NURS 180
NURS 180 / NURS180: Quiz 2 Exam - Pharmacology |WCU
(Latest 2026/2027) Q&A.
1. Complications of Cimetidine: Blocks androgen receptors (sex hormones) resulting
in decreased libido (sex drive), gynecomastia (males get enlarged breast), and
impotence (infertility)
2. Client education of Cimetidine: Adverse effects reverse
3. Contraindications of/ Precautions of Histamine 2 receptor antagonists drugs: -
Pregnancy Risk Category B
- H2 receptor antagonists decrease gastric acidity, which promotes bacterial colonization
of the stomach and the respiratory tract
- Dosages should be reduced in clients with moderate to sever kidney impairment
4. Interactions of Cimetidine: Can inhibit medication- metabolizing enzymes and
thus increase the levels of warfarin, phenytoin, theophylline, and lidocaine.
5. Nursing Interactions of Histamine 2 receptor antagonists: In clients taking
warfarin,
NURS 180
, 2
NURS 180
monitor for indications of bleeding. Monitor INR and PT levels and adjust warfarin
dosages accordingly
Concurrent use of antacids can decrease absorption of histamine2 receptor antagonists
6. Client Education of Histamine 2 receptor antagonists: - Do not take an antacid
within 1 hour before, or after taking one of these drugs
- Space administering of antacids to one hour before/after taking
- Avoid alcohol and food that increase GI irritation and limit the use of aspirin and
NSAID's
7. If a client is taking Cimetidine, and begins taking phenytoin, theophylline, and
lidocaine, what should be monitored?: Blood levels and adjust dosages
accordingly 8. True or false: Concurrent use of antacids can decrease absorption
of histamine2 receptor antagonist.: True
8. True or false: Smoking can increase the effectiveness of histamine2 receptors
antagonists?: False
9. What Histamine 2 receptor antagonists drugs can be given through IV?:
Famotidine (Pepcid) (for acute situations)
NURS 180
, 3
NURS 180
10.Client education of peptic ulcer disease: - Treatment is usually started as an oral
dose twice a day until the ulcer is healed followed by maintenance dose, which is
usually taken once a day at bedtime - Notify the provider of for any indication of
obvious or occult GI bleeding (coffee-ground emesis).
- Avoid alcohol and foods that increase GI irritation, and limit use of aspirin or NSAIDS.
- Increase fiber of fluid intake to prevent or manage constipation
- Several medications can be required several times a day. Adhere to the full treatment
regimen to prevent recurrence.
11. What is coffee ground emsis and indication of?: A problem in the GI tract
12.What are proton pump inhibitors?: Omeprazole (Prilosec)
Pantoprazole (Protonix)
Lansoprazole
Dexlansoprazole
Rabeprazole
Esomeprazole (Nexium)
13.What are the expected pharmacological actions of Proton pump inhibitors?-
NURS 180