Unit 12- Chapter Questions

Question 1

Risk factors for PUD

Answer 1

1. drugs: NSAIDS, steroids
2. H. Pylori
3. family history
4. o-type blood
5. smoking
6. caffeine
7. stress
8. zollinger allison syndrome

Question 2

Name a s/s of a GERD

Answer 2

1. heart burn
2. dysphagia
3. dyspepsia
4. chest pain
5. cough
6. wheezing
7. sore throat
8. hoarseness

Question 3

Name 5 common adverse effects of PPIs

Answer 3

GI related & headache

1. headache
2. nausea
3. abdominal pain
4. diarrhea
5. vomiting

Question 4

Nursing Considerations/pt. teaching for Omeprazole

Answer 4

• • not effective for acute attacks (long-term use only)
• • report GI bleeding! (tarry stools, coffee emesis, bright red blood)
• take before breakfast (30-60 min, before first meal of day)
• lifestyle changes: decrease stress, decrease spicy foods, avoid smoking & alcohol
• • problem with B12 malabsorption (B12 needs an acidic environment to absorb)
• • sever diarrhea especially with fever

Question 5

Name 5 nursing considerations/pt. teaching with H2 blockers

Answer 5

1. take at night
2. encourage healthy lifestyle changes
3. don’t take with antacids
4. report sever diarrhea
5. monitor for GI bleeding

Question 6

Name 4 drugs used to treat H. Pylor

Answer 6

1. clarithromycin (antibiotic/anti-infectious)
2. amoxicillin (antibiotic/anti-infectious)
3. omeprazole (PPI/anti-infectious)
4. bismuth (antacid/anti-infectious)

Question 7

Name the 6 types of laxatives & how they work

Answer 7

1. Bulk forming: absorb water, thus adding size to the fecal mass
2. stimulant: promote peristalsis by irritating the bowel
3. Stool Softener/Surfactant: cause more water and fat to be absorbed into the stools
4. Saline & Ostmotic: poorly absorbed in the intestine…they pull water into the fecal mass to create a more water stool
5. Herbal Agent: stimulates the bowel and increases peristalsis
6. Miscellaneous/mineral oil/Lubricant: lubricate the intestines by decreasing the amount of water absorbed by the intestines.

Question 8

Nursing Considerations/Pt. teaching for antacids

Answer 8

1. oral tablets must be chewed & best to follow with 8 oz glass of water
2. if liquid preparation = make sure to shake it up & follow with water
3. most effective if taken 1 hr before a meal or 2-3 hours after a meal & at bed time
4. document pt. complaints of gastric pain & relief
5. monitor labs (electrolytes)
6. monitor bowel habits (either constipation or diarrhea)
7. check with pharmacist of other meds (some need an acidic environment)
8. if taking anything that is enteric coated, medication is going to be released too early
9. can cause rebound acidity with discontinuation