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Pharm
EXAM 5 - Pharm
| Question | Answer |
|---|---|
| The nurse has provided a client with education about intrinsic factor. Which statement indicates an understanding of the information? | "Intrinsic factor is necessary for absorption of vitamin B12." Explanation: Parietal cells secrete intrinsic factor, which is essential for the absorption of vitamin B12. |
| A client with a peptic ulcer colonized with H. pylori asks how the prescription of bismuth (Pepto-Bismol) will help them. Which information should the nurse provide the client? | Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth." "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach." |
| Which clients are at risk for peptic ulcer disease? | A client with Type O blood A client that smokes A client experiencing excessive psychological stress |
| A client asks the nurse why esomeprazole (Nexium) works better than cimetidine (Tagamet). Which response should the nurse provide the client? | "It decreases acid in your stomach better than cimetidine (Tagamet)." EXPLANATION: Proton-pump inhibitors reduce acid secretion to a greater extent than H2-receptor antagonists, and have a longer duration of action. |
| Which client assessment finding should the nurse associate with a duodenal ulcer? | Burning pain several hours after eating a meal |
| The nurse has provided education about peptic ulcer disease (PUD) for a client. Which statement made by the client indicates an understanding of the information? | "I will limit my intake of caffeine products." |
| A client tells the nurse their "stomach pain is completely relieved after eating and returns a couple hours after the meal." Which condition should the nurse suspect the client is experiencing? | Duodenal ulcer |
| Which condition should the nurse identify as a complication for long-term use of proton- pump inhibitors (PPIs)? | Osteoporosis |
| A client with peptic ulcer disease and positive for H. pylori asks the nurse why the healthcare provider would like to treat them with a combination therapy. Which information should the nurse provide the client? | Combination therapy has the best outcomes when antibiotics are used with proton- pump inhibitors. |
| Which information should the nurse include in the education for a client with peptic ulcer disease prescribed omeprazole (Prilosec)? | Omeprazole (Prilosec) should not be crushed or chewed. Omeprazole (Prilosec) should be administered before meals. |
| Which information should the nurse include in the education of a client prescribed an antacid? | Administer antacids at least 2 hours before other oral medications. |
| Which assessment finding should the nurse be concerned about for the client receiving Ranitidine (Zantac) for treatment of peptic ulcer disease (PUD)? | Increased diarrhea Explanation: The prescriptions used to treat hyperacidic conditions raise the gastric pH and increase the risk of Clostridium difficile. |
| Which electrolyte should the nurse assess for a client prescribed aluminum hydroxide (AlternaGEL)? | Phosphate Explanation: At high doses, aluminum products bind with phosphate in the GI tract and long-term use can result in phosphate depletion. |
| Which can be combined with aluminum compounds such as aluminum hydroxide (AlternaGEL) to increase their effectiveness and reduce the potential for constipation? | Magnesium Explanation: Combining aluminum compounds with magnesium (Gaviscon, Maalox, Mylanta) increases their effectiveness and reduces the potential for constipation. |
| A client asks the nurse how misoprostol (Cytotec) will treat their peptic ulcer disease (PUD)? Which response should the nurse provide the client? | It increases mucus production in your stomach." |
| Where does the pyloric sphincter regulate the flow of food into? | Small intestine |
| Which condition is characterized by an erosion of the mucosal layer of the stomach or duodenum? | Peptic ulcer Explanation: A peptic ulcer is erosion of the mucosal layer of the stomach or duodenum. |
| Which is the primary goal of treatment for gastroesophageal reflux disease (GERD)? | Reduce gastric acid secretions |
| Which should the nurse recognize is a risk factor for gastroesophageal reflux disease (GERD)? | Obesity |
| Which clinical condition should the nurse be concerned about for a client prescribed calcium carbonate (Tums)? | Anemia Explanation: Calcium-based products can be used in the presence of anemia. |
| Which describes the mechanism of action of proton-pump inhibitors? | Block the enzyme that secretes acid in the stomach |
| Which statements should the nurse include in the education for a client with gastroesophageal reflux disease (GERD)? | 1. "Eliminate the use of alcohol." 2. "Elevate the head of the bed." 5. "Eat meals at least 3 hours prior to sleeping." |
| Which should the nurse anticipate to be included in the treatment plan for a client suspected to have developed peptic ulcer disease (PUD)? | 2. Testing for H. pylori 3. Multiple prescriptions 4. Pharmacotherapy for 4 weeks 5. Lifestyle changes |
| Which information should the nurse provide a client that asks the nurse how they got H. Pylori? | "The bacteria has entered your body somehow." |
| Which information should the nurse include in the teaching for a client prescribed aluminum hydroxide (AlternaGEL)? | 3. You may notice constipation as an effect of this drug. 4. Take this medication at least 2 hours before or after any other medication you are taking. |
| Which information should the nurse provide a client with gastroesophageal reflux disease GERD who is reluctant to make suggested lifestyle changes? | 1. "The damage to your esophagus may result in esophagitis." 2. "Long-term exposure to acid increases risk for esophageal cancer." |
| Which information should the nurse include in the teaching for a client with an increased risk for the development a Clostridium difficile infection? | 2. Treat diarrhea with over-the-counter antidiarrheal drugs. 3. Increase intake of active culture yogurt |
| The client treated for GERD says, "I seem to have been getting many more colds and coughs." Which statements should the nurse include in the discussion? | 2. "The medicine you are on for GERD changes your gastric pH." 4. "You may be more susceptible to respiratory infection while taking this medication." |
| For which clinical conditions should the nurse recognize self-directed antacid use is not recommended? | 2. Diminished renal function 4. Sodium-restricted diets |
| A client asks the nurse how metoclopramide (Reglan) will help their peptic ulcer disease. Which mechanism of action should the nurse discuss with the client? | Increases emptying time of the stomach |
Created by:
Kristi.bohannon2