2024 PHARM PREPU CH.57 EXAM
WITH CORRECT ANSWERS
A 75-year-old client is treating an ulcer with antacids. Based on the client's
age, the nurse expects the health care provider to prescribe a dose of
antacid that compares with the average prescribed dose in what way? -
CORRECT-ANSWERSSmaller than the average prescribed dose
A client is taking cimetidine for increased gastric pain and hypersecretion.
Nurses should use caution when administering cimetidine to those with
which condition? - CORRECT-ANSWERSHepatic disease
Which medication reduces the secretion of gastric acid by inhibition of the
hydrogen-potassium adenosine triphosphate (ATPase) enzyme system of the
gastric parietal cells? Select all that apply. - CORRECT-
ANSWERS*Lansoprazole
*Esomeprazole
A client has a history of liver dysfunction. Which histamine-2 receptor
antagonist would the nurse expect to be prescribed? - CORRECT-
ANSWERSNizatidine
A client is diagnosed with Helicobacter pylori infection. The health care
provider will order amoxicillin and what other type of medication? -
CORRECT-ANSWERSProton pump inhibitors
A nurse is teaching a client about omeprazole, which has been prescribed as
part of a regimen to treat an H. pylori infection. What statement, made by
the client, suggests that the client understands proper use of the drug? -
CORRECT-ANSWERS"I need to swallow the drug whole."
The nurse is caring for a patient who has been prescribed a saliva
substitute . The patient asks why this medication is necessary. What would
be the most appropriate response? - CORRECT-ANSWERS"This medication
helps people that have a condition that creates a lack of saliva."
A 52-year-old man is suffering from a deficiency of exocrine pancreatic
secretions and is prescribed pancrelipase (Pancrease MT). Before the
medication therapy begins, the nurse will assess for allergies related to -
CORRECT-ANSWERSPork
, A nurse is caring for an elderly patient who has been administered
cimetidine. Which intervention should the nurse perform? - CORRECT-
ANSWERSClosely monitor the patient for confusion and dizziness.
A client is receiving sucralfate. The nurse understands that this drug would
begin to act within which time frame? - CORRECT-ANSWERS30 minutes
A woman with numerous chronic health problems has been diagnosed with a
benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of
the following teaching points should the nurse provide to this patient? -
CORRECT-ANSWERS"Quitting smoking will significantly increase the chance
that this drug will heal your ulcer."
A client is prescribed a proton pump inhibitor to treat erosive gastritis. How
soon will the client's symptoms be resolved? - CORRECT-ANSWERS1 to 2
weeks
A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac)
taken PO at bedtime. Even though few adverse effects are associated with
this drug, one common adverse effect that can be severe is: - CORRECT-
ANSWERSheadache.
A 75-year-old client is diagnosed with type 2 diabetes mellitus, hypertension,
osteoporosis, and gastric ulcer disease. She is prescribed PPIs. The nurse is
aware that long-term (greater than 1 year) administration of PPIs may
increase the risk for which problem for this client? - CORRECT-ANSWERSHip
fractures
A nurse is teaching a client about his prescribed lansoprazole. The nurse
instructs the client to take the drug at which time? - CORRECT-ANSWERS1
hour before eating
The nurse practitioner instructs the client to use over-the-counter ranitidine
instead of cimetidine. What risk is decreased when using ranitidine rather
than cimetidine? - CORRECT-ANSWERSDrug-to-drug interaction
The nurse is caring for four clients. Which client would benefit most from
misoprostol, a synthetic prostaglandin E analog? - CORRECT-ANSWERSAn 83-
year-old male with rheumatoid arthritis
A client who takes aluminum hydroxide with magnesium hydroxide (Mylanta)
frequently for upset stomach, heartburn, and sour stomach is seen regularly
in the clinic. The nurse should assess: - CORRECT-ANSWERSserum phosphate
level.
WITH CORRECT ANSWERS
A 75-year-old client is treating an ulcer with antacids. Based on the client's
age, the nurse expects the health care provider to prescribe a dose of
antacid that compares with the average prescribed dose in what way? -
CORRECT-ANSWERSSmaller than the average prescribed dose
A client is taking cimetidine for increased gastric pain and hypersecretion.
Nurses should use caution when administering cimetidine to those with
which condition? - CORRECT-ANSWERSHepatic disease
Which medication reduces the secretion of gastric acid by inhibition of the
hydrogen-potassium adenosine triphosphate (ATPase) enzyme system of the
gastric parietal cells? Select all that apply. - CORRECT-
ANSWERS*Lansoprazole
*Esomeprazole
A client has a history of liver dysfunction. Which histamine-2 receptor
antagonist would the nurse expect to be prescribed? - CORRECT-
ANSWERSNizatidine
A client is diagnosed with Helicobacter pylori infection. The health care
provider will order amoxicillin and what other type of medication? -
CORRECT-ANSWERSProton pump inhibitors
A nurse is teaching a client about omeprazole, which has been prescribed as
part of a regimen to treat an H. pylori infection. What statement, made by
the client, suggests that the client understands proper use of the drug? -
CORRECT-ANSWERS"I need to swallow the drug whole."
The nurse is caring for a patient who has been prescribed a saliva
substitute . The patient asks why this medication is necessary. What would
be the most appropriate response? - CORRECT-ANSWERS"This medication
helps people that have a condition that creates a lack of saliva."
A 52-year-old man is suffering from a deficiency of exocrine pancreatic
secretions and is prescribed pancrelipase (Pancrease MT). Before the
medication therapy begins, the nurse will assess for allergies related to -
CORRECT-ANSWERSPork
, A nurse is caring for an elderly patient who has been administered
cimetidine. Which intervention should the nurse perform? - CORRECT-
ANSWERSClosely monitor the patient for confusion and dizziness.
A client is receiving sucralfate. The nurse understands that this drug would
begin to act within which time frame? - CORRECT-ANSWERS30 minutes
A woman with numerous chronic health problems has been diagnosed with a
benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of
the following teaching points should the nurse provide to this patient? -
CORRECT-ANSWERS"Quitting smoking will significantly increase the chance
that this drug will heal your ulcer."
A client is prescribed a proton pump inhibitor to treat erosive gastritis. How
soon will the client's symptoms be resolved? - CORRECT-ANSWERS1 to 2
weeks
A 42-year-old man is being treated for a peptic ulcer with ranitidine (Zantac)
taken PO at bedtime. Even though few adverse effects are associated with
this drug, one common adverse effect that can be severe is: - CORRECT-
ANSWERSheadache.
A 75-year-old client is diagnosed with type 2 diabetes mellitus, hypertension,
osteoporosis, and gastric ulcer disease. She is prescribed PPIs. The nurse is
aware that long-term (greater than 1 year) administration of PPIs may
increase the risk for which problem for this client? - CORRECT-ANSWERSHip
fractures
A nurse is teaching a client about his prescribed lansoprazole. The nurse
instructs the client to take the drug at which time? - CORRECT-ANSWERS1
hour before eating
The nurse practitioner instructs the client to use over-the-counter ranitidine
instead of cimetidine. What risk is decreased when using ranitidine rather
than cimetidine? - CORRECT-ANSWERSDrug-to-drug interaction
The nurse is caring for four clients. Which client would benefit most from
misoprostol, a synthetic prostaglandin E analog? - CORRECT-ANSWERSAn 83-
year-old male with rheumatoid arthritis
A client who takes aluminum hydroxide with magnesium hydroxide (Mylanta)
frequently for upset stomach, heartburn, and sour stomach is seen regularly
in the clinic. The nurse should assess: - CORRECT-ANSWERSserum phosphate
level.
