Pharmacology Chapter 40 Possible Questions & Answers

A male client arrives at his sick call reporting chronic abdominal pain. Having a 40- pack year history, he reports his smoking has decreased to approximately 20 packs/year. The health care provider, after thorough assessment and evaluation and labs, prescribes a treatment regimen for a duodenal ulcer caused by H. pylori infection. What type of medication might be used to treat the ulcer? - Two antimicrobials and either a PPI or H2RA Which antacids would the nurse identify as being contraindicated in clients with heart failure? - Sodium bicarbonate Which antacids would the nurse identify as being contraindicated in clients with heart failure? - Your 59-year-old client has peptic ulcer disease and is started on sucralfate (Carafate). What is a potential nursing diagnosis related to this medication? - Impaired bowel elimination: constipation What is currently the most commonly used therapy for peptic ulcers? - Antibiotics and proton pump inhibitors When teaching a client about an antacid containing aluminum, what would the nurse include? - Decreased risk for acid rebound Which of the following would a nurse expect to administer if the goal of therapy is to block the release of hydrochloric acid in the stomach? - Histamine-2 receptor antagonist The nurse is administering an H-2 receptor antagonist to a client with multiple burn trauma to prevent the development of stress ulcers based on the understanding that the drug: - provides protection of the stomach lining via acid blockage. Administering an antacid to a client taking which medications will decrease the absorption of the medication and result in a decreased drug effect? - Digoxin A nurse is caring for a client experiencing stomach hyperacidity. The health care provider has prescribed aluminum carbonate gel. The nurse would administer this drug cautiously to the client with which condition? - upper GI bleeding A client is started on metoclopramide for the treatment of diabetic gastroparesis. Which adverse effect is specific to this drug therapy? - Muscle rigidity A client is prescribed ranitidine for the treatment of a peptic ulcer disease and gastric reflux. The dosage of this drug should be reduced if the client has: - renal disease. The client diagnosed with peptic ulcer disease states, "I've never been a really anxious type of person, so I never thought I'd develop ulcers." The nurse has responded with health education addressing the etiology of peptic ulcer disease (PUD). What causative factors should the nurse cite? Select all that apply - physiologic or psychological stress cigarette smoking infections nonsteroidal anti-inflammatory drugs What type of medication might be included in the medication therapy to treat a peptic ulcer by serving as a barrier to gastric secretions? - sucralfate Antacids are alkaline substances primarily used to directly neutralize gastric acid in the stomach to prevent/treat PUD, GERD, heartburn, and GI bleed. In the treatment of what medical diagnosis might aluminum-based antacids be used? Select all that apply. - chronic renal failure hyperphosphatemia Which drug treats heartburn by neutralizing the acidity of the stomach by combining with hydrochloric acid (HCL) and increasing the pH of the stomach acid? - Magaldrate (Riopan) Which client is at risk for the development of an acute ulcer? select all that apply. - A client on a mechanical ventilator for 5 days A client with 2nd degree burns over 50% of the body A client who experienced a stroke A client who is diagnosed with jaundice When educating a client prescribed a histamine-2 antagonists, which of the following should be avoided? Select all that apply. - Cigarettes Alcohol Caffeine The nurse is assessing a 7 year-old client with a recent history of dyspepsia. The client's parents state that their provider recommended the use of over-the-counter ranitidine. What is the nurse's best action? - Contact the provider to question the use of this medication The nurse is caring for a client with cystic fibrosis who has recently not been taking prescribed pancreatic enzymes recently. What is the primary assessment finding the nurse will see as a result of this noncompliance? - Malnutrition