Exam 78: Drugs for Peptic Ulcer Disease

A patient who has gastroesophageal reflux disease (GERD)receives a prescription for a proton pump inhibitor (PPI)medication. What will the nurse include when teaching the patient about this drug?

A nursing student is caring for a patient who is taking sucralfate [Carafate] and ciprofloxacin [Cipro] to treat peptic ulcer disease. The student asks the nurse about the pharmacokinetics of sucralfate. Which statement by the student indicates a need for further teaching?

A patient is diagnosed with Zollinger-Ellison syndrome. Which medication does the nurse expect the provider to order for this patient?

When metronidazole [Flagyl] is a component of the H. pylori treatment regimen,the patient must be instructed to do what?

A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs)for arthritis asks a nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using which medication?

Which non-pharmaceutical intervention can be used to reduce symptoms of gastroesophageal reflux disease? (Select all that apply.)

An older adult patient with severe gastroesophageal reflux disease ( GERD )has had only minimal relief using a histamine₂-receptor antagonist ( H₂RA ). The patient is to begin taking omeprazole [Prilosec]. What will the nurse teach this patient?

Which are potentially worrisome adverse effects associated with proton pump inhibitor use in older patients? (Select all that apply.)

A 30-year-old male patient will begin a three-drug regimen to treat peptic ulcer disease. The regimen will consist of bismuth subsalicylate,tetracycline,and cimetidine [Tagamet]. The nurse will include which information when teaching this patient about this drug regimen?

The nurse is providing education to a patient who has been prescribed both an antacid and cimetidine [Tagamet]. Which instruction should the nurse give the patient about taking the medications?

A patient is diagnosed with peptic ulcer disease. The patient is otherwise healthy. The nurse learns that the patient does not smoke and that he drinks 1 or 2 glasses of wine with meals each week. The nurse anticipates that the provider will prescribe which drugs?

A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes ranitidine [Zantac] and sucralfate [Carafate]. The patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up. What will the nurse do?

A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA)for prevention of cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day and has a glass of wine with dinner 3 or 4 nights per week. The patient eats three meals a day. The nurse will counsel this patient to:

A patient stops taking a proton pump inhibitor (PPI)after 6 weeks of therapy for treatment of peptic ulcer disease. The patient reports symptoms of dyspepsia to the nurse. The nurse will tell this patient to: