Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
Pharmacological Aspects of Nursing Care 8Th Edition By Broyles Reiss Evans
$2.99
CHAPTER 24: AGENTS USED TO TREAT HYPERACIDITY AND GERD
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
A tense 32-year-old junior executive for a large corporation has had recurrent episodes of abdominal pain, anorexia, and vomiting for the last two years. The client describes his pain as a burning sensation. It is usually most severe just prior to meals and subsides upon ingestion of a meal. The client smokes two packs of cigarettes and drinks about eight cups of coffee each day. The client’s health care provider prescribes diazepam (Valium) 5 mg t.i.d. and Mylanta II Liquid 30 mL hourly.
| a. | hunger intensifies the pain. |
| b. | the prostaglandin level in his stomach is low. |
| c. | stomach acid and pepsin are not being consumed by food. |
| d. | his awareness of the pain is greater when his blood sugar is low. |
ANS: C
| Feedback | |
| A | Incorrect: Hunger may increase pain as a result of gastric spasms, but is not the best answer. |
| B | Incorrect: This is a false statement. |
| C | Correct: This causes an increase in the pain. |
| D | Incorrect: These two are not related to each other concerning gastric pain |
PTS: 1 REF: p. 572 OBJ: Cognitive Level: Application
| a. | “Smoking does not affect peptic ulcer disease (PUD).” |
| b. | “Smoking increases the secretion of stomach acid, as well as decreasing the acid-neutralizing capacity within the first part of the small intestines.” |
| c. | “Smoking contributes to the development of duodenal ulcers, because smokers do not eat as much or as frequently as nonsmokers.” |
| d. | “Smoking contributes to the development of duodenal ulcers, because swallowed nicotine can dissolve the intestinal lining.” |
ANS: B
| Feedback | |
| A | Incorrect: Smoking does affect PUD. |
| B | Correct: This is a factual answer and addresses the client’s question. |
| C | Incorrect: This is not a factual rationale. |
| D | Incorrect: This is not a factual rationale. |
PTS: 1 REF: p. 573 OBJ: Cognitive Level: Application
| a. | “Antacids are better for long-term use than proton pump inhibitors.” |
| b. | “Antacids heal ulcers and proton pump inhibitors treat the pain associated with peptic ulcers.” |
| c. | “You should really asked your doctor which one he prefers you use.” |
| d. | “Antacids neutralize gastric acid and proton pump inhibitors prevent the secretion of gastric acid.” |
ANS: D
| Feedback | |
| A | Incorrect: This is a false statement. |
| B | Incorrect: This is just the opposite of the facts. |
| C | Incorrect: This does not answer the client’s question. |
| D | Correct: This is a factual and responsive answer to the client’s question. |
PTS: 1 REF: p. 565 | p. 570
OBJ: Cognitive Level: Application
| a. | “I should ask my doctor for a medication other than indomethicin for my arthritis.” |
| b. | “Antacids can interfere with the elimination of my quinidine.” |
| c. | “Taking antacids will not affect my heart medication (digoxin).” |
| d. | “I should not take aspirin for pain, but use acetaminophen instead.” |
ANS: C
| Feedback | |
| A | Incorrect: This indicates client understanding of indomethicin being ulcerogenic. |
| B | Incorrect: This indicates client understanding. |
| C | Correct: Antacids decrease the absorption of digoxin, thus alter its effectiveness. |
| D | Incorrect: This indicates client understanding that aspirin is ulcerogenic. |
PTS: 1 REF: p. 566 OBJ: Cognitive Level: Evaluation
| a. | the antacid will coat the stomach more effectively. |
| b. | the antacid has a much longer duration of action. |
| c. | the meal is digested better without the presence of an antacid. |
| d. | the antacid needs to be taken on an empty stomach. |
ANS: B
| Feedback | |
| A | Incorrect: This is not a true statement. |
| B | Correct: When administered one hour after meals, antacids have a duration of three to four hours. |
| C | Incorrect: This is not a rationale for the timing of antacid administration. |
| D | Incorrect: If taken on an empty stomach, the duration is only 30 minutes. |
PTS: 1 REF: p. 573 OBJ: Cognitive Level: Comprehension
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$80.00 Original price was: $80.00.$60.00Current price is: $60.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$39.99 Original price was: $39.99.$19.99Current price is: $19.99.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
511 SW 10th Ave 1206, Portland, OR, United States