
1. A patient is receiving an aluminum-containing antacid. The nurse will inform the patient to
watch for which possible adverse effect?
a. Diarrhea
b. Constipation
c. Nausea
d. Abdominal cramping - ANSANS: B
Aluminum-based antacids have a constipating effect as well as an acid-neutralizing capacity.
The other options are incorrect.
DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: p. 803
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. When reviewing the health history of a patient who will be receiving antacids, the nurse
recalls that antacids containing magnesium need to be used cautiously in patients with which
condition?
a. Peptic ulcer disease
b. Renal failure
c. Hypertension
d. Heart failure - ANSANS: B
Both calcium- and magnesium-based antacids are more likely to accumulate to toxic levels in
patients with renal disease and are commonly avoided in this patient group. The other options
are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 805
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
3. The nurse is reviewing the medication orders for a patient who will be taking an H2
antagonist. Which drug may have an interaction if taken along with the H2 antagonist?
a. Ibuprofen (Motrin)
b. Ranitidine (Zantac)
c. Tetracycline (Doryx)
d. Ketoconazole (Nizoral) - ANSANS: D
All H2 receptor antagonists may inhibit the absorption of certain drugs, such as the antifungal
ketoconazole, that require an acidic gastrointestinal environment for gastric absorption. The
other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 806
TOP: NURSING PROCESS: Assessment
, MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to say that
the medication has not been effective. The nurse reviews his history and notes that which factor
may be influencing the effectiveness of this drug?
a. He takes the cimetidine with meals.
b. He smokes two packs of cigarettes a day.
c. He drinks a glass of water with each dose.
d. He takes an antacid 3 hours after the cimetidine dose. - ANSANS: B
Smoking may impair the absorption of H2 antagonists. The other factors are correct
interventions for this medication.
DIF: COGNITIVE LEVEL: Analyzing (Analysis) REF: p. 806
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease
(GERD). The nurse will include which statement in the teaching plan about this medication?
a. "Take this medication once a day after breakfast."
b. "You will be on this medication for only 2 weeks for treatment of the reflux disease."
c. "The medication may be dissolved in a liquid for better absorption."
d. "The entire capsule must be taken whole, not crushed, chewed, or opened." - ANSANS: D
Omeprazole needs to be taken before meals, and an entire capsule must be taken whole, not
crushed, chewed, opened, or dissolved in liquid when treating GERD. This medication is used
on a long-term basis to maintain healing.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 811
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. A patient is complaining of excessive and painful gas. The nurse checks the patient's
medication orders and prepares to administer which drug for this problem?
a. Famotidine (Pepcid)
b. Aluminum hydroxide and magnesium hydroxide (Maalox or Mylanta)
c. Calcium carbonate (Tums)
d. Simethicone (Mylicon) - ANSANS: D
Simethicone alters the elasticity of mucus-coated bubbles, causing them to break, and is an
over-the-counter antiflatulent. The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 809
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
