Lehne Pharmacology Exam 4 - Ch. 76:
Drugs for Asthma & COPD & Ch. 78:
Drugs for PUD Questions All Solved.
c - Answer 1. A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis asks a
nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using
which medication?
a. Antibiotics
b. Histamine-2 receptor antagonists
c. Proton pump inhibitors
d. Mucosal protectants
b - Answer 2. A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes
ranitidine [Zantac] and sucralfate [Carafate]. The patient tells the nurse that discomfort is usually
controlled but that symptoms occasionally flare up. What will the nurse do?
a. Ask the provider about ordering an endoscopic examination.
b. Contact the provider to discuss serologic testing and an antibiotic.
c. Contact the provider to discuss switching to a proton pump inhibitor.
d. Counsel the patient to avoid beverages containing caffeine.
a - Answer 3. A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA) for prevention
of cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day and has
a glass of wine with dinner 3 or 4 nights per week. The patient eats three meals a day. The nurse will
counsel this patient to:
a. change the meal pattern to five or six smaller meals per day.
b. discontinue taking aspirin, because it can irritate the stomach.
c. stop drinking wine or any other alcoholic beverage.
d. switch to a decaffeinated coffee and reduce the number of servings.
,a - Answer 4. A patient is diagnosed with peptic ulcer disease. The patient is otherwise healthy. The
nurse learns that the patient does not smoke and that he drinks 1 or 2 glasses of wine with meals each
week. The nurse anticipates that the provider will prescribe which drugs?
a. Amoxicillin [Amoxil], clarithromycin, and omeprazole [Prilosec]
b. Amoxicillin [Amoxil], metronidazole [Flagyl], and cimetidine [Tagamet]
c. Clarithromycin, metronidazole [Flagyl], and omeprazole [Prilosec]
d. Tetracycline, cimetidine [Tagamet], and lansoprazole [Prevacid]
c - Answer 5. A 30-year-old male patient will begin a three-drug regimen to treat peptic ulcer disease.
The regimen will consist of bismuth subsalicylate, tetracycline, and cimetidine [Tagamet]. The nurse will
include which information when teaching this patient about this drug regimen?
a. Black discoloration of the tongue and stools should be reported immediately.
b. Central nervous system depression and confusion are likely to occur.
c. Decreased libido, impotence, and gynecomastia are reversible side effects.
d. Staining of the teeth may occur and is an indication for discontinuation of these drugs.
a - Answer 6. When metronidazole [Flagyl] is a component of the H. pylori treatment regimen, the
patient must be instructed to do what?
a. Avoid any alcoholic beverages
b. Avoid foods containing tyramine
c. Take the drug on an empty stomach
d. Take the drug with food
a - Answer 7. The nurse is providing education to a patient who has been prescribed both an antacid
and cimetidine [Tagamet]. Which instruction should the nurse give the patient about taking the
medications?
, a. "Take the antacid 1 hour after the ranitidine."
b. "The antacid and ranitidine should be taken at the same time for better effect."
c. "Take the antacid 15 minutes before the ranitidine."
d. "Take the antacid 30 minutes after the ranitidine."
c - Answer 8. A patient is diagnosed with Zollinger-Ellison syndrome. Which medication does the nurse
expect the provider to order for this patient?
a. Cimetidine [Tagamet]
b. Esomeprazole [Nexium]
c. Ranitidine [Zantac]
d. Sucralfate [Carafate]
c - Answer 9. An older adult patient with severe gastroesophageal reflux disease (GERD) has had only
minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole
[Prilosec]. What will the nurse teach this patient?
a. A complete cure is expected with this medication.
b. Lifestyle changes can be as effective as medication therapy.
c. Long-term therapy may be needed.
d. The medication will be used until surgery can be performed.
d - Answer 10. A patient stops taking a proton pump inhibitor (PPI) after 6 weeks of therapy for
treatment of peptic ulcer disease. The patient reports symptoms of dyspepsia to the nurse. The nurse
will tell this patient to:
a. come to the clinic to be tested for Clostridium difficile.
b. resume taking the PPI, because long-term therapy is necessary.
c. resume taking the PPI until symptoms resolve completely.
d. try an antacid to see whether it relieves these symptoms.
Drugs for Asthma & COPD & Ch. 78:
Drugs for PUD Questions All Solved.
c - Answer 1. A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis asks a
nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using
which medication?
a. Antibiotics
b. Histamine-2 receptor antagonists
c. Proton pump inhibitors
d. Mucosal protectants
b - Answer 2. A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes
ranitidine [Zantac] and sucralfate [Carafate]. The patient tells the nurse that discomfort is usually
controlled but that symptoms occasionally flare up. What will the nurse do?
a. Ask the provider about ordering an endoscopic examination.
b. Contact the provider to discuss serologic testing and an antibiotic.
c. Contact the provider to discuss switching to a proton pump inhibitor.
d. Counsel the patient to avoid beverages containing caffeine.
a - Answer 3. A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA) for prevention
of cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day and has
a glass of wine with dinner 3 or 4 nights per week. The patient eats three meals a day. The nurse will
counsel this patient to:
a. change the meal pattern to five or six smaller meals per day.
b. discontinue taking aspirin, because it can irritate the stomach.
c. stop drinking wine or any other alcoholic beverage.
d. switch to a decaffeinated coffee and reduce the number of servings.
,a - Answer 4. A patient is diagnosed with peptic ulcer disease. The patient is otherwise healthy. The
nurse learns that the patient does not smoke and that he drinks 1 or 2 glasses of wine with meals each
week. The nurse anticipates that the provider will prescribe which drugs?
a. Amoxicillin [Amoxil], clarithromycin, and omeprazole [Prilosec]
b. Amoxicillin [Amoxil], metronidazole [Flagyl], and cimetidine [Tagamet]
c. Clarithromycin, metronidazole [Flagyl], and omeprazole [Prilosec]
d. Tetracycline, cimetidine [Tagamet], and lansoprazole [Prevacid]
c - Answer 5. A 30-year-old male patient will begin a three-drug regimen to treat peptic ulcer disease.
The regimen will consist of bismuth subsalicylate, tetracycline, and cimetidine [Tagamet]. The nurse will
include which information when teaching this patient about this drug regimen?
a. Black discoloration of the tongue and stools should be reported immediately.
b. Central nervous system depression and confusion are likely to occur.
c. Decreased libido, impotence, and gynecomastia are reversible side effects.
d. Staining of the teeth may occur and is an indication for discontinuation of these drugs.
a - Answer 6. When metronidazole [Flagyl] is a component of the H. pylori treatment regimen, the
patient must be instructed to do what?
a. Avoid any alcoholic beverages
b. Avoid foods containing tyramine
c. Take the drug on an empty stomach
d. Take the drug with food
a - Answer 7. The nurse is providing education to a patient who has been prescribed both an antacid
and cimetidine [Tagamet]. Which instruction should the nurse give the patient about taking the
medications?
, a. "Take the antacid 1 hour after the ranitidine."
b. "The antacid and ranitidine should be taken at the same time for better effect."
c. "Take the antacid 15 minutes before the ranitidine."
d. "Take the antacid 30 minutes after the ranitidine."
c - Answer 8. A patient is diagnosed with Zollinger-Ellison syndrome. Which medication does the nurse
expect the provider to order for this patient?
a. Cimetidine [Tagamet]
b. Esomeprazole [Nexium]
c. Ranitidine [Zantac]
d. Sucralfate [Carafate]
c - Answer 9. An older adult patient with severe gastroesophageal reflux disease (GERD) has had only
minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole
[Prilosec]. What will the nurse teach this patient?
a. A complete cure is expected with this medication.
b. Lifestyle changes can be as effective as medication therapy.
c. Long-term therapy may be needed.
d. The medication will be used until surgery can be performed.
d - Answer 10. A patient stops taking a proton pump inhibitor (PPI) after 6 weeks of therapy for
treatment of peptic ulcer disease. The patient reports symptoms of dyspepsia to the nurse. The nurse
will tell this patient to:
a. come to the clinic to be tested for Clostridium difficile.
b. resume taking the PPI, because long-term therapy is necessary.
c. resume taking the PPI until symptoms resolve completely.
d. try an antacid to see whether it relieves these symptoms.
