ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 50 : Acid-Controlling Drugs Questions
Question 1 of 5
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?
Correct Answer: D
Rationale: All H2 receptor antagonists may inhibit the absorption of certain drugs, such as the antifungal ketoconazole, that require an acidic gastrointestinal environment for gastric absorption.
Question 2 of 5
A patient who has been taking cimetidine 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?
Correct Answer: B
Rationale: Smoking may impair the absorption of H2 antagonists.
Question 3 of 5
A patient is taking omeprazole for the treatment of gastroesophageal reflux disease (GERD). The nurse will include which statement in the teaching plan about this medication?
Correct Answer: D
Rationale: Omeprazole needs to be taken before meals, and an entire capsule must be taken whole, not crushed, chewed, opened, or dissolved in liquid when treating GERD. This medication is used on a long-term basis to maintain healing.
Question 4 of 5
A patient has excessive and painful gas. The nurse checks the patient's medication orders and prepares to administer which drug for this problem?
Correct Answer: D
Rationale: Simethicone alters the elasticity of mucus-coated bubbles, causing them to break, and is an over-the-counter antiflatulent.
Question 5 of 5
A 75-year-old woman comes into the clinic and states she has had muscle twitching, nausea, and headache. She tells the nurse that she has been taking sodium bicarbonate five or six times a day for the past 3 weeks. The nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate?
Correct Answer: C
Rationale: Excessive use of sodium bicarbonate may lead to systemic alkalosis.