Chapter 33 Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Diseases

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Chapter 33  Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer
Diseases

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Which medication is used in the treatment of gastric reflux esophagitis and diabetic gastroparesis?
A.
Metoclopramide
B.
Misoprostol
C.
Pantoprazole
D.
Ranitidine

ANS: A

Feedback
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 GI tract.
B
Misoprostol is used to prevent and treat gastric ulcers caused by NSAIDs, including aspirin.
C
Pantoprazole does not treat gastroparesis.
D
Ranitidine does not treat gastroparesis.

DIF: Cognitive Level: Comprehension REF: 534
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

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?
A.
1 hour before meals
B.
With meals
C.
1 hour after meals
D.
With a bedtime snack

ANS: A

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

DIF: Cognitive Level: Application REF: 533
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

3. Which is a common adverse effect of magnesium-based antacid preparations?
A.
Heartburn
B.
Rebound indigestion
C.
Constipation
D.
Diarrhea

ANS: D

Feedback
A
Antacids are given to relieve heartburn.
B
Calcium-based antacids are likely to cause rebound indigestion.
C
Magnesium is often given as a laxative, in antacid form or as magnesium sulfate.
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.

DIF: Cognitive Level: Knowledge REF: 528
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

4. Cimetidine (Tagamet) is an example of which class of drug?
A.
Protokinetic agent
B.
Proton pump inhibitor
C.
Histamine (H2) receptor antagonist
D.
Coating agent

ANS: C

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

DIF: Cognitive Level: Knowledge REF: 529
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity

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