CHAPTER 24: AGENTS USED TO TREAT HYPERACIDITY AND GERD

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.

 

  1. The reason the client’s abdominal pain is most severe just prior to mealtime is because:
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

 

  1. The client asks the office nurse if his smoking can cause the development of peptic ulcer disease. The nurse’s best response is:
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

 

  1. The clients asks the nurse what the difference is between antacids and proton pump inhibitors. The nurse’s best response is:
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

 

  1. When teaching a client about antacids, which comment by the client indicates further teaching is needed:
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

 

  1. The nurse should teach a client taking an antacid to take it one hour after meals because:
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

Additional information

Add Review

Your email address will not be published. Required fields are marked *