Chapter 32: Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Chapter 32: Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which medication is used in the treatment of gastric reflux esophagitis and diabetic gastroparesis?

ANS:  A

Metoclopramide is a gastric stimulant used to relieve the symptoms of gastric reflux esophagitis and diabetic gastroparesis, aid in small bowel intubation, and stimulate gastric emptying and intestinal transit of barium after radiologic examination of the upper gastrointestinal (GI) tract. Misoprostol is used to prevent and treat gastric ulcers caused by NSAIDs, including aspirin. Pantoprazole and ranitidine do not treat gastroparesis.

DIF:    Cognitive Level: Comprehension     REF:   Page 502        OBJ:   4

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Inflammation; Nutrition

2. The nurse is preparing to administer medications and notes that a patient has sucralfate ordered qid. When is the best time to administer this medication?

ANS:  A

This medication should be administered on an empty stomach. Taking the medication with meals, 1 hour after meals, or with a bedtime snack does not allow the medication to form its protective coat of the gastric mucosa.

DIF:    Cognitive Level: Comprehension     REF:   Page 501 | Page 502

OBJ:   4 | 5                TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety: Nutrition

3. Which is a common adverse effect of magnesium-based antacid preparations?

ANS:  D

Magnesium oxide, magnesium hydroxide, and magnesium trisilicate are used in antacid preparations. All magnesium products can cause diarrhea. Milk of Magnesia is often taken for constipation. Antacids are given to relieve heartburn. Calcium-based antacids are likely to cause rebound indigestion. Magnesium is often given as a laxative, in antacid form or as magnesium sulfate.

DIF:    Cognitive Level: Knowledge            REF:   Page 496        OBJ:   5

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety; Elimination; Fluid and Electrolytes

4. Cimetidine (Tagamet) is an example of which class of drug?

ANS:  C

All H₂ receptor antagonists end in “dine.” Examples in this category include cimetidine, ranitidine, famotidine, and nizatidine. An example of a protokinetic agent is metoclopramide. An example of a proton pump inhibitor is omeprazole.

An example of a coating agent is sucralfate.

DIF:    Cognitive Level: Knowledge            REF:   Page 500        OBJ:   4

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment