Drugs for Gastric Ulcers and Reflux
Understanding Pharmacology Essentials for Medication Safety
Nursing
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Questions
Which protective mechanism by the stomach protects it from stomach acids and the formation of gastric ulcers?
Explanation:
Why does the backward flow of stomach contents into the esophagus cause tissue damage?
Explanation:
Which factor is the cause of most peptic ulcers?
Explanation:
Which symptoms are associated with gastric ulcers?
A patient with a history of GI ulcers reports feeling new onset burning, gnawing stomach pain. What is the nurses best action?
A patient who is prescribed sucralfate asks the nurse how this drug will help treat his gastric ulcer. What is the nurses best response?
How do histamine (H2) blockers help heal gastric ulcers?
The nurse is preparing an older adult patient who has been prescribed famotidine (Pepcid) for discharge. Which common side effect should the nurse instruct the patients family to watch for?
A patient who has been taking nizatidine (Axid) for the last month has all of the following blood laboratory results. Which result does the nurse report to the prescriber as soon as possible?
A patient with gastroesophageal reflux disease is prescribed ranitidine (Zantac). Which statement by the patient indicates to the nurse a need for additional teaching?
A patient who has been prescribed ranitidine (Zantac) reports darkened stools. What is the nurses best action?
A patient who has been taking cimetidine (Tagamet) for a year has all of the following symptoms. Which symptom does the nurse report immediately to the prescriber?
The nurse is instructing a pregnant patient about how to manage reflux. Which point about histamine H2 blockers does the nurse include in the teaching plan?
Which precaution is most important for the nurse to teach an older patient who is starting histamine H2 blockers for gastroesophageal reflux disease (GERD)?
A patient who is prescribed omeprazole (Prilosec) asks the nurse why the drug should be taken before breakfast. What is the nurses best response?
Which precaution is most important for the nurse to teach a patient who is prescribed raberprazole (Aciphex)?
A patient who has been prescribed rabeprazole (Aciphex) develops black, tarry stools. What is the nurses best first action?
To prevent a common risk among older adults who are prescribed proton pump inhibitors, which safety precaution does the nurse recommend?
Why are older patients who are prescribed proton pump inhibitors more at risk for drug-induced hip fracture?
A patient with indigestion is prescribed aluminum hydroxide (Amphogel). To prevent the most common side effect of this drug, what does the nurse teach the patient?
Which precaution is most important for the nurse to teach a patient who is prescribed an antacid?
Why should parents be taught not to give bismuth subsalicylate (Pepto-Bismol) to a child?
The spouse of an older adult with Alzheimers disease tells the nurse that he has been giving the patient Amphogel (aluminum hydroxide) for heartburn. What is the nurses best action?
The nurse is instructing a patient who has been prescribed sucralfate (Carafate) for peptic ulcer disease. Which statement by the patient indicates the need for additional teaching?
A patient with gastroesophageal reflux disease (GERD) asks the nurse why metoclopramide (Reglan) has been prescribed. What is the nurses best response?
[Multiple Response] Which foods, activities, and drugs does the nurse teach the patient with peptic ulcer disease to avoid? (Select all that apply.)
a. Alcohol
b. Caffeine
c. Dairy products
d. Exercising
e. Smoking
f. Spicy food g. Nonsteroidal anti-inflammatory drugs (NSAIDs)
[Multiple Response] What should the nurse plan to teach a patient about smoking and peptic ulcer disease? (Select all that apply.)
a. Smoking increases acid secretion.
b. Smoking is not a cause of ulcer formation.
c. Smoking slows ulcer healing.
d. Smoking is related to the reoccurrence of ulcers.
e. Smoking decreases stomach mucus production.
