NUR 301 EXAM 4 REVIEW QUESTIONS AND ACTUAL ANSWERS.
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Course
NU301
Institution
NU301
What do H2 blockers do? - Answer reduces gastric acid secretion and lowers concentration of hydrogen ions in the stomach
What do H2 blockers end with? - Answer -tidine
Ranitidine (Zantac)
H2 blockers use - Answer Peptic ulcer disease, GERD
ADR of H2 blockers - Answer impotenc...
NUR 301 EXAM 4 REVIEW QUESTIONS
AND ACTUAL ANSWERS.
What do H2 blockers do? - Answer reduces gastric acid secretion and lowers concentration of hydrogen
ions in the stomach
What do H2 blockers end with? - Answer -tidine
Ranitidine (Zantac)
H2 blockers use - Answer Peptic ulcer disease, GERD
ADR of H2 blockers - Answer impotence, gynecomastia, erectile dysfunction
A RN is taking care of a male patient who's been taking cimetidine for treatment of a duodenal ulcer.
Which of the following manifestations is priority to report to provider?
A. Emesis that looks like coffee grounds
B. Erectile dysfunction
C. muscle pain
D. gynecomastia - Answer A. Emesis that looks like coffee grounds! Indication of a GI bleed, meaning
the medication was ineffective.
What activities should a client avoid when taking an H2 blocker? - Answer Smoking, alcohol, foods that
cause GI irritation, NSAIDS
What do proton pump inhibitors do? - Answer Supresses gastric acid secretion
What do PPIs end with? - Answer -prazole
Omeprazole (Prilosec)
What do PPIs treat? - Answer GERD, peptic ulcers, reduces dyspepsia (burping, bloating, nausea)
,RN is providing discharge information for a client who had a bleeding ulcer and has been prescribed
omeprazole. Which of the following statements should the RN include in teaching?
A. "You will need to take this med for the next 6 months
B. "Taking this medication will decrease your risk of pneumonia"
C. "You should take this medication before breakfast everyday"
D. "Watch for the serious adverse effects of tachycardia and palpitations while taking this medication" -
Answer C! You should take omeprazole once daily 30 min before breakfast!
Carafate (Sucralfate) action - Answer Mucosal barrier: Coats the stomach and protects the lining from
further injury
Carafate (Sucralfate) uses - Answer Stomach pain, treatment/prevention of PUD
RN is administering a client the first dose of Sucralfate. Which of the following explanations should the
nurse use to explain the MOA?
A. "sucralfate decreases gastric acid secretions"
B. sucralfate forms a gel-like substance that protects ulcers
C. sucralfate inactivates H. Pylori
D. sucralfate inhibits the production of gastric acid - Answer B! action of sucralfate is the formation of
gel-like protectant that adheres to the surface of ulcers
A RN is teaching a client who has a prescription of sucralfate for treatment of a duodenal ulcer. Which of
the following statements from the client indicates an understanding of teaching?
A. "I should take this med 1 hour before all meals and at bedtime"
B. "I should only take this med for about 2 weeks"
C. "It's ok to take them with antacids"
D. "I should swallow these tablets whole" - Answer A! Sucralfate should be taken 4 times a day! Take 1
hour before breakfast, lunch, and dinner, and at bedtime. This allows time to coat the stomach before
eating.
What do antacids do? - Answer neutralize stomach acid
, Antacids we have to know for this test? (2) - Answer Aluminum hydroxide (amphojel) and calcium
carbonate
ADR of antacids? - Answer Constipation! Encourage diet rich in fiber and increased hydration
An RN is teaching a client who has dyspepsia about antacids. Which education should she include?
A. Take antacids 1 hour before or 2 hours after other medications
B. Increase your sodium intake to avoid hyponatremia
C. avoid combining antacids due to increased risk of adverse effects
D. Antacids are taken 3 times daily - Answer A! Should take antacids at least 1 hour BEFORE other meds
or at least 2 hours AFTER other medications. Because they increase gastric pH they interfere with
medication absorption.
Action of Prostaglandin E Analogs - Answer decreases gastric acid secretion and increases the
production of protective mucous (bicarbonate and gastric mucous)
Example of Prostaglandin E analog? - Answer Misoprostol (Cytotec)
Pregnancy risk category of misoprostol? - Answer CATEGORY X
Has the potential to stimulate uterine contractions, and has been known to cause miscarriages
Bismuth Subsalicylate MOA - Answer coats ulcers and erosions, protects against further damage
Example of bismuth subsalicylate? - Answer pepto-bismol
Zofran (ondansetron) - Answer Antiemetic; prevention or treatment of N/V
ADR Zofran - Answer Intense headaches, drowsiness
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