Podcast
Questions and Answers
Which class of medication is primarily used to reduce stomach acid production by inhibiting the proton pump in parietal cells?
Which class of medication is primarily used to reduce stomach acid production by inhibiting the proton pump in parietal cells?
- H2 Receptor Antagonists
- Antiemetics
- Proton Pump Inhibitors (PPIs) (correct)
- Antacids
Which of the following medications is commonly used to provide a protective layer on the stomach lining, thus relieving symptoms of heartburn?
Which of the following medications is commonly used to provide a protective layer on the stomach lining, thus relieving symptoms of heartburn?
- Loperamide
- Omeprazole
- Ranitidine
- Gaviscon (correct)
A patient taking omeprazole daily for several years is advised by their healthcare provider to monitor for potential:
A patient taking omeprazole daily for several years is advised by their healthcare provider to monitor for potential:
- Bone fractures (correct)
- Increased bone density
- Improved kidney function
- Reduced risk of pneumonia
Which of the following side effects is most associated with overuse of stimulant laxatives?
Which of the following side effects is most associated with overuse of stimulant laxatives?
A patient reports taking loperamide (Imodium) for chronic diarrhea. Which nursing intervention is most important?
A patient reports taking loperamide (Imodium) for chronic diarrhea. Which nursing intervention is most important?
Which medication is contraindicated for patients with a known bowel obstruction?
Which medication is contraindicated for patients with a known bowel obstruction?
What instruction should the nurse provide to a patient who is newly prescribed an antacid?
What instruction should the nurse provide to a patient who is newly prescribed an antacid?
A patient with GERD is prescribed pantoprazole. What is the optimal timing for this medication?
A patient with GERD is prescribed pantoprazole. What is the optimal timing for this medication?
Which of the following H2 receptor antagonists has a higher risk of drug interactions due to its inhibition of the cytochrome P450 enzyme system?
Which of the following H2 receptor antagonists has a higher risk of drug interactions due to its inhibition of the cytochrome P450 enzyme system?
A patient is prescribed senna for constipation. What education should the nurse provide regarding its use?
A patient is prescribed senna for constipation. What education should the nurse provide regarding its use?
Which of the following is a common side effect of antiemetic medications like metoclopramide?
Which of the following is a common side effect of antiemetic medications like metoclopramide?
Which medication is an antidiarrheal that works by decreasing intestinal motility?
Which medication is an antidiarrheal that works by decreasing intestinal motility?
A patient with peptic ulcer disease is prescribed famotidine. What is an important aspect of patient education regarding this medication?
A patient with peptic ulcer disease is prescribed famotidine. What is an important aspect of patient education regarding this medication?
Which of the following medications is an osmotic laxative?
Which of the following medications is an osmotic laxative?
A patient receiving chemotherapy is experiencing nausea and vomiting. Which medication would be most appropriate?
A patient receiving chemotherapy is experiencing nausea and vomiting. Which medication would be most appropriate?
Which of the following is a common side effect of bismuth subsalicylate?
Which of the following is a common side effect of bismuth subsalicylate?
A patient with a history of heart failure should use caution when taking which type of antacid?
A patient with a history of heart failure should use caution when taking which type of antacid?
What potential interaction should a nurse monitor for in a patient taking both an H2 receptor antagonist and warfarin?
What potential interaction should a nurse monitor for in a patient taking both an H2 receptor antagonist and warfarin?
For which condition would a nurse administer polyethylene glycol?
For which condition would a nurse administer polyethylene glycol?
Which of these medications used to treat gastrointestinal issues requires monitoring for potential extrapyramidal symptoms (EPS)?
Which of these medications used to treat gastrointestinal issues requires monitoring for potential extrapyramidal symptoms (EPS)?
What is the primary indication for prescribing alginic acid?
What is the primary indication for prescribing alginic acid?
Which of the following is a common side effect of taking antiemetics?
Which of the following is a common side effect of taking antiemetics?
What is the most important consideration when administering a Fleet enema?
What is the most important consideration when administering a Fleet enema?
A patient with Clostridium difficile-associated diarrhea should avoid which anti-diarrheal medication?
A patient with Clostridium difficile-associated diarrhea should avoid which anti-diarrheal medication?
What is the mechanism of action of H2 receptor antagonists in treating gastrointestinal conditions?
What is the mechanism of action of H2 receptor antagonists in treating gastrointestinal conditions?
What is the primary reason for administering antacids between meals and at bedtime?
What is the primary reason for administering antacids between meals and at bedtime?
Which of the following is a potential adverse effect associated with long-term use of proton pump inhibitors (PPIs)?
Which of the following is a potential adverse effect associated with long-term use of proton pump inhibitors (PPIs)?
A patient is prescribed both loperamide and an antibiotic for infectious diarrhea. Why should this combination be approached with caution?
A patient is prescribed both loperamide and an antibiotic for infectious diarrhea. Why should this combination be approached with caution?
Which type of laxative is most appropriate for a patient who needs to avoid straining during bowel movements due to recent surgery?
Which type of laxative is most appropriate for a patient who needs to avoid straining during bowel movements due to recent surgery?
A patient on long-term antacid therapy that contains aluminum is at risk for which condition?
A patient on long-term antacid therapy that contains aluminum is at risk for which condition?
Which of the following is the most appropriate initial intervention for a patient experiencing mild nausea and vomiting?
Which of the following is the most appropriate initial intervention for a patient experiencing mild nausea and vomiting?
A patient with GERD is prescribed esomeprazole. Which of the following statements indicates that the patient understands the proper administration of this medication?
A patient with GERD is prescribed esomeprazole. Which of the following statements indicates that the patient understands the proper administration of this medication?
Which of the following interventions should be prioritized when caring for a patient receiving antiemetic medications?
Which of the following interventions should be prioritized when caring for a patient receiving antiemetic medications?
A patient is taking loperamide for diarrhea. What findings should the nurse instruct the patient to report immediately?
A patient is taking loperamide for diarrhea. What findings should the nurse instruct the patient to report immediately?
Which of the following stool types is most likely after prep with magnesium sulfate?
Which of the following stool types is most likely after prep with magnesium sulfate?
What is the most significant risk to educate the patient about before administering senna?
What is the most significant risk to educate the patient about before administering senna?
Which medication is LEAST likely to have an effect on laboratory values?
Which medication is LEAST likely to have an effect on laboratory values?
A patient with pre-existing renal disease should consult their provider prior to taking which of the following medications?
A patient with pre-existing renal disease should consult their provider prior to taking which of the following medications?
Which of the following is a potential adverse effect that is unique to the long-term use of cimetidine compared to other H2 receptor antagonists?
Which of the following is a potential adverse effect that is unique to the long-term use of cimetidine compared to other H2 receptor antagonists?
A patient who recently had bariatric surgery is complaining of chronic nausea. Which of these medications should be avoided?
A patient who recently had bariatric surgery is complaining of chronic nausea. Which of these medications should be avoided?
Flashcards
Antacids
Antacids
Neutralize stomach acid; examples include Gaviscon, Pepto-Bismol, Tums, Mylanta, and Rolaids.
Indications for antacids
Indications for antacids
Heartburn, acid indigestion, upset stomach and mild peptic ulcers.
Side effects of antacids
Side effects of antacids
Constipation, diarrhea, gas, and electrolyte imbalances with long-term use.
Nursing considerations for antacids
Nursing considerations for antacids
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Proton Pump Inhibitors (PPIs)
Proton Pump Inhibitors (PPIs)
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Indications for PPIs
Indications for PPIs
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Side effects of PPIs
Side effects of PPIs
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Nursing considerations for PPIs
Nursing considerations for PPIs
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H2 Receptor Antagonists
H2 Receptor Antagonists
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Indications for H2 receptor antagonists
Indications for H2 receptor antagonists
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Side effects of H2 receptor antagonists
Side effects of H2 receptor antagonists
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Nursing considerations for H2 receptor antagonists
Nursing considerations for H2 receptor antagonists
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Laxatives
Laxatives
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Indications for Laxatives
Indications for Laxatives
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Side effects of laxatives
Side effects of laxatives
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Nursing considerations for laxatives
Nursing considerations for laxatives
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Antidiarrheals
Antidiarrheals
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Indications for Antidiarrheals
Indications for Antidiarrheals
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Side effects of antidiarrheals
Side effects of antidiarrheals
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Nursing considerations for antidiarrheals
Nursing considerations for antidiarrheals
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Antiemetics
Antiemetics
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Indications for Antiemetics
Indications for Antiemetics
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Side effects of antiemetics
Side effects of antiemetics
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Nursing consideration for antiemetics
Nursing consideration for antiemetics
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Study Notes
- Medications commonly used to manage gastrointestinal (GI) problems
Antacids
- Common brands include Gaviscon (alginic acid), Pepto-Bismol (bismuth), Tums, Mylanta, and Rolaids
- Dosage varies; typically taken between meals and at bedtime as chewable, liquid, or tablet
- Treats heartburn, acid indigestion, upset stomach, and mild peptic ulcers
- Side effects include constipation, diarrhea, gas, and electrolyte imbalances (high calcium or magnesium) with long-term use
- Nurses should monitor bowel habits and electrolyte imbalances
- Important to educate patients about differences between over-the-counter and prescription options
Proton Pump Inhibitors (PPIs)
- Common PPIs: omeprazole, esomeprazole, lansoprazole, pantoprazole and rabeprazole
- Dosage varies depending on brand and condition
- Usually taken once daily before breakfast
- Used for heartburn, GERD, peptic ulcers, and Zollinger-Ellison syndrome
- Side effects: headache, diarrhea, nausea, fatigue, and bone fractures with long-term use
- Nurses should monitor for side effects and educate patients to take with water and not crush tablets, as well as advise about interactions with other medications
H2 Receptor Antagonists
- Common types: famotidine, cimetidine, nizatidine and ranitidine
- Dosage varies depending on brand and condition and often taken twice daily before meals and at bedtime
- Treats heartburn, GERD, and peptic ulcers
- Side effects include headache, diarrhea, constipation, and drowsiness
- Nursing considerations include monitoring for side effects, educating patients about proper medication administration, check for potential interactions with other medications.
Laxatives
- Common types: Senokot (senna), Prepokit (citric acid/magnesium), Sutab (mag sulfate), Fleet enema (sodium biphosphate)
- Dosage varies and use can be occasional or daily
- Treats constipation, fecal impaction, and bowel preparation for procedures
- Side effects: abdominal cramps, diarrhea, dehydration, and electrolyte imbalances with overuse
- Nurses should assess causes of constipation, educate about different types and appropriate use, and emphasize non-pharmacological methods
Antidiarrheals
- Common types: loperamide (Imodium), Pepto-Bismol, Kaopectate (bismuth subsalicylate)
- Dosage varies and typically taken after loose stools
- Treats acute diarrhea, traveler's diarrhea, and chronic diarrhea
- Side effects: constipation, bloating, and abdominal pain
- Nurses should assess the cause, identify dehydration risks, educate patients about appropriate use, and stress addressing underlying causes
Antiemetics (anti-nausea medications)
- Common types: Reglan (metoclopramide), Motilium (domperidone), Thorazine (chlorpromazine)
- Dosage varies and may be given orally, intravenously, or rectally
- Treats nausea and vomiting from motion sickness, chemotherapy, and surgical procedures
- Side effects: drowsiness, dry mouth, and dizziness
- Nurses should monitor for side effects, assess hydration, and educate patients about potential interactions with other medications
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