Ch. 50 Acid-Controlling Drugs Flashcards
A patient is receiving an aluminum-containing antacid. The nurse will inform the patient to watch for which possible adverse effect?
Constipation
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?
Renal failure
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?
ranitidine (Zantac)
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?
He smokes two packs of cigarettes a day.
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?
The entire capsule must be taken whole, not crushed, chewed, or opened.
A patient is complaining of excessive and painful gas. The nurse checks the patient’s medication orders and prepares to administer which drug for this problem?
simethicone (Mylicon)
A 75-year-old woman comes into the clinic with complaints of muscle twitching, nausea, and headache. She tells the nurse that she has been taking sodium bicarbonate 5 or 6 times a day for the past 3 weeks. The nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate?
Metabolic alkalosis
A patient will be taking a 2-week course of combination therapy with omeprazole (Prilosec) and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse expects a drug from which class to be ordered with the omeprazole?
An antibiotic
A patient is asking advice about which over-the-counter antacid is considered the most safe to use for heartburn. The nurse explains that calcium antacids are not used as frequently as other antacids because
their use may result in kidney stones.
At 0900, the nurse is about to give morning medications, and the patient has asked for a dose of antacid for severe heartburn. Which schedule for the antacid and medications is correct?
Give the medications at 0900, and then the antacid at 1000.
During an admission assessment, the patient tells the nurse that he has been self-treating his heartburn for 1 year with over-the-counter Prilosec OTC (omeprazole, a proton pump inhibitor). The nurse is aware that this self-treatment may have which result?
Masked symptoms of serious underlying diseases
An elderly patient had gastric surgery due to a gastrointestinal bleed 3 days ago, and he has been stable since the surgery. This evening, his daughter tells the nurse, “He seems to be more confused this afternoon. He’s never been like this. What could be the problem?” The nurse reviews the patient’s medication record and suspects that which drug could be the cause of the patient’s confusion?
cimetidine (Tagamet)
The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential adverse effects. Which statement is correct?
Long-term use of these drugs may contribute to osteoporosis.
A patient in the intensive care unit has a nasogastric tube and is also receiving a proton pump inhibitor (PPI). The nurse recognizes that the purpose of the PPI is which effect?
Prevent stress ulcers
The nurse is providing patient teaching about antacids. Which statements about antacids are accurate? (Select all that apply.)
a. Antacids reduce the production of acid in the stomach.
* ***b. Antacids neutralize acid in the stomach.
* **c. Rebound hyperacidity may occur with calcium-based antacids.
d. Aluminum-based antacids cause diarrhea.
* **e. Magnesium-based antacids cause diarrhea.
