Question 1

A patient asks why calcium carbonate is not often used as an antacid.What is the nurse's best explanation to the patient?

Accepted Answer

A) Its use may result in kidney stones. 
B) It causes decreased gastric acid production. 
C) It often causes severe constipation. 
D) It may result in fluid retention and edema. 
A) Its use may result in kidney stones. 
B) It causes decreased gastric acid production. 
C) It often causes severe constipation. 
D) It may result in fluid retention and edema. A

Question 2

Which are true statements about antacids? (Select all that apply.)

Accepted Answer

A) Antacids prevent the overproduction of acid in the stomach. 
B) Antacids neutralize acid in the stomach. 
C) Antacids form a mucous barrier in the stomach. 
D) Rebound hyperacidity may occur with calcium-based antacids. 
E) Aluminum-based antacids cause diarrhea.
F)Magnesium-based antacids cause diarrhea.
G)Stomach acidity is reduced by 90% if the pH is raised an entire point. 
A) Antacids prevent the overproduction of acid in the stomach. 
B) Antacids neutralize acid in the stomach. 
C) Antacids form a mucous barrier in the stomach. 
D) Rebound hyperacidity may occur with calcium-based antacids. 
E) Aluminum-based antacids cause diarrhea.
F)Magnesium-based antacids cause diarrhea.
G)Stomach acidity is reduced by 90% if the pH is raised an entire point. B,D,F,G

Question 3

A patient has been taking cimetidine for hyperacidity but says that the medication has not been effective.What is the patient doing that may be influencing the effectiveness of this drug?

Accepted Answer

A) The patient is taking the cimetidine with meals. 
B) The patient is smoking two packs of cigarettes a day. 
C) The patient is avoiding caffeine, alcohol, and harsh spices. 
D) The patient is taking an antacid 1 hour before or after taking the cimetidine dose. 
A) The patient is taking the cimetidine with meals. 
B) The patient is smoking two packs of cigarettes a day. 
C) The patient is avoiding caffeine, alcohol, and harsh spices. 
D) The patient is taking an antacid 1 hour before or after taking the cimetidine dose. B

Question 4

Which classification of medications is considered triple therapy for treatment of erosive esophagitis?

Accepted Answer

A) H2 antagonists 
B) Proton pump inhibitors 
C) General antacids 
D) Prostaglandin inhibitors 
A) H2 antagonists 
B) Proton pump inhibitors 
C) General antacids 
D) Prostaglandin inhibitors

Question 5

A patient is taking omeprazole (Losec)for the treatment of gastroesophageal reflux disease.What important information should the nurse give the patient about this medication?

Accepted Answer

A) The medication is taken once a day after meals. 
B) The patient will be taking this medication for long-term therapy. 
C) The medication may be dissolved in a liquid for better absorption. 
D) The entire capsule should be taken whole and not crushed, chewed, or opened. 
A) The medication is taken once a day after meals. 
B) The patient will be taking this medication for long-term therapy. 
C) The medication may be dissolved in a liquid for better absorption. 
D) The entire capsule should be taken whole and not crushed, chewed, or opened.

Question 6

Which drug is used for the management of conditions associated with excessive gas production?

Accepted Answer

A) famotidine (Pepcid) 
B) aluminum hydroxide and magnesium hydroxide (Maalox) 
C) calcium carbonate 
D) simethicone (Oval) 
A) famotidine (Pepcid) 
B) aluminum hydroxide and magnesium hydroxide (Maalox) 
C) calcium carbonate 
D) simethicone (Oval)

Question 7

A 75-year-old woman reports experiencing indigestion,stomach pain,and frequent belching.She tells the nurse that she has been taking sodium bicarbonate five or six times a day for the past 3 weeks.Which hazard does the nurse know can possibly result from excessive use of sodium bicarbonate?

Accepted Answer

A) Excess belching 
B) Constipation 
C) Systemic alkalosis 
D) Stomach secretion of excess mucus 
A) Excess belching 
B) Constipation 
C) Systemic alkalosis 
D) Stomach secretion of excess mucus

Question 8

Antacids that contain aluminum salts may result in which adverse effect?

Accepted Answer

A) Diarrhea 
B) Constipation 
C) Intestinal flatulence 
D) Abdominal cramping 
A) Diarrhea 
B) Constipation 
C) Intestinal flatulence 
D) Abdominal cramping

Question 9

Antacids containing magnesium should be used cautiously in patients with which condition?

Accepted Answer

A) Peptic ulcer disease 
B) Renal failure 
C) Hypertension 
D) Heart failure 
A) Peptic ulcer disease 
B) Renal failure 
C) Hypertension 
D) Heart failure

Question 10

A patient has been diagnosed with a peptic ulcer caused by Helicobacter pylori.The physician has recommended 2 weeks of combination therapy with omeprazole and an antibiotic.Which antibiotic will be chosen for this therapy?

Accepted Answer

A) cephalexin hydrochloride 
B) ampicillin sodium 
C) sulfisoxazole 
D) clarithromycin 
A) cephalexin hydrochloride 
B) ampicillin sodium 
C) sulfisoxazole 
D) clarithromycin

Question 11

H2 antagonists,such as cimetidine,may inhibit the absorption of drugs that require an acidic gastrointestinal environment.Which drug requires an acidic gastrointestinal environment?

Accepted Answer

A) Nonsteroidal anti-inflammatory drugs 
B) ranitidine (Zantac) 
C) tetracycline 
D) ketoconazole 
A) Nonsteroidal anti-inflammatory drugs 
B) ranitidine (Zantac) 
C) tetracycline 
D) ketoconazole

Question 12

A patient is taking several medications,including twice-daily dosages of antacids.What important information about taking the antacids should the nurse give this patient?

Accepted Answer

A) The medications can be taken with the antacids. 
B) The antacids should be taken 1 to 2 hours before or after the other medications. 
C) The antacids should be taken at least 4 hours apart from the other medications. 
D) The patient will not be able to take the antacid therapy at this time. 
A) The medications can be taken with the antacids. 
B) The antacids should be taken 1 to 2 hours before or after the other medications. 
C) The antacids should be taken at least 4 hours apart from the other medications. 
D) The patient will not be able to take the antacid therapy at this time.

Exam 39: Acid-Controlling Drugs

A patient asks why calcium carbonate is not often used as an antacid.What is the nurse's best explanation to the patient?

Which are true statements about antacids? (Select all that apply.)

A patient has been taking cimetidine for hyperacidity but says that the medication has not been effective.What is the patient doing that may be influencing the effectiveness of this drug?

Which classification of medications is considered triple therapy for treatment of erosive esophagitis?

A patient is taking omeprazole (Losec)for the treatment of gastroesophageal reflux disease.What important information should the nurse give the patient about this medication?

Which drug is used for the management of conditions associated with excessive gas production?

A 75-year-old woman reports experiencing indigestion,stomach pain,and frequent belching.She tells the nurse that she has been taking sodium bicarbonate five or six times a day for the past 3 weeks.Which hazard does the nurse know can possibly result from excessive use of sodium bicarbonate?

Antacids that contain aluminum salts may result in which adverse effect?

Antacids containing magnesium should be used cautiously in patients with which condition?

A patient has been diagnosed with a peptic ulcer caused by Helicobacter pylori.The physician has recommended 2 weeks of combination therapy with omeprazole and an antibiotic.Which antibiotic will be chosen for this therapy?

H2 antagonists,such as cimetidine,may inhibit the absorption of drugs that require an acidic gastrointestinal environment.Which drug requires an acidic gastrointestinal environment?

A patient is taking several medications,including twice-daily dosages of antacids.What important information about taking the antacids should the nurse give this patient?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

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Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

Filters

H₂ antagonists,such as cimetidine,may inhibit the absorption of drugs that require an acidic gastrointestinal environment.Which drug requires an acidic gastrointestinal environment?