NUR 242 Exam 4
omeprazole - correct answer ✔proton pump inhibitor
omeprazole expected use - correct answer ✔peptic ulcer disease
omeprazole expected action - correct answer ✔binds irreversibly to the
gastric proton pump to prevent the "pumping" or release of gastric acid from
parietal cells into the stomach lumen, thereby blocking the final step of acid
production
omeprazole side effects - correct answer ✔*bone fracture with long-term
use*
nausea, diarrhea, and headache
omeprazole cautions - correct answer ✔hypersensitivity, children under 18
omeprazole nursing considerations - correct answer ✔*safety is a priority
with long-term therapy because it can cause falls leading to broken bones*
before food intake, do not crush or chew, monitor for GI bleed, weight-bearing
exercise, try antacid first
"prazole" stem - correct answer ✔proton pump inhibitors
misoprostol - correct answer ✔Prostaglandin E analog
misoprostol expected use - correct answer ✔prevention of ulcers due to
NSAIDS
,misoprostol expected action - correct answer ✔decreases acid productions
and increases secretion of protective mucus
misoprostol side effects - correct answer ✔N&V, diarrhea, cramping
(abdominal and uterine), vaginal bleeding, miscarriage, HA
misoprostol cautions - correct answer ✔pregnancy
misoprostol nursing considerations - correct answer ✔*confirm pt is not
pregnant because spontaneous abortion can occur; notify provider of black
tarry stools and abdominal pain (signs/symptoms of GI bleed)*
take with meals and at bedtime, avoid taking magnesium antacids within 2
hours
sucralfate - correct answer ✔mucosal protectant
sucralfate expected use - correct answer ✔peptic ulcer disease
sucralfate expected action - correct answer ✔binds to normal and ulcerated
mucosa
sucralfate adverse effects - correct answer ✔*constipation*, dry mouth,
drowsiness, rash, hyperglycemia
sucralfate nursing considerations - correct answer ✔*take on empty stomach
- 1 hour before meals or 2 hours after*
meds 2 hours before, antacid decreases effectiveness, take with full glass of
water, do not chew or crush, avoid smoking, do not take longer than 8 weeks
, calcium carbonate - correct answer ✔antacids
calcium carbonate expected use - correct answer ✔GERD, PUD
calcium carbonate expected action - correct answer ✔alkaline compounds
that neutralize gastric acid
calcium carbonate side effects - correct answer ✔constipation, nausea, dry
mouth, anorexia
calcium carbonate cautions - correct answer ✔appendicitis or inflamed
bowel, renal failure
calcium carbonate nursing considerations - correct answer ✔*take with
water, NOT milk*
monitor stools, Mg and P levels, do not take within 2 hours of other drugs,
monitor GI bleed, decrease antibiotics and other drugs, use caution with
cardiac glycosides or sarcoidosis, renal or cardiac disease, do not use if
ventricular fibrillation or hypercalcemia
promethazine - correct answer ✔phenothiazine
promethazine expected use - correct answer ✔prevention and treatment of
N&V associated with surgery, anesthesia, migraines, chemo, and motion
sickness
promethazine expected action - correct answer ✔block dopamine from
receptor sites in the brain and CTZ
