Exam 48: Antiulcer Drugs

The nurse is caring for a patient who will begin taking omeprazole (Prevacid)20 mg per day for 4 to 8 weeks to treat gastroesophageal reflux disease esophagitis.The nurse learns that the patient takes digoxin.The nurse will contact the provider for orders to

A male patient who has been taking a histamine₂ blocker for several months reports decreased libido and breast swelling.What will the nurse do?

A patient with a peptic ulcer has been diagnosed with H.pylori.The provider has ordered lansoprazole (Prevacid),clarithromycin (Biaxin),and metronidazole (Flagyl).The patient asks the nurse why two antibiotics are needed.The nurse will explain that two antibiotics

Which antacid is likely to cause acid rebound?

A patient who has symptoms of peptic ulcer disease will undergo a test that requires drinking a liquid containing 13C urea and breathing into a container.The nurse will explain to the patient that this test is performed to

A patient reports experiencing flatulence and abdominal distension to the nurse.Which over-the-counter medication will the nurse recommend?

A patient who recently began having mild symptoms of GERD is reluctant to take medication.What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

A patient who is diagnosed with peptic ulcer disease has been started on a regimen that includes ranitidine (Zantac)300 mg daily at bedtime.The patient calls the clinic 1 week later to report no relief from discomfort.What action will the nurse take?

The nurse is caring for a patient who has Zollinger-Ellison syndrome.Which medication order would the nurse question for this patient?

A patient has been taking famotidine (Pepcid)20 mg bid to treat an ulcer but continues to have pain.The provider has ordered lansoprazole (Prevacid)15 mg per day.The patient asks why the new drug is necessary,since it is more expensive.The nurse will explain that lansoprazole

A patient who has been taking ranitidine (Zantac)continues to have pain associated with peptic ulcer.A noninvasive breath test is negative.Which treatment does the nurse expect the provider to order for this patient?

An elderly patient reports using Maalox frequently to treat acid reflux.The nurse should notify the patient's provider to request an order for which laboratory tests?

A patient who takes propantheline bromine (Pro-Banthine)and omeprazole (Prilosec)for an ulcer will begin taking an antacid.The nurse will give which instruction to the patient regarding how to take the antacid?

A patient who has been instructed to use a liquid antacid medication to treat gastrointestinal upset asks the nurse about how to take this medication.What information will the nurse include when teaching this patient?

A patient is taking esomeprazole (Nexium)15 mg per day to treat a duodenal ulcer.After 10 days of treatment,the patient reports that the pain has subsided.The nurse will counsel the patient to