C HAPTER 50: A CID -C ONTROLLING D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient will be taking a 2 -week course of combination therapy with
omeprazole and another drug for a peptic ulcer caused by Helicobacter
pylori. The nurse expects a drug from which class to be ordered with the
omeprazole?
a. Antibiotic
b. Nonsteroidal anti -inflammatory drug
c. Antacid
d. Antiemetic
ANS: A
The antibiotic clarithrom ycin is active against H. pylori and is used in
combination with omeprazole to eradicate the bacteria. First -line
therapy against H. pylori includes a 10 - to 14-day course of a proton
pump inhibitor such as omeprazole, plus the antibiotics clarithrom ycin
and either amoxicillin or metronidazole, or a combination of a prot on
pump inhibitor, bismuth subsalicylate, and the antibiotics tetracycline
and metronidazole. Many different combinations are used.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
, 2. A patient is asking advice about which over -the-counter antacid is
considered the most safe to use for heartburn. The nurse explains that the
reason that calcium antacids are not used as frequentl y as other antac ids is
for which of these reasons?
a. Their use may result in kidney stones.
b. They cause decreased gastric acid production.
c. They cause severe diarrhea.
d. Their use may result in fluid retention and edema.
ANS: A
Calcium antacids are not used as frequently as ot her antacids because
their use may lead to the development of kidney stones; they also cause
increased gastric acid production. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. At 0900, the nurse is about to give morning medications, and the patient
has asked for a dose of antacid for severe heartburn. Which schedule for
the antacid and medications is correct?
a. Give both the antacid and medications at 0900.
b. Give the antacid at 0900, and then the medications at 0930.
c. Give the medications at 0900, and then the antacid at 1000.
d. Give the medications at 0900, and then the antacid at 0915.
ANS: C
Medications are not to b e taken, unless prescribed, within 1 to 2 hours
of taking an antacid because of the impact on the absorption of many
medications in the stomach.
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A patient will be taking a 2 -week course of combination therapy with
omeprazole and another drug for a peptic ulcer caused by Helicobacter
pylori. The nurse expects a drug from which class to be ordered with the
omeprazole?
a. Antibiotic
b. Nonsteroidal anti -inflammatory drug
c. Antacid
d. Antiemetic
ANS: A
The antibiotic clarithrom ycin is active against H. pylori and is used in
combination with omeprazole to eradicate the bacteria. First -line
therapy against H. pylori includes a 10 - to 14-day course of a proton
pump inhibitor such as omeprazole, plus the antibiotics clarithrom ycin
and either amoxicillin or metronidazole, or a combination of a prot on
pump inhibitor, bismuth subsalicylate, and the antibiotics tetracycline
and metronidazole. Many different combinations are used.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
, 2. A patient is asking advice about which over -the-counter antacid is
considered the most safe to use for heartburn. The nurse explains that the
reason that calcium antacids are not used as frequentl y as other antac ids is
for which of these reasons?
a. Their use may result in kidney stones.
b. They cause decreased gastric acid production.
c. They cause severe diarrhea.
d. Their use may result in fluid retention and edema.
ANS: A
Calcium antacids are not used as frequently as ot her antacids because
their use may lead to the development of kidney stones; they also cause
increased gastric acid production. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. At 0900, the nurse is about to give morning medications, and the patient
has asked for a dose of antacid for severe heartburn. Which schedule for
the antacid and medications is correct?
a. Give both the antacid and medications at 0900.
b. Give the antacid at 0900, and then the medications at 0930.
c. Give the medications at 0900, and then the antacid at 1000.
d. Give the medications at 0900, and then the antacid at 0915.
ANS: C
Medications are not to b e taken, unless prescribed, within 1 to 2 hours
of taking an antacid because of the impact on the absorption of many
medications in the stomach.
