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Nursingtbcom 268 chapter 50 acid controlling drugs

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NURSINGTB.COM268Chapter 50: Acid-Controlling DrugsChapter 50: Acid-Controlling DrugsMULTIPLE CHOICE1.A patient is receiving an aluminum-containing antacid. The nurse will inform the patient towatch for which possible adverse effect?a.Diarrheab.Constipationc.Nausead.Abdominal crampingANS: BAluminum-based antacids have a constipating effect as well as an acid-neutralizing capacity. Theother options are incorrect.DIF:COGNITIVE LEVEL: Remembering (Knowledge)TOP: NURSING PROCESS: PlanningMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies2.When reviewing the health history of a patient who will be receiving antacids, the nurse recallsthat antacids containing magnesium need to be used cautiously in patients with which condition?a.Peptic ulcer diseaseb.Renal failurec.Hypertensiond.Heart failureANS: BBoth calcium- and magnesium-based antacids are more likely to accumulate to toxic levels inpatients with renal disease and are commonly avoided in this patient group. The other options areincorrect.DIF:COGNITIVE LEVEL: Applying (Application)TOP: NURSING PROCESS: AssessmentMSC: NCLEX: Physiological Integrity: Reduction of Risk Potential3.The nurse is reviewing the medication orders for a patient who will be taking an H2antagonist.Which drug may have an interaction if taken along with the H2antagonist?a.Ibuprofen (Motrin)b.Ranitidine (Zantac)c.Tetracycline (Doryx)d.Ketoconazole (Nizoral)ANS: DAll H2receptor antagonists may inhibit the absorption of certain drugs, such as the antifungalketoconazole, that require an acidic gastrointestinal environment for gastric absorption. Theother options are incorrect.DIF:COGNITIVE LEVEL: Understanding (Comprehension)TOP: NURSING PROCESS: AssessmentNURSINGTB.COMLEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK
NURSINGTB.COM269Chapter 50: Acid-Controlling DrugsMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies4.A patient who has been taking cimetidine (Tagamet) for hyperacidity calls the clinic to say thatthe medication has not been effective. The nurse reviews his history and notes that which factormay 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: BSmoking may impair the absorption of H2antagonists. The other factors are correct interventionsfor this medication.DIF:COGNITIVE LEVEL: Analyzing (Analysis)TOP: NURSING PROCESS: EvaluationMSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies5.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?

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