Chapter 50: Acid-Controlling Drugs

Chapter 50: Acid-Controlling Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient is receiving an aluminum-containing antacid. The nurse will inform the patient to watch for which possible adverse effect?

a.	Diarrhea
b.	Constipation
c.	Nausea
d.	Abdominal cramping

 

 

ANS:  B

Aluminum-based antacids have a constipating effect as well as an acid-neutralizing capacity. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   p. 803

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. When reviewing the health history of a patient who will be receiving antacids, the nurse recalls that antacids containing magnesium need to be used cautiously in patients with which condition?

a.	Peptic ulcer disease
b.	Renal failure
c.	Hypertension
d.	Heart failure

 

 

ANS:  B

Both calcium- and magnesium-based antacids are more likely to accumulate to toxic levels in patients with renal disease and are commonly avoided in this patient group. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 805

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

3. The nurse is reviewing the medication orders for a patient who will be taking an H₂ antagonist. Which drug may have an interaction if taken along with the H₂ antagonist?

a.	Ibuprofen (Motrin)
b.	Ranitidine (Zantac)
c.	Tetracycline (Doryx)
d.	Ketoconazole (Nizoral)

 

 

ANS:  D

All H₂ receptor antagonists may inhibit the absorption of certain drugs, such as the antifungal ketoconazole, that require an acidic gastrointestinal environment for gastric absorption. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 806

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?

a.	He takes the cimetidine with meals.
b.	He smokes two packs of cigarettes a day.
c.	He drinks a glass of water with each dose.
d.	He takes an antacid 3 hours after the cimetidine dose.

 

 

ANS:  B

Smoking may impair the absorption of H₂ antagonists. The other factors are correct interventions for this medication.

 

DIF:    COGNITIVE LEVEL: Analyzing (Analysis)                     REF:   p. 806

TOP:   NURSING PROCESS: Evaluation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

5. A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease (GERD). The nurse will include which statement in the teaching plan about this medication?

a.	“Take this medication once a day after breakfast.”
b.	“You will be on this medication for only 2 weeks for treatment of the reflux disease.”
c.	“The medication may be dissolved in a liquid for better absorption.”
d.	“The entire capsule must be taken whole, not crushed, chewed, or opened.”

 

 

ANS:  D

Omeprazole needs to be taken before meals, and an entire capsule must be taken whole, not crushed, chewed, opened, or dissolved in liquid when treating GERD. This medication is used on a long-term basis to maintain healing.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 811

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies