The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

H2-receptor blockers

Antacids

PPIS

NSAIDS

Answer and Explanation

The Correct Answer is D

A) H2-receptor blockers:
H2-receptor blockers, such as ranitidine and famotidine, are commonly used to reduce stomach acid production and treat peptic ulcer disease. They help promote ulcer healing and alleviate symptoms. These medications are generally safe and appropriate for use in clients with peptic ulcer disease.

B) Antacids:
Antacids are medications that neutralize stomach acid and provide symptomatic relief from peptic ulcer disease. While they do not directly treat the underlying cause of the ulcer, they can help alleviate symptoms such as pain and discomfort. Antacids are generally safe for use in clients with peptic ulcer disease.

C) PPIs (Proton Pump Inhibitors):
PPIs, such as omeprazole and pantoprazole, are potent acid-suppressing medications commonly used to treat peptic ulcer disease and gastroesophageal reflux disease (GERD). They are effective at reducing stomach acid production and promoting ulcer healing. PPIs are generally safe and appropriate for use in clients with peptic ulcer disease.

D) NSAIDs (Nonsteroidal Anti-Inflammatory Drugs).
NSAIDs, such as ibuprofen, aspirin, and naproxen, can exacerbate peptic ulcer disease by increasing the risk of gastric irritation, erosion, and ulceration. These medications inhibit the production of prostaglandins, which help protect the stomach lining. Chronic or excessive use of NSAIDs can lead to the development of new ulcers or worsening of existing ulcers. Therefore, clients with peptic ulcer disease are typically advised to avoid NSAIDs or to use them with caution under the guidance of a healthcare provider.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

A. At high doses, to treat anaphylaxis: Dopamine is not used to treat anaphylaxis. Anaphylaxis is typically managed with medications such as epinephrine, antihistamines, and corticosteroids.

B. At high doses, to increase cardiac output: Dopamine is a medication commonly used in the treatment of shock, particularly in cases of hypotension. At higher doses, dopamine acts as a positive inotrope and increases cardiac contractility, thereby improving cardiac output and increasing blood pressure.

C. At low doses, to cause increased blood flow to the kidneys: At lower doses, dopamine primarily acts on dopaminergic receptors in the renal vasculature, leading to vasodilation of the renal blood vessels and increased renal perfusion. This can help improve renal blood flow and urine output, making it beneficial in cases of renal hypoperfusion or acute kidney injury.

D. At low doses, to treat anaphylaxis: Dopamine is not used to treat anaphylaxis at any dose. Anaphylaxis is managed with medications such as epinephrine, which acts on multiple receptors to reverse the systemic effects of the allergic reaction.

E. To cause vasoconstriction and increase blood pressure: Dopamine can also cause vasoconstriction, particularly at higher doses. This effect is mediated through its action on alpha-adrenergic receptors, leading to peripheral vasoconstriction and an increase in systemic vascular resistance, which in turn helps increase blood pressure.

A. The nose, nasal cavity, pharynx, and paranasal sinuses B. The nose and paranasal sinuses C. The lungs and associated structures D. The nose, nasal cavity, pharynx, and the lungs

Correct Answer is A

Explanation

A) The nose, nasal cavity, pharynx, and paranasal sinuses.
The upper respiratory tract consists of the structures located above the larynx (voice box). These include the nose, nasal cavity, pharynx (throat), and paranasal sinuses. These structures play vital roles in filtering, warming, and humidifying the air we breathe, as well as in olfaction (sense of smell) and speech resonance.

B) The nose and paranasal sinuses:
While the nose and paranasal sinuses are indeed part of the upper respiratory tract, this response does not include the entirety of the upper respiratory structures, such as the pharynx, which is also crucial.

C) The lungs and associated structures:
This choice is incorrect because the lungs are part of the lower respiratory tract, not the upper respiratory tract. The lower respiratory tract includes the trachea (windpipe), bronchi, bronchioles, and alveoli.

D) The nose, nasal cavity, pharynx, and the lungs:
This response includes structures from both the upper and lower respiratory tracts. While the nose, nasal cavity, and pharynx belong to the upper respiratory tract, the lungs are part of the lower respiratory tract. Therefore, this option is not accurate for describing the components of the upper respiratory tract.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient's family is asking questions about the medications used in the treatment for shock. The nurse explains that dopamine is one of the drugs being used and that it works: (Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

The nurse is caring for a client with asthma. The client asks the nurse what structures make up the upper respiratory tract. Which response by the num the most appropriate?

Correct Answer is A

Explanation

A nurse is preparing to administer 1.000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it appl use a trailing zero.)

The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

After taking the medication guaifenesin (Mucinex), the client complains of coughing up phlegm. What is the best response by the nurse?

When administering norepinephrine (Levophed), the nurse monitors the patient for:

A nurse is preparing to administer amoxicillin 500 mg PO to a client. The amount available is amoxicillin suspension 250 mg/5 ml. How should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

The nurse explains to the client why inhalation medications work rapidly. What should the nurse include in the teaching? (Select All that Apply.)

After administering an inotropic medication to a patient in shock, the nurse monitors the patient for signs of: