NUR 225 Chapter 37: Drugs
Therapy for Peptic Ulcer Disease
and Hyperacidity||Newest Update
The nurse is preparing to administer a prescribed medication to a client diagnosed with
GERD. If the nurse discovers the client has a history of vitamin B12, which
medication(s) will the nurse administer cautiously? Select all that apply.
Pantoprazole
Sucralfate
Promethazine
Rabeprazole
Metoclopramide -CORRECT ANSWER Rabeprazole
Pantoprazole
A 30-year-old nonpregnant client is prescribed misoprostol. Which of the following
should the nurse instruct the client as part of the teaching plan?
Swallow the tablet one hour before eating.
Use a reliable contraceptive.
Administer the drug one hour before travel.
Do not chew, open, or crush the tablet. -CORRECT ANSWER Use a reliable
contraceptive.
A client is prescribed esomeprazole. The nurse would understand that this drug would
be given by which route? (Select all that apply.)
Oral
Intramuscular
Intravenous
Topically
Subcutaneous
Transdermal -CORRECT ANSWER Oral
Intravenous
When describing the possible adverse effects associated with omeprazole therapy,
which of the following would the nurse identify as least common?
Alopecia
Headache
Cough
Dizziness -CORRECT ANSWER Alopecia
The health care provider has prescribed sucralfate for a client with a gastric ulcer. The
client asks how long they must take this medication. What is the nurse's best response
to this client?
"You will need to take this medication for the rest of your life."
, "You will take it for 5 days, then skip 5 days, then take it for another 5 days and you will
be done with it."
"You will need to take this medication for 4 to 8 weeks to ensure healing has occurred."
"You must take this medication for the full 10 days." -CORRECT ANSWER "You will
need to take this medication for 4 to 8 weeks to ensure healing has occurred."
A client is diagnosed with Helicobacter pylori infection. The health care provider will
order amoxicillin and what other type of medication?
Antacids
Proton pump inhibitors
Sucralfate
H2RAs -CORRECT ANSWER Proton pump inhibitors
Following an endoscopy, a 66-year-old male client has been diagnosed with a duodenal
ulcer resulting from Helicobacter pylori infection. Which medication will likely be used in
an attempt to eradicate the client's H. pylori infection? (Select all that apply.)
Aluminum hydroxide
Ondansetron (Zofran)
Cisapride (Propulsid)
A PPI
Antibiotics -CORRECT ANSWER Antibiotics
A PPI
The nurse is caring for a 27-year-old female client who is prescribed misoprostol. What
is a priority for the nurse to include when teaching this client?
"Do not take NSAIDs with this drug."
"You will need to use a barrier-type contraceptive."
Adverse effects include nausea and diarrhea.
It protects the lining of the stomach. -CORRECT ANSWER "You will need to use a
barrier-type contraceptive."
Ranitidine and cimetidine are both H2RAs used in the treatment of peptic ulcer disease.
Of the two, ranitidine is preferred in critically ill clients because it is less likely to:
result in hypotension.
cause diarrhea.
cause macular rash and cough.
interfere with the metabolism of other drugs. -CORRECT ANSWER interfere with the
metabolism of other drugs.
A group of nursing students are analyzing the various categories of upper
gastrointestinal system drugs. The instructor determines the session is successful when
the students correctly choose which drug(s) as an example of a proton pump inhibitor?
Esomeprazole
Misoprostol
Sucralfate
Nizatidine
Therapy for Peptic Ulcer Disease
and Hyperacidity||Newest Update
The nurse is preparing to administer a prescribed medication to a client diagnosed with
GERD. If the nurse discovers the client has a history of vitamin B12, which
medication(s) will the nurse administer cautiously? Select all that apply.
Pantoprazole
Sucralfate
Promethazine
Rabeprazole
Metoclopramide -CORRECT ANSWER Rabeprazole
Pantoprazole
A 30-year-old nonpregnant client is prescribed misoprostol. Which of the following
should the nurse instruct the client as part of the teaching plan?
Swallow the tablet one hour before eating.
Use a reliable contraceptive.
Administer the drug one hour before travel.
Do not chew, open, or crush the tablet. -CORRECT ANSWER Use a reliable
contraceptive.
A client is prescribed esomeprazole. The nurse would understand that this drug would
be given by which route? (Select all that apply.)
Oral
Intramuscular
Intravenous
Topically
Subcutaneous
Transdermal -CORRECT ANSWER Oral
Intravenous
When describing the possible adverse effects associated with omeprazole therapy,
which of the following would the nurse identify as least common?
Alopecia
Headache
Cough
Dizziness -CORRECT ANSWER Alopecia
The health care provider has prescribed sucralfate for a client with a gastric ulcer. The
client asks how long they must take this medication. What is the nurse's best response
to this client?
"You will need to take this medication for the rest of your life."
, "You will take it for 5 days, then skip 5 days, then take it for another 5 days and you will
be done with it."
"You will need to take this medication for 4 to 8 weeks to ensure healing has occurred."
"You must take this medication for the full 10 days." -CORRECT ANSWER "You will
need to take this medication for 4 to 8 weeks to ensure healing has occurred."
A client is diagnosed with Helicobacter pylori infection. The health care provider will
order amoxicillin and what other type of medication?
Antacids
Proton pump inhibitors
Sucralfate
H2RAs -CORRECT ANSWER Proton pump inhibitors
Following an endoscopy, a 66-year-old male client has been diagnosed with a duodenal
ulcer resulting from Helicobacter pylori infection. Which medication will likely be used in
an attempt to eradicate the client's H. pylori infection? (Select all that apply.)
Aluminum hydroxide
Ondansetron (Zofran)
Cisapride (Propulsid)
A PPI
Antibiotics -CORRECT ANSWER Antibiotics
A PPI
The nurse is caring for a 27-year-old female client who is prescribed misoprostol. What
is a priority for the nurse to include when teaching this client?
"Do not take NSAIDs with this drug."
"You will need to use a barrier-type contraceptive."
Adverse effects include nausea and diarrhea.
It protects the lining of the stomach. -CORRECT ANSWER "You will need to use a
barrier-type contraceptive."
Ranitidine and cimetidine are both H2RAs used in the treatment of peptic ulcer disease.
Of the two, ranitidine is preferred in critically ill clients because it is less likely to:
result in hypotension.
cause diarrhea.
cause macular rash and cough.
interfere with the metabolism of other drugs. -CORRECT ANSWER interfere with the
metabolism of other drugs.
A group of nursing students are analyzing the various categories of upper
gastrointestinal system drugs. The instructor determines the session is successful when
the students correctly choose which drug(s) as an example of a proton pump inhibitor?
Esomeprazole
Misoprostol
Sucralfate
Nizatidine
