Exam 27: Histamine-2 Blockers and Proton Pump Inhibitors

A patient has NSAID-induced ulcer and has started taking ranitidine (Zantac).At a follow-up appointment 3 days later,the patient reports no alleviation of symptoms.The primary care NP should:

A patient who has severe arthritis and who takes nonsteroidal antiinflammatory drugs (NSAIDs)daily develops a duodenal ulcer.The patient has tried a cyclooxygenase-2 selective NSAID in the past and states that it is not as effective as the current NSAID.The primary care nurse practitioner (NP)should:

A patient with erosive esophagitis is taking lansoprazole (Prevacid).The primary care NP performs a medication history and learns that the patient also takes digoxin.The NP should recommend:

A patient with a diagnosis of peptic ulcer disease asks the primary care NP about nonpharmacologic treatment.Which statement by the NP is correct?

A patient is given a diagnosis of peptic ulcer disease.A laboratory test confirms the presence of Helicobacter pylori.The primary care NP orders a proton pump inhibitor (PPI)before meals twice daily,clarithromycin,and amoxicillin.After 14 days of treatment,H.pylori is still present.The NP should order:

An 80-year-old patient has a history of renal disease and develops a duodenal ulcer.The primary care NP should order a:

A postmenopausal woman develops NSAID-induced ulcer.The primary care NP should prescribe:

A patient with peptic ulcer disease is taking a histamine-2 blocker and tells the primary care NP that over-the-counter antacid tablets help with the discomfort.The NP should tell this patient to: