Week 2 Quiz: NURS 180 / NURS180 (Latest 2026/2027 Update) | Pharmacology | Verified Questions & Answers | 100% Correct Solutions | Grade A | WCU

Week 2 Quiz: NURS 180 / NURS180 (Latest 2026/2027 Update) | Pharmacology | Verified Questions & Answers | 100% Correct Solutions | Grade A | WCU Q: Name the gastrointestinal disorders discussed in this unit. Answer peptic ulcer disease and gastroesophageal reflux disease Q: Define peptic ulcer disease (PUD). Answer an ulcer or erosion that occurs in the esophagus, stomach, or duodenum Q: Define gastroesophageal reflux disease (GERD). Answer inflammation of the esophageal mucosa caused by reflux of gastric acid contents into the esophagus Q: List the predisposing factors for peptic ulcer disease (PUD). Answer h. pylori, nsaids, spicy foods, and alcohol Q: True or False: non-pharmacologic and pharmacologic interventions for GERD and PUD are similar. Answer true Q: Name the six classes of medications utilized to treat gastrointestinal disorders along with their abbreviations. Answer proton pump inhibitors (PPI) h2 receptor antagonists (H2RA) antacids prokinetic agents mucosal protectant prostaglandin e analogue Q: Name the generic prototype for the six classes of medications utilized to treat gastrointestinal disorders in the following order: Answer proton pump inhibitors (PPI) h2 receptor antagonists (H2RA) antacids prokinetic agents mucosal protectant protaglandin e analogue proton pump inhibitors (PPI) - omeprazole h2 receptor antagonists (H2RA) - cimetidine antacids - aluminum hydroxide prokinetic agents - metoclopramide mucosal protectant - sucralfate prostaglandin e analogue - misoprostol Q: The mechanism of action for this class of medication is to stop/slow the production of stomach acid by stopping the proton pump. Answer proton pump inhibitors (PPI) Q: The mechanism of action for this class of medication is to block H2 receptors in the stomach in order to suppress the secretion of gastric acid. Answer h2 receptor antagonists (H2RA) Q: The mechanism of action for this class of medication is to neutralize or reduce the acidity of gastric acid. Answer antacids Q: The mechanism of action for this class of medication is to Answer 1. block dopamine and serotonin receptors to stop vomiting 2. augment action of acetylcholine (ACh) to cause an increase in upper GI motility, increasing peristalsis metoclopramide Q: The mechanism of action for this class of medication is to turn into a jelly-like protective barrier that adheres to an ulcer to protect it from further injury. Answer sucralfate Q: The mechanism of action for this class of medication is to Answer 1. suppress gastric acid secretion and increase protective mucus 2. act as prostaglandin by increasing protective mucus prostaglandin e analogue Q: The ultimate goal of these three classes of medications is to lower stomach acid. Answer proton pump inhibitors (PPI), h2 receptor antagonists (H2RA), antacids Q: This class of medication is to be taken by mouth once daily before breakfast and can be administered intravenously. Provide the name of the class of medication along with its prototype in the following format: class (prototype). Answer proton pump inhibitors (omeprazole) Q: This class of medication is to be taken by mouth once daily at bedtime with or without food and can be administered intravenously. Provide the name of the class of medication along with its prototype in the following format: class (prototype). Answer h2 receptor antagonists (cimetidine) Q: This class of medication is to be taken by mouth 1 to 3 hours after meals and at bedtime. Provide the name of the class of medication along with its prototype in the following format: class (prototype). Answer antacids (aluminum hydroxide) Q: This class of medication is to be taken by mouth or intravenously. There are no other special instructions. Provide the name of the class of medication along with its prototype in the following format: class (prototype). Answer prokinetic agents (metoclopramide) Q: This class of medication is to be taken by mouth four times a day, 1 hour before meals and at bedtime. Make sure not to crush or chew. Can be dissolved in water. Provide the name of the class of medication along with its prototype in the following format: class (prototype). Answer musosal protectant (sucralfate) Q: This class of medication is to be taken by mouth with meals and at bedtime. There are no other special instructions. Provide the name of the class of medication along with its prototype in the following format: class (prototype). Answer prostaglandin e analogue (misoprostol) Q: List the special remarks for the therapeutic use of proton pump inhibitors (PPI). Answer - proton pump inhibitors are designed for the short term therapy of PUD and GERD which lasts for 4 to 8 weeks Q: List the special remarks for the complications of proton pump inhibitors (PPI). Answer - in the short term therapy of proton pump inhibitors, the most common complication is headache - in the long term therapy of proton pump inhibitors, the complications are pneumonia, osteoporosis, rebound acid hypersecretion, and c-diff Q: Describe the phenomena of the complications that come with the long term therapy of proton pump inhibitors. Answer gastric acid kills bacteria and can influence the absorption of nutrients such as calcium. this can lead to a decrease in immunity and bone-loss. Q: True or False: do not crush or chew SR/ER capsules. Answer true Q: To reduce the possibility for occurrence of osteoporosis when administering a omeprazole, what might the nurse suggest to the patient? Answer increase calcium and vitamin d intake What is a special precaution for proton pump inhibitors (PPI)? Answer copd List the special remarks for the complications of h2 receptor antagonists (H2RA). Answer - dizziness: the blocking of a histamine can make a patient sleepy - blood dyscrasia: concerning the formation of rbc, wbc, and platelets Blood dyscrasia is a complication for h2 receptor antagonists (H2RA). What are the primary concerns for blood dyscrasia? Answer infection, anemia, and bleeding Blood dyscrasia is a complication for h2 receptor antagonists (H2RA) and can occur at _______ doses of H2RA. Answer high A common precaution of these three classes of medications is hepatic/renal impairment. Answer h2 receptor antagonists, antacids, and mucosal protectants List the special remarks for the complications of antacids. Answer - constipation is the most common complication for aluminum and potassium containing antaacids - alkalosis is the most common complication for sodium containing antaacids - dependening on which mineral is contained in the antacid will determine its complication Alkalosis is the most common complication for sodium containing antacids. What is alkalosis? Answer a condition concerning the increase of bicarbonate in the blood True or False: antacids cannot be administered with other oral medications. Answer true Why can't antacids be administered with other oral medications? antacids affect the absorption of other medications Which class of medication can only be administered with antacids and how long must the nurse wait to administer the medication after administering the antacid to the patient? proton pump inhibitors; 2 hours List the special remarks for the nursing considerations of antacids. - chew tablets and take with at least 8 ounces of water - shake liquid formulations before administration - encourage fluid and fiber intake What are the therapeutic uses of prokinetic agents when administered intravenously? nvd What are the therapeutic uses of prokinectic agents when administered orally? gerd and diabetic gastroparesis Prokinetic agents, when taken orally, are utilized to treat diabetic gastroparesis. What is diabetic gastroparesis and how do prokinetic agents treat the condition? diabetic gastroparesis is a delay in gastric emptying. for paralyzed bowels, prokinetic agents promote bowel movement List the special remarks for the complications of prokinetic agents. Extapyramidal symptoms (EPS) are a complication for prokinetic agents. Explain how prokinetic agents can effect extrapyramidal symtoms (EPS). medications that mess with dopamine or serotonin can lead to the manifestation of extrapyramidal symptoms such as ticks and twitching List the special remarks for the precautions/contraindicated of prokinetic agents. - seizure disorders: cannot administer to patients at risk for seizures because there is a likelihood for increasing risk Which substances can interact with prokinetic agents and cannot be administered? alcohol and cns depressants because they can make the patient too sleepy List the special remarks for the complications of muscosal protectants. - constipation is the most common complication for mucosal protectants Why are mucosal protectants taken many times (four times) throughout the day? mucosal protectants are taken many times throughout the day in order to coat the ulcer and prevent the acid from damaging the ulcer List the special remarks for the therapeutic use of prostaglandin e analogue. Which of the classes of medications utilized to treat gastrointestinal disorders are a pregnancy category x and why? prostaglandin e analogue is a pregnancy category x because they can increase contraction List the special remarks for the complications of prostaglandin e analogue. - diarrhea: do not use for patients breast feeding as it can cause severe diarrhea in infants - dysmenorrhea: very painful menstrual cycle True or False: you must warn a patient that a medication is a pregnancy category x verbally and in writing. true True or False: a patient can have a positive pregnancy test if they are prescribed a prostaglandin e analogue. false A female patient with a peptic ulcer asks the nurse if misoprostol would be a good option for her because it works well for her mother. Upon review of her medication list, it is noted that she takes a prenatal vitamin daily. What will the nurse do? Notify the patient verbally and in writng that misoprostol is contraindicated for pregnancy and women of childbearing age. Ondansetron Anticholinergic Antiemetic Torsades de Pointes Serotonin antagonist Omeprazole Binds to H+ K+ ATPase Risk for Osteoporosis Risk Hypomagnesemia Proton Pump Inhibitor Misoprostol (female pt) Nursing Priority to check Ensure the Pt is on her 2nd day of menopause Ondansetron What do we monitor? Pt ECG Long term use of Omprazole Pneumonia Fractures C. diff Increases HCl secretion T/F Antiemetics place Pt @ risk for hypertension Fasle T/F Prochlorperazine places pt @ risk for EPS True Dimenhydrinate antihistamine Ondansetron serotonin antagonist Omprezole Inhibits H+ K+ ATPase Misoprostrol Prostaglandin E Analog Aluminum Hydroxide Increase Gastic pH Sucralfate Coats stomach ulcers Prochlorperazine Possible side effects: EPS Cimetidine gynecomastia Misoprostol pregnancy category? What is a nursing priority nursing measure X Negative serum pregnancy test Omeprazole with digoxin. Nursing priority? Monitor digoxin levels Cimetidine with Warfarin. Nursing priority? Monitor PT & INR Omeprazole greatest concern associated with low magnesium Seizures Xerostomia Nursing Intervention suck on hard candy Ondansetron Serotonin antagonist on afferent vagal neurons (Upper GI Tract) Cimetidine (male pt) blocks? androgen Dimenhydrinate (Dramamine) works by blocking receptors in the vestibular apparatus to the vomiting center