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WorksheetsAbrams Chapter 37
Total questions: 20
Worksheet time: 11mins
A client is taking nonsteroidal anti-inflammatory agents for arthritis. Which disease can result from cellular destruction of the gastrointestinal tract from this medication?
Esophageal cancer
Bowel obstruction
Liver cancer
Peptic ulcer disease
The client has a magnesium-based antacid prescribed for administration before meals. When should the medication be withheld?
Hypertension
Heart rate of 68
Renal dysfunction
Stress ulcer
A client is diagnosed with peptic ulcer disease complicated by H. pylori. Why is bismuth added to the regimen?
Increases pepsin activity
Decreases gastrin secretion
Prevents metabolic alkalosis
Provides antibacterial effects
A client in the ICU is administered ranitidine parenterally. When will peak blood levels be achieved?
(a)
The nurse practitioner instructs a client to use OTC ranitidine instead of cimetidine. What risk is decreased?
Headache
Drug-to-drug interaction
Diarrhea
Bradycardia
Cimetidine should be used cautiously in clients with what condition?
Hepatic disease
Cancer
Hypertension
Diabetes mellitus
Which adverse effect is more likely with cimetidine compared to other H2 antagonists?
Hypoxia
Hypertension
Gynecomastia
Seizures
What instruction should be included when teaching a young female client about misoprostol?
Supplement therapy with magnesium antacids.
Report postmenopausal bleeding.
Use effective contraceptive measures.
A client is prescribed a proton pump inhibitor for erosive gastritis. How soon will symptoms likely resolve?
1 to 2 weeks
6 weeks
10 weeks
12 weeks
Which are causative factors for peptic ulcer disease?
Physiologic or psychological stress
Diabetes mellitus
Cigarette smoking
Infections
Nonsteroidal anti-inflammatory drugs
How should antacid dose and frequency be titrated in a client with an NG tube?
By assessing the pH of a 24-hour urine sample
By aspirating stomach contents and measuring the pH
By measuring the pH of urine after each void
By swabbing buccal mucosa and testing pH daily
A client frequently taking calcium-based antacids should be educated to prevent which adverse effect?
Constipation
Urinary frequency
Fatty stools
Nausea
How does ranitidine achieve a therapeutic effect?
Raising the pH of gastric secretions
Inhibiting the secretion of gastric acid
Binding to proton pumps
Decreasing gastric motility
What is the recommended schedule for antacid use for PUD symptom relief?
At the earliest appearance of symptoms
Immediately prior to meals and at bedtime
Every 4 hours during waking hours
1 and 3 hours after meals and at bedtime
What is the correct instruction for omeprazole administration?
Don't take it on days without symptoms.
Works better if taken after meals.
Try taking it at bedtime if it stops working.
Take it before breakfast.
When taking a patient’s history, the nurse notes that the patient is taking warfarin and cimetidine concurrently. The nurse should anticipate which of the following?
Warfarin effects would be increased.
Cimetidine effects would be increased.
Warfarin effects would be decreased.
Cimetidine effects would be decreased.
A 69-year-old patient seen in the GI clinic for heartburn is prescribed famotidine. Which of the following statements by the patient indicates an understanding of the patient teaching received related to minimizing acid reflux? (Select all that apply.)
Elevate the head of the bed
Avoid smoking
Minimize intake of fats, chocolate, citric juices, coffee, and alcohol
Avoid lying down for 1 to 2 hours after eating
Avoid constipation
Which fact regarding administration should the nurse include in patient teaching about the drug sucralfate?
Take sucralfate concurrently with an antacid.
Take sucralfate after meals.
Take sucralfate before meals.
Take sucralfate 2 hours before meals.
The nurse would question the use of misoprostol in which population?
children under 5 years of age
adults with concurrent use of antacid
pregnant people at all stages of pregnancy
older adults with concurrent use of cimetidine
Adverse effects of cimetidine include which of the following? (Select all that apply.)
headache
constipation
gynecomastia
diarrhea
confusion
