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:
D.
When metronidazole [Flagyl] is a component of the H. pylori treatment regimen, the patient must be instructed to do what?
D.
A patient is diagnosed with Zollinger-Ellison syndrome. Which medication does the nurse expect the provider to order for this patient?
C.
A patient who has gastroesophageal reflux disease (GERD) receives a prescription for a proton pump inhibitor (PPI) medication. What will the nurse include when teaching the patient about this drug?
C.
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?
B.
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?
D.
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?
C.
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?
B.
.A nursing student is caring for a patient who is taking sucralfate [Carafate] and ciprofloxacin
[Cipro] to treat peptic ulcer disease. The student asks the nurse about the pharmacokinetics of sucralfate. Which statement by the student indicates a need for further teaching?
A.
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?
C.
Cimetidine has antiandrogenic effects and can cause decreased libido, impotence, and gynecomastia. These effects are reversible
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?
D.
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:
D.
A patient is admitted with lower abdominal pain and nausea. The nurse performing the initial
assessment notes that the patient’s abdomen is distended and firm, and hypoactive bowel sounds are present. The patient has not had a stool for 3 days. The nurse will contact the provider, who will:
C. Laxatives are contraindicated for patients with abdominal pain, nausea, cramps, or other symptoms
of abdominal disease or an acute surgical abdomen.
A patient reports taking an oral bisacodyl laxative [Dulcolax] for several years. The provider has suggested discontinuing the laxative, but the patient is unsure how to do this. The nurse will
tell the patient to:
C. The first step in breaking the laxative habit is abrupt cessation of laxative use. Bowel movements will be absent for several days after laxative withdrawal.
A patient with renal disease is scheduled for a colonoscopy. Before the procedure, the nurse will
anticipate administering:
C.
The parent of a child with cerebral palsy reports that the child has pebble-like stools most of the time and seems uncomfortable if several days have passed between stools. The nurse will suggest that the parent discuss which medication with the child’s provider?
D.
A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel cleanser before the procedure. The nurse reviews the patient’s chart and notes that the patient’s creatinine clearance and blood urea nitrogen are both elevated. What will the nurse do?
A.
PEG-ELS solutions provide an isosmotic solution and do not cause dehydration or electrolyte imbalance. They are safe to use in patients with renal impairment or cardiovascular disease. This patient’s laboratory values suggest renal impairment.
The nurse is caring for an older adult patient after a right hip open reduction internal fixation (ORIF). The patient is taking an opioid every 6 hours as needed for pain. The nurse discusses obtaining an order from the prescriber for which medication?
B.
A nurse is taking a history on a clinic patient who reports being constipated. Upon further questioning, the nurse learns that the patient’s last stool was 4 days ago, that it was of normal, soft consistency, and that the patient defecated without straining. The patient’s abdomen is not distended, and bowel sounds are present. The patient reports usually having a stool every 1 to 2 days. What will the nurse do?
D.
A nurse receives an order to administer castor oil to a patient. Which action by the nurse is
correct?
D.
Which condition would cause the nurse to withhold a PRN order for magnesium hydroxide?
B.
Magnesium can accumulate to toxic levels in patients with renal dysfunction.
A patient has been taking senna [Senokot] for several days, and the nurse notes that the urine is yellowish-brown. What does the nurse know about this symptom?
C.
A patient with a history of chronic alcohol abuse has been admitted to the unit with cirrhosis.
Upon review of the patient’s laboratory test results, the nurse notes that the patient’s ammonia level is elevated at 218 μg/dL. What medication should the nurse prepare to administer?
D.
A patient’s provider has recommended a bulk-forming laxative for occasional constipation. Which statement by the patient indicates understanding of the teaching about this agent?
B.
A patient has been taking psyllium [Metamucil] two to three times daily for several days.
The patient complains of stomach pain but has not had a stool. What will the nurse do?
D.
A 6-year-old child has frequent constipation. The nurse provides teaching after the parent asks
the nurse why the provider recommended using laxatives only when needed. Which statement
by the parent indicates a need for further teaching?
A.
A patient with gastroesophageal reflux disease (GERD) is to begin taking oral metoclopramide [Reglan]. The patient asks the nurse about the medication. Which response by the nurse is correct?
C.
A nursing student is discussing with a nurse the plan of care for a patient about to undergo a third round of chemotherapy with cisplatin. Which statement by the nursing student about the
treatment of CINV is correct?
C.
A patient is taking bismuth subsalicylate [Pepto-Bismol] to prevent diarrhea. The nurse performing an assessment notes that the patient’s tongue is black. What will the nurse do?
B.
A nurse is providing education to a patient with ulcerative colitis who is being treated with sulfasalazine [Azulfidine]. Which statement by the patient best demonstrates understanding of the action of sulfasalazine?
D.
A nurse is providing teaching to a nursing student about to care for a woman with irritable bowel syndrome with diarrhea (IBS-D) who is receiving alosetron [Lotronex]. Which statement by the student indicates a need for further teaching?
D.
A nurse caring for a patient who is undergoing a third round of chemotherapy is preparing to
administer ondansetron [Zofran] 30 minutes before initiation of the chemotherapy. The patient tells the nurse that the ondansetron did not work as well the last time as it had the first time. What will the nurse do?
B.
A patient with Crohn disease will begin receiving an initial infusion of infliximab [Remicade]. The nurse explains how this drug works to treat this disease. Which statement by the patient indicates a need for further teaching?
D.
A pregnant patient who is taking ondansetron [Zofran] for morning sickness tells the nurse she is experiencing headache and dizziness. What will the nurse tell her?
C.
A nurse explains to a nursing student why opioid antidiarrheal medications are classified as
drugs with little or no abuse potential. Which statement by the student indicates a need for further teaching?
D.
A nurse is caring for a patient with cancer who has been undergoing chemotherapy. The patient has oral mucositis as a result of the chemotherapy, and the provider has ordered palifermin [Kepivance]. Which is an appropriate nursing action when giving this drug?
B.
A patient is being treated for chemotherapy-induced nausea and vomiting (CINV) with ondansetron [Zofran] and dexamethasone. The patient reports getting relief during and immediately after chemotherapy but has significant nausea and vomiting several days after each chemotherapy treatment. What will the nurse do?
A.
Aprepitant has a prolonged duration of action and can prevent delayed CINV as well as acute CINV.
A patient who is in her first trimester of pregnancy asks the nurse to recommend nonpharmaceutical therapies for morning sickness. What will the nurse suggest?
C.
A nurse is discussing the use ofimmunosuppressants for the treatment of inflammatory bowel
disease (IBD) with a group of nursing students. Which statement by a student indicates understanding of the teaching?
D.
A patient is receiving intravenous promethazine [Phenergan] 25 mg for postoperative nausea and vomiting. What is an important nursing action when giving this drug?
A.
A patient who has traveler’s diarrhea asks the nurse about using loperamide to stop the symptoms. What will the nurse tell the patient about this drug?
B.
Loperamide is a nonspecific antidiarrheal that slows peristalsis; by this action, it may delay transit
of the causative organism and may prolong the infection.
A patient is preparing to travel to perform missionary work in a region with poor drinking water. The provider gives the patient a prescription for ciprofloxacin [Cipro] to take on the trip. What will the nurse instruct this patient to do?
D.
A patient who experiences motion sickness is about to go on a cruise. The prescriber orders transdermal scopolamine [Transderm Scop]. The patient asks the nurse why an oral agent is not ordered. The nurse will explain that the transdermal preparation:
D.
A nurse is admitting a patient to the hospital who reports having recurrent, crampy abdominal pain followed by diarrhea. The patient tells the nurse that the diarrhea usually relieves the pain and that these symptoms have occurred daily for the past 6 months. The patient undergoes a colonoscopy, for which the findings are normal. The nurse will plan to teach this patient to:
D.
Author
BodeS
ID
363776
Card Set
CH 64-66
Description
Drugs for Peptic Ulcer Disease
Laxatives
Other Gastrointestinal Drugs
